CN105796145B - A kind of nail-head component and hysteroscope surgical operation seaming and cutting device - Google Patents

A kind of nail-head component and hysteroscope surgical operation seaming and cutting device Download PDF

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Publication number
CN105796145B
CN105796145B CN201410843332.6A CN201410843332A CN105796145B CN 105796145 B CN105796145 B CN 105796145B CN 201410843332 A CN201410843332 A CN 201410843332A CN 105796145 B CN105796145 B CN 105796145B
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China
Prior art keywords
nail
cutter
block
nail bin
safety block
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CN201410843332.6A
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Chinese (zh)
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CN105796145A (en
Inventor
陈望东
舒拓
傅开芬
裴永旺
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Touchstone International Medical Science Co Ltd
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Touchstone International Medical Science Co Ltd
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Priority to CN201410843332.6A priority Critical patent/CN105796145B/en
Application filed by Touchstone International Medical Science Co Ltd filed Critical Touchstone International Medical Science Co Ltd
Priority to JP2017600084U priority patent/JP3213928U/en
Priority to EP15875261.8A priority patent/EP3241502B1/en
Priority to PCT/CN2015/099936 priority patent/WO2016107585A1/en
Priority to BR112017014068A priority patent/BR112017014068A2/en
Priority to US15/541,064 priority patent/US20170354413A1/en
Priority to ES15875261T priority patent/ES2949098T3/en
Publication of CN105796145A publication Critical patent/CN105796145A/en
Application granted granted Critical
Publication of CN105796145B publication Critical patent/CN105796145B/en
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Abstract

The present invention provides a kind of nail-head component comprising:Nail bin frame is removably equipped with nail bin;Nail anvil, can be pivoted closed relative to nail bin;Block is fired, is movably arranged in nail bin, the percussion block is equipped with a unlocking part;Cutter, the cutter at least longitudinally can between the first location and the second location be moved relative to nail bin frame along it, and the proximal end of the cutter is provided with push broach bar, and the distal end of the cutter is equipped with blade, under the promotion of the push broach bar, the cutter pushes the percussion block movement;Insurance institution, the insurance institution include:Safety block, the safety block are set in the nail bin frame, and can be moved between the third place and the 4th position along the lateral of the nail bin frame relative to the nail bin frame;Elastomeric element is set between the nail bin frame and the safety block, and the safety block is driven to be moved from the third place to the 4th position.The nail-head component is fired again in the case of being effectively prevented the nail bin do not replaced and fired.

Description

A kind of nail-head component and hysteroscope surgical operation seaming and cutting device
Technical field
The present invention relates to medical instruments fields, and in particular, to a kind of ailhead with the insurance institution for preventing secondary percussion Component and hysteroscope surgical operation seaming and cutting device with the nail-head component.
Background technology
Seaming and cutting device is widely used in wound suture, interior tissue suture and cutting in surgical operation.Surgical operation is sent out Exhibition so far, increasingly tends to Minimally Invasive Surgery.Broadly, the operation that can reduce wound is referred to as Minimally Invasive Surgery;It is narrow For justice, Minimally Invasive Surgery refers to the operation carried out in Microendoscopic.The general body only needed in patient of operation of Microendoscopic On open several apertures, by excision, suture tissue and auxiliary instrument from aperture deeply perform the operation in patient body.Minimally Invasive Surgery The wound brought to patient is small, and patient can restore in a short period of time, therefore Minimally Invasive Surgery is increasingly by the blueness of people It looks at.
It is used for the hysteroscope surgical operation straight line seaming and cutting device of Minimally Invasive Surgery, including an instrument body, institute in the prior art It includes the percussion handle of shell and a pivot on shell to state instrument body, sets in the shell and is hit there are one relatively-movable Bar is sent out, the trigger shaft can push the nail-head component positioned at housing forward end to be sutured and cut off.Specifically, the nail-head component The nail anvil being pivotally connected with nail bin frame including a nail bin frame and one.It is removably equipped with nail bin on the nail bin frame, is set in nail bin Have in one group and set nail hole equipped with pushing slice of nail, anastomosis staple, generally 4 rows or 6 rows' sets nail hole.The nail anvil is setting nail with described The opposite position in hole is equipped with nail forming tank.The nail-head component further includes one and is movably disposed at taking over for nail-head component An I-shaped cutter is fixed in push broach bar interior, with trigger shaft mating, the distal end of the push broach bar, which is advancing During nail bin and nail anvil are closed.The distal center of the cutter is equipped with blade, and nail will be located at during advance Tissue cut-out between storehouse and nail anvil.Percussion block, during I-shaped cutter advances, I-shaped cutter driving are equipped in nail bin Pushing slice of nail is pushed out of outside nail bin by percussion block successively, and then anastomosis staple is pushed out of outside nail bin and orders conjunction organizationally by pushing slice of nail. In the prior art, after doctor completes above-mentioned seaming and cutting action, it is necessary first to reset instrument, then replace nail bin, so as to hysteroscope Surgical operation carries out the operation of seaming and cutting next time with seaming and cutting device.
It, can be the case where not replacing the nail bin fired but due to some careless doctors or the doctor to lack experience The seaming and cutting operation of lower progress next time, can lead to the generation of malpractice, that is, carry out excision and do not sutured but in this way.In order to anti- The generation of class accident here, it is proposed that prevent the theory of secondary percussion using secondary fuse, i.e., do not replacing the nail bin fired In the case of, percussion handle cannot be pressed.In this way, fundamentally preventing the malpractice generated due to doctor's maloperation.
Invention content
A kind of nail-head component of present invention offer and hysteroscope surgical operation seaming and cutting device, can effectively prevent seaming and cutting device to exist It does not replace in the case of nail bin by secondary percussion.
According to an aspect of the present invention, a kind of nail-head component is provided, which is characterized in that including:Nail bin frame, removably Equipped with nail bin;Nail anvil, can be pivoted closed relative to nail bin;Block is fired, is movably arranged in the nail bin, the percussion block Equipped with a unlocking part;Cutter, the cutter at least can the relatively described nail bin frame along its longitudinal direction in first position and the second position Between move, the proximal end of the cutter is provided with push broach bar, and the distal end of the cutter is equipped with blade, in the promotion of the push broach bar Under, the cutter pushes the percussion block movement;Insurance institution, the insurance institution include:Safety block, the safety block setting In in the nail bin frame, and can the relatively described nail bin frame laterally being moved between the third place and the 4th position along the nail bin frame It is dynamic;Elastomeric element is set between the nail bin frame and the safety block, drives the safety block from the third place to institute State the movement of the 4th position;Before the percussion block is mobile by cutter percussion, insure described in the unlocking part transverse shear stress Block is in the third place, and the elastomeric element is in compressive state, and the cutter can be moved to institute by the first position State the second position;After the percussion block is mobile by cutter percussion, the safety block is under the action of the elastomeric element It is moved to the 4th position, the safety block stops that the cutter is moved to the second position by the first position.
Preferably, the nail bin frame has one along its first longitudinally disposed limiting slot, the cutter and the percussion Block can be moved along first limiting slot.
Preferably, the nail bin frame also has second limiting slot being laterally arranged along it, second limiting slot and institute It states the first limiting slot to communicate, the insurance institution is set in second limiting slot, and the safety block is in second limit It is moved in slot, relatively described 4th position of the third place is further from first limiting slot.
Preferably, after the percussion block is mobile by cutter percussion, work of the safety block in the elastomeric element First limiting slot is stretched under, reaches the 4th position, between the first position and the second position of the cutter, And the cutter is located at the distal side of the safety block;Behind the proximal end that the cutter is drawn back into the nail bin, the guarantor Dangerous block is maintained at the 4th position under the action of elastomeric element, and the cutter is located at the proximal lateral of the safety block.
Preferably, the elastomeric element is a bullet block, and the relatively described safety block of bullet block is limited further from described first Slot, one end connect the nail bin frame inner wall, and the other end connects the safety block.
Preferably, the unlocking part is the convex block of a bottom for being convexly equipped in the percussion block proximal end.
Preferably, the both sides of first limiting slot are respectively provided with one second limiting slot, and the nail-head component includes two guarantors Dangerous mechanism is respectively arranged in two second limiting slots, when two safety blocks are respectively positioned on four positions, two institutes State the transverse gage for being smaller than the cutter between safety block.
Preferably, it is in I-shaped I-shaped knife that the cutter, which is longitudinal section, pushes the cutter toward far in the push broach bar During end is mobile, the nail anvil is set to be closed towards the nail bin at the top of the I-shaped knife;When the nail anvil and nail bin close It closes and the safety block is when being located at the third place, the first position of the cutter is than the percussion block closer to the nail bin frame Proximal end.
Preferably, the safety block has one first guide portion, when the cutter be moved to by the second position it is described When first position, the safety block is guided to be moved from the 4th position to the third place direction.
Preferably, first guide portion is one first inclined-plane, and first inclined-plane is set to the distal end of the safety block, And it is distally-oriented to the first limiting slot direction convex type certainly and tilts.
Preferably, there is the safety block third guide portion to guide the safety block by institute when the nail bin is installed The 4th position is stated to move to the third place direction.
Preferably, the third guide portion is a third inclined-plane, and the third inclined-plane is set to the upper table of the safety block On face, and tilted from upper surface towards the first limiting slot direction convex type.
Preferably, the insurance institution further includes insurance fixed cover, and the safety block and the elastomeric element are capped on Between the insurance fixed cover and the nail bin frame.
According to another aspect of the present invention, further include a kind of hysteroscope surgical operation seaming and cutting device, which is characterized in that including Above-mentioned nail-head component.
The present invention can be effectively prevented doctor by a kind of nail-head component of offer and hysteroscope surgical operation seaming and cutting device Operation next time is carried out in the case where not replacing the nail bin fired, avoids the generation of malpractice, and the seaming and cutting fill It sets simple in structure effective.
Description of the drawings
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention, Objects and advantages will become more apparent upon:
Fig. 1 is the stereogram of the nail-head component of the present invention;
Fig. 2 a are the explosive view of the nail-head component of the present invention;
Fig. 2 b are the front view of the percussion block of the nail-head component of the present invention;
Fig. 3 is the structural schematic diagram of the longitudinal section before the nail-head component percussion of the present invention;
Fig. 4 is the structural schematic diagram of the Section A-A before the nail-head component percussion in Fig. 3;
Fig. 5 is the structural schematic diagram of the section B-B before the nail-head component percussion in Fig. 3;
The structural schematic diagram of Section A-A when Fig. 6 is the nail-head component percussion in Fig. 3;
The structural schematic diagram of section B-B when Fig. 7 is the nail-head component percussion in Fig. 3;
Fig. 8 a are the structural schematic diagram of the cross sections B-B in cutter reseting procedure after the nail-head component in Fig. 3 fires;
Fig. 8 b are the close-up schematic view at D in Fig. 8 a;And
Fig. 9 is the structural schematic diagram of the cross sections B-B after the cutter of the nail-head component in Fig. 3 resets.
Specific implementation mode
Described in the present invention proximally and distally, it is to lean on one end of proximal operator using equipment operator as reference For proximal end, one end far from operator is distal end.Longitudinal direction in the present invention refers to part length direction, substantially from distal end to proximal end Direction.It refer to laterally the vertical longitudinal direction.Top/upper and lower in the present invention/under, vertical, level etc. is to direction Or the description of position is the explanation carried out by taking attached drawing as an example, but can also make a change as needed, done change is all contained in In the scope of the present invention.In addition, term first, second, third, fourth etc. is used for description purposes only, and should not be understood as referring to Show or imply relative importance or implicitly indicates the quantity of indicated technical characteristic.
According to the present invention purport conceive, nail-head component include nail bin frame, nail anvil, nail bin, percussion block, push broach bar, cutter with And insurance institution.Nail bin frame is removably equipped with nail bin;Nail anvil can be pivoted closed relative to nail bin;Percussion block is movably disposed In in the nail bin, the percussion block is equipped with a unlocking part;The cutter at least can the relatively described nail bin frame exist along its longitudinal direction It is moved between first position and the second position, the proximal end of the cutter is provided with push broach bar, and the distal end of the cutter is equipped with blade, Under the promotion of the push broach bar, the cutter pushes the percussion block movement;The insurance institution includes:Safety block, it is described Safety block is set in the nail bin frame, and can the relatively described nail bin frame along the nail bin frame laterally in the third place and the 4th It is moved between position;Elastomeric element is set between the nail bin frame and the safety block, drives the safety block by described It is moved to the 4th position three positions;Before the percussion block is mobile by cutter percussion, the unlocking part laterally squeezes The safety block is pressed to be at the third place, the elastomeric element is in compressive state, and the cutter can be by described One position is moved to the second position;After the percussion block is mobile by cutter percussion, the safety block is in the bullet Property component under the action of be moved to the 4th position, the safety block stops that the cutter is moved to institute by the first position State the second position.
The technology contents of the present invention are described further with reference to the accompanying drawings and examples:
Please also refer to Fig. 1 to Fig. 5, which respectively show the stereogram of the nail-head component of the present invention, explosive view and hit Structural schematic diagram before hair at each section of nail-head component.Wherein, since the nail anvil of nail-head component is not the innovation portion of the present invention Point, therefore, in order to more clearly show the structure of nail-head component, the nail anvil of nail-head component is omitted in attached drawing.In the present invention Preferred embodiment in, nail-head component includes:Nail bin frame 1, nail anvil (not shown), nail bin 2, percussion block 3, push broach bar 4, cutter 5, Connecting tube 7 and insurance institution.Wherein, the nail anvil is connected to the top of nail bin frame 1, it is preferable that the proximal end of nail anvil and nail bin The proximal end 11 of frame 1 is pivotally connected.
As shown in Fig. 2 a and Fig. 5, nail bin frame 1 is equipped with the first limiting slot (tool slot) 13 and the second limiting slot 14.First limit Position slot 13 is arranged along 1 proximal end 11 of nail bin frame to distal end 12.Second limiting slot 14 is set to the side of the first limiting slot 13, and with One limiting slot 13 communicates.In the preferred embodiment shown in Fig. 2 a, the both sides of the first limiting slot 13 are equipped with one second limiting slot 14, two 14 opposite first limiting slots 13 of the second limiting slot are symmetrical arranged.
Nail bin 2 is set between nail bin frame 1 and the nail anvil, and detachably connected nail bin frame 1.More specifically, nail bin 2 It is interior be equipped with accommodate pushing slice of nail and anastomosis staple set nail hole, generally 4 rows or 6 be set with nail hole, the nail anvil be equipped with in nail bin Set the corresponding nail forming tank of nail hole, to be sutured.
The distal end 71 of connecting tube 7 connects the proximal end 11 of nail bin frame 1.As shown in Figure 2 a, it is preferable that connecting tube 7 is by upper connection Part 72 and lower connector 73 are spliced.
Push broach bar 4 is movably arranged in connecting tube 7, and the distal end 41 of push broach bar 4 is connected with cutter 5.5 distal end 52 of cutter It is additionally provided with blade.During the push broach bar 4 pushes cutter 5 mobile to distal end, blade can be cut off positioned at nail anvil and nail Tissue between storehouse 2, at the same time, cutter 5 can push percussion block 3 to move, to which pushing slice of nail to be released to nail bin 2 successively, into And anastomosis staple is released into nail bin 2 and is ordered together in tissue.In the present embodiment, the longitudinal section of cutter 5 is in I-shaped, is pushed away described During knife bar 4 pushes cutter 5 to be moved toward distal end, I-shaped cutter 5 can be such that nail anvil is closed towards nail bin 2.
As shown in Figure 3 and Figure 5, cutter 5 is moved along the first limiting slot 13, and cutter 5 at least can be with respect to nail bin frame 1 along its longitudinal direction Move between the first location and the second location, first position and the second position be along 1 longitudinal two position of nail bin frame, and First position is relative to the second position closer to the proximal end 11 of nail bin frame 1.5 position of cutter in Fig. 5 is first position, i.e., After nail bin 2 is installed on nail bin frame 1, cutter 5 is located at the initial position of 1 proximal end of nail bin frame;5 position of cutter in Fig. 7 It is moved to the distal end of nail bin frame 1 under the action of push broach bar 4 for the second position namely cutter 5 and cannot be further continued for moving to distal end Position when dynamic.
Percussion block 3 is movably arranged in nail bin 2.It fires block 3 and is equipped with a unlocking part, the unlocking part is located at the In one limiting slot 13.As shown in Figure 2 b, the unlocking part is the convex block 32 of a bottom for being convexly equipped in 3 proximal end 31 of percussion block.It is convex The specific effect of block 32 can be as detailed below.
Insurance institution is set in the second limiting slot 14, and the insurance institution includes safety block 61 and elastomeric element.
Safety block 61 is set in nail bin frame 1, and can be moved between the third place and the 4th position relative to nail bin frame 1, When safety block 61 is in the third place, cutter 5 can be moved to the second position by the first position, in safety block 61 be in four position when, safety block 61 stop cutter 5 second position is moved to by the first position.
More specifically, the upper surface of safety block 61 is equipped with third guide portion, in the present embodiment, third guide portion is to protect The third inclined-plane 612 being obliquely installed on the upper surface of dangerous block 61, and tilted from its 13 direction convex type of the first limiting slot of upper surface. It can be matched with the convex block 32 on percussion block 3, and the insertion of block 3 is fired when being installed convenient for nail bin 2.Safety block 61 is in the second limit It is moved in slot 14, the relatively described the third place in the 4th position is closer to the first limiting slot 13, safety block 61 in Fig. 4 and Fig. 5 Position is the third place, during nail bin 2 is also installed on nail bin frame 1, is located on the percussion block 3 of 2 proximal end of nail bin Convex block 32 along 612 transverse shear stress safety block 61 of third inclined-plane, safety block 61 and then squeeze elastomeric element elastic deformation occur, Finally safety block 61 is made to avoid mobile route when cutter 5 is moved to the second position from first position, at this time where safety block 61 Position is the third place;61 position of safety block is the 4th position in Fig. 7, specifically, cutter is driven pushing push broach bar 4 During 5 move from first position to the second position, cutter 5 pushes percussion block 3 to be moved simultaneously to the distal end of nail bin 2 so that Block 3 is fired gradually to release to the squeezing action of safety block 61, when percussion block 3 and cutter 5 continue distal movement to no longer with guarantor After dangerous block 61 generates interaction, safety block 61 is no longer influenced by any restrictions, along the second limit under the action of elastomeric element Slot 14 moves, and partial insurance block 61 enters the first limiting slot 13 so that safety block 61 is barred from cutter 5 in first position and the In mobile route between two positions.As shown in Figure 4 and Figure 5, it is preferable that the nail-head component includes Liang Ge insurance institutions, point It is not set in two the second limiting slots 14 of the both sides of the first limiting slot 13.
Elastomeric element is set in nail bin frame 1, and driving safety block 61 is moved from the third place to the 4th position.Such as Fig. 5 institutes Show, for the elastomeric element with respect to safety block 61 further from the first limiting slot 13, one end connects the second limiting slot 14, and the other end connects Connect safety block 61.Elastomeric element is preferably a bullet block 62.Bullet block 62 is set in the second limiting slot 14, and one end of bullet block 62 connects 1 inner wall of nail bin frame is connect, the other end connects safety block 61.It will be appreciated by those skilled in the art that in some embodiments, elastomeric element is It can be changed, for example, elastomeric element can be a spring being set between the second limiting slot 14 and safety block 61.? It will not go into details for this.
In the preferred embodiment of Fig. 2 a, insurance institution further includes insurance fixed cover 63, and safety block 61 and elastomeric element are (i.e. Bullet block 62) it is covered by insurance fixed cover 63, it is located between insurance fixed cover 63 and the second limiting slot 14 of nail bin frame 1.Insurance is solid Determine that hole can be equipped on lid 63, is fixed in the second limiting slot 14 across the hole for screw.
Further, Fig. 4 and Fig. 5 are referred to, after nail bin 2 is installed on nail bin frame 1 and before nail-head component percussion, is cut Knife 5 is located at first position, is located at unlocking part (i.e. convex block 32) the transverse shear stress safety block 61 of the percussion block 3 of 2 proximal end of nail bin and makes It is located at the third place, and safety block 61 is made elastomeric element (i.e. bullet block 62) be in compression shape in turn by the backstop of convex block 32 State, at this point, pushing push broach bar 4 that cutter 5 and percussion block 3 can be driven mobile to distal end, so that tissue is cut and sutured.
Further, please also refer to Fig. 6 to Fig. 9.
Fig. 6 and Fig. 7 respectively illustrates the structural schematic diagram in the section of A-A and B-B when the nail-head component in Fig. 3 fires. As shown in Figure 6 and Figure 7, after cutter 5 pushes percussion block 3 under the effect of push broach bar 4, percussion block 3 is along the first limiting slot 13 to nail The distal end 12 of storehouse frame 1 is moved out safety block 61.In the process, cutter 5 is moved to the second position by first position, insurance Block 61 is since the unlocking part (i.e. convex block 32) on percussion block 3 is removed and loses transverse shear stress, and then in elastomeric element (bullet block 62) elastic force effect under be moved to the 4th position (such as both sides safety block 61 be closed, gap be less than cutter 5 transverse thick Degree).Position where cutter 5 shown in fig. 7 is the second position.Meanwhile the position of Fig. 6 and safety block shown in fig. 7 61 It sets as the 4th position.As shown in fig. 7, when safety block 61 is located at four positions, partial insurance block 61 stretches into the first limiting slot 13, it is located between the first position and the second position of cutter 5.
Further, since in the preferred embodiment of the present invention, the nail-head component includes to be set to the first limiting slot The Liang Ge insurance institutions of 13 both sides.Therefore, in this embodiment, it refers to that two safety blocks 61 are equal that safety block 61, which is located at the 4th position, Positioned at the 4th position, i.e., the part-structure of two safety blocks 61 stretches into the first limiting slot 13 and is located at the first position and second Between position.As shown in fig. 6, when two safety blocks 61 are respectively positioned on four positions, being smaller than between two safety blocks 61 The transverse gage of cutter 5.
Preferably, the transverse gage of cutter 5 is less than or equal to the transverse gage of the convex block 32 of percussion block 3, is more advantageous to work as and hit After the convex block 32 of hair block 3 is removed, cutter 5 can be before safety block 61 be moved to the 4th position by the third place by first position It is moved to the second position.
Further, after completing cutting, the suture to tissue, cutter 5 need to carry out resetting first before returning to percussion It sets, percussion block 3 rests on the distal end of nail bin.Fig. 8 a and Fig. 8 b show the B-B in cutter reseting procedure after nail-head component percussion The structural schematic diagram in section, Fig. 8 b are the close-up schematic view at the D of Fig. 8 a.As shown in figs. 8 a and 8b, safety block 61 has One first guide portion, the first guide portion are used for when cutter 5 is moved to first position by the second position, and guiding safety block 61 is by the It is moved to the third place direction four positions.In Fig. 8 b illustrated embodiments, first guide portion is one first inclined-plane 611, the One inclined-plane 611 is located at the distal end of safety block 61, and the first inclined-plane 611 is tilted from 13 direction convex type of the first limiting slot is distally-oriented to, Such as the cross section of safety block 61 is trapezoidal, and safety block 61 is extended to close to the first limiting slot by starting point of the distal end of safety block 61 13 one side.When cutter 5 is moved to the remote location of safety block 61 from the second position to first position direction, cutter 5 pushes away Dynamic first inclined-plane 611, the component along 14 direction of the second limiting slot that the first inclined-plane 611 generates make safety block 61 to the third place side To movement, elastomeric element (i.e. bullet block 62) is again at compressive state.When safety block 61 is fully located at the both sides of cutter 5, protect Dangerous block 61 is in the 5th position.It is understood that the transverse gage of cutter 5 is less than or equal to the transverse direction of the convex block 32 of percussion block 3 Thickness, therefore, the 5th position is between the third place and the 4th position.When the convex block of the transverse gage and percussion block 3 of cutter 5 When 32 transverse gage is identical, the 5th position is same position with the third place.
Further, it is preferable that the proximal end 51 of cutter 5 can also have the second guide portion, second guide portion cooperation the One guide portion, guiding safety block 61 are moved from the 4th position to the third place direction.Second guide portion can be and first The second adaptable inclined-plane of inclined-plane 611.Second inclined-plane is correspondingly set to the both sides of the proximal end 51 of cutter 5.Second inclined-plane Setting be more advantageous to the 51 transverse shear stress safety block 61 of proximal end of cutter 5 and be moved to the third place.
Fig. 9 shows the structural schematic diagram of the section B-B after cutter reset.As shown in figure 9, being back to first in cutter 5 During position, after cutter 5 is moved to the position for no longer generating interaction force with safety block 61, two pieces of safety blocks 61 it Between lose the transverse shear stress of cutter 5, be moved again to the 4th position under the elastic force effect of elastomeric element (bullet block 62), be barred from Between the first position and the second position.Due to the transverse gage for being smaller than cutter 5 between two safety blocks 61, and protect The proximal end of dangerous block 61 does not have guide portion, and therefore, if to carry out secondary percussion, safety block 61 can stop cutter 5 by first It sets to the second position and moves so that instrument can not carry out secondary percussion, could normally be fired after the nail bin only more renewed. And when the nail bin more renewed, the convex block 32 of the percussion block of new nail bin can lead to above the spacing between two pieces of safety blocks 61 The guiding for crossing third inclined-plane 612 is squeezed between two pieces of safety blocks 61, while safety block 61 being forced to again return to the third place, that is, is returned It is back to state as shown in Figure 5.Therefore, if the nail bin 2 not renewed, safety block 61 can not be entered the second limiting slot by transverse shear stress 14, then cutter 5 is stopped by safety block 61, can not be moved again to the second position, prevent nail-head component from not replacing to play The effect of secondary percussion is carried out in the case of nail bin.
The present embodiment prevents that secondary fire design is mainly to utilize the elastic portion for being respectively arranged at 13 both sides of the first limiting slot Part (bullet block 62) loses unlocking part (convex block 32) transverse shear stress of percussion block 3 to the active force of safety block 61, in safety block 61 Afterwards, the safety block 61 of both sides is close to each other, to the percussion again after preventing cutter 5 from being pulled.
It will be appreciated by those skilled in the art that in the change case of the present invention, nail-head component passes through an insurance institution It can play the role of preventing secondary percussion.In this change case, second limiting slot is arranged in the side of the first limiting slot 13 14, insurance institution is set in the second limiting slot 14, and when safety block 61 is located at four positions, safety block 61 is to the first limiting slot The 13 inner wall directions for corresponding to side are stretched out from the second limiting slot 14, and the part that safety block 61 stretches out is located at cutter 5 from first Position moves in the mobile route of the second position, to limit movement of the cutter 5 to distal end, at this point, a safety Structure can equally play the role of preventing secondary percussion, and it will not be described here.
The present invention also provides a kind of hysteroscope surgical operation seaming and cutting devices.The seaming and cutting device includes ontology and nail-head component. Wherein, ontology includes shell and the firing handle in shell, and nail-head component is nail-head component shown in Fig. 1 to Fig. 9.Nail The connecting tube 7 and push broach bar 4 of head assembly are connected with ontology.Firing handle can push push broach bar 4, make cutter 5 to nail bin It moves in 12 direction of distal end of frame 1.
In summary Fig. 1 is to embodiment shown in Fig. 9, it will be appreciated by those skilled in the art that ailhead group provided by the present invention Part and hysteroscope surgical operation seaming and cutting device, can be effectively prevented doctor and be carried out in the case where not replacing the nail bin fired Operation next time avoids the generation of malpractice, and the seaming and cutting apparatus structure is simple and effective.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited in above-mentioned Particular implementation, those skilled in the art can make various deformations or amendments within the scope of the claims, this not shadow Ring the substantive content of the present invention.

Claims (14)

1. a kind of nail-head component, which is characterized in that including:
Nail bin frame is removably equipped with nail bin;
Nail anvil, can be pivoted closed relative to nail bin;
Block is fired, is movably arranged in the nail bin, the percussion block is equipped with a unlocking part;
Cutter, the cutter at least longitudinally can between the first location and the second location be moved relative to the nail bin frame along it, institute The proximal end for stating cutter is provided with push broach bar, and the distal end of the cutter is equipped with blade, under the promotion of the push broach bar, the cutter The percussion block is pushed to move;
Insurance institution, the insurance institution include:
Safety block, the safety block are set in the nail bin frame, and can the relatively described nail bin frame along the nail bin frame transverse direction It is moved between the third place and the 4th position;
Elastomeric element is set between the nail bin frame and the safety block, drive the safety block from the third place to The 4th position movement;
Before the percussion block is mobile by cutter percussion, safety block described in the unlocking part transverse shear stress is in described the Three positions, the elastomeric element are in compressive state, and the cutter can be moved to the second position by the first position;
After the percussion block is mobile by cutter percussion, the safety block is moved to institute under the action of the elastomeric element The 4th position is stated, the safety block stops that the cutter is moved to the second position by the first position.
2. nail-head component according to claim 1, which is characterized in that the nail bin frame have one along its longitudinally disposed the One limiting slot, the cutter and the percussion block can be moved along first limiting slot.
3. nail-head component according to claim 2, which is characterized in that the nail bin frame was also laterally arranged with one along it Second limiting slot, second limiting slot are communicated with first limiting slot, and the insurance institution is set to second limit In slot, the safety block is moved in second limiting slot, and relatively described 4th position of the third place is further from described First limiting slot.
4. nail-head component according to claim 3, which is characterized in that fired and move by the cutter in the percussion block Afterwards, the safety block stretches into first limiting slot under the action of elastomeric element, the 4th position is reached, between institute It states between the first position of cutter and the second position, and the cutter is located at the distal side of the safety block;
Behind the proximal end that the cutter is drawn back into the nail bin, the safety block is maintained under the action of the elastomeric element 4th position, the cutter are located at the proximal lateral of the safety block.
5. nail-head component according to any one of claim 2 to 4, which is characterized in that the elastomeric element is a bullet block, For the relatively described safety block of bullet block further from first limiting slot, one end connects the nail bin frame inner wall, and the other end connects Connect the safety block.
6. nail-head component according to any one of claim 1 to 4, which is characterized in that the unlocking part is a projection Convex block in the bottom of the percussion block proximal end.
7. nail-head component according to any one of claim 2 to 4, which is characterized in that the both sides of first limiting slot It is respectively provided with one second limiting slot, the nail-head component includes Liang Ge insurance institutions, is respectively arranged at two second limiting slots It is interior, when two safety blocks are respectively positioned on four positions, the cross for being smaller than the cutter between two safety blocks To thickness.
8. nail-head component according to any one of claim 2 to 4, which is characterized in that the cutter is that longitudinal section is in work The I-shaped knife of font makes institute during the push broach bar pushes the cutter mobile toward distal end at the top of the I-shaped knife Nail anvil is stated to be closed towards the nail bin;It is described to cut when the nail anvil and nail bin are closed and the safety block is located at the third place The first position of knife is than the percussion block closer to the proximal end of the nail bin frame.
9. nail-head component according to claim 8, which is characterized in that the safety block has one first guide portion, works as institute When stating cutter and being moved to the first position by the second position, guide the safety block from the 4th position to third position Set direction movement.
10. nail-head component according to claim 9, which is characterized in that first guide portion is one first inclined-plane, described First inclined-plane is set to the distal end of the safety block, and is distally-oriented to the first limiting slot direction convex type certainly and tilts.
11. nail-head component according to claim 8, which is characterized in that the safety block has a third guide portion, works as institute When stating nail bin installation, the safety block is guided to be moved from the 4th position to the third place direction.
12. nail-head component according to claim 11, which is characterized in that the third guide portion is a third inclined-plane, institute It states third inclined-plane to be set on the upper surface of the safety block, and is tilted from upper surface towards the first limiting slot direction convex type.
13. nail-head component according to any one of claim 1 to 4, which is characterized in that the insurance institution further includes protecting Dangerous fixed cover, the safety block and the elastomeric element are capped between the insurance fixed cover and the nail bin frame.
14. a kind of hysteroscope surgical operation seaming and cutting device, which is characterized in that described in any one of the claims 1 to 13 Nail-head component.
CN201410843332.6A 2014-12-30 2014-12-30 A kind of nail-head component and hysteroscope surgical operation seaming and cutting device Active CN105796145B (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
CN201410843332.6A CN105796145B (en) 2014-12-30 2014-12-30 A kind of nail-head component and hysteroscope surgical operation seaming and cutting device
EP15875261.8A EP3241502B1 (en) 2014-12-30 2015-12-30 Stapling head assembly and suturing and cutting apparatus for endoscopic surgery
PCT/CN2015/099936 WO2016107585A1 (en) 2014-12-30 2015-12-30 Nail head assembly and suturing and cutting apparatus for endoscopic surgery
BR112017014068A BR112017014068A2 (en) 2014-12-30 2015-12-30 endoscopic surgery stitching and cutting head set
JP2017600084U JP3213928U (en) 2014-12-30 2015-12-30 Stapling head assembly and endoscopic surgical suture cutting device
US15/541,064 US20170354413A1 (en) 2014-12-30 2015-12-30 Stapling head assembly and suturing and cutting apparatus for endoscopic surgery
ES15875261T ES2949098T3 (en) 2014-12-30 2015-12-30 Stapler Head Assembly and Suturing and Cutting Apparatus for Endoscopic Surgery

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CN110292408A (en) * 2019-07-30 2019-10-01 舒拓 Mounting structure for disposable hysteroscope Endo-GIA nail bin groupware
CN110313953A (en) * 2019-07-30 2019-10-11 康奇舒宁(苏州)医疗科技有限公司 Plain cushion device in disposable hysteroscope Endo-GIA nail bin groupware

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