CN106419986A - Eversion type circular stapler - Google Patents

Eversion type circular stapler Download PDF

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Publication number
CN106419986A
CN106419986A CN201610968664.6A CN201610968664A CN106419986A CN 106419986 A CN106419986 A CN 106419986A CN 201610968664 A CN201610968664 A CN 201610968664A CN 106419986 A CN106419986 A CN 106419986A
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CN
China
Prior art keywords
nail
transition section
buckling piece
resist
nail bin
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Granted
Application number
CN201610968664.6A
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Chinese (zh)
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CN106419986B (en
Inventor
何文武
汪华
明波
陈旭
罗晖
郑银彬
周秋曦
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Individual
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Individual
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples

Abstract

The invention discloses an eversion type circular stapler which comprises a stapler body and a hollow nail abutting seat, wherein a nail abutting surface is arranged on the outer side surface of the nail abutting seat, the stapler body comprises a nail bin piece, the nail bin piece is connected onto the bin abutting seat in a sleeving manner, suturing nails and a cutting knife are arranged in the nail bin piece, and nail holes and a knife hole corresponding to the suturing nails and the cutting knife are further arranged on the inner side wall of the nail bin piece, so that the suturing nail and the cutting knife can extend out of the nail bin piece.

Description

A kind of eversion type anastomosis ring applicator
Technical field
The present invention relates to medical instruments field, particularly a kind of eversion type anastomosis ring applicator.
Background technology
It is the equipment of the replacement manual suture medically using in stapler, main operational principle is to be followed closely to tissue using titanium Carry out detachment and coincide, be particularly well-suited to some hollow organs, the such as operation at the position such as oesophagus, stomach, small intestine, large intestine, rectum, Stapler will be used.Straight cuts seam stapler and circular staplers are mainly used, on both bodies in performing the operation at present Stretch into for convenience in human body and be designed with one section of long pipe, and the circular seams being directed to the cavitys such as oesophagus, small intestine tissue are healed up, and typically all can Using circular staplers, circular staplers are doing it is necessary first to lumen organization one end is stitched pocket when lumen organization coincide, then In embedment nail-anvil hat, open a little opening in other end lumen organization, insertion circular staplers are coincide, and complete end to end anastomosis Afterwards in addition it is also necessary to close side wall relief, increased the operation wound of enteron aisle and the chance of operating field pollution.Circular staplers suture Wound is located at alimentary canal inner chamber, and varus tissue is more, easily causes bleeding and the problems such as foreign matter remains, postoperative easy generation previous anastomotic The symptoms such as fistula, narrow, sour regurgitation.
Content of the invention
The problem existing for above-mentioned prior art, the present invention provides a kind of eversion type anastomosis ring applicator.
A kind of eversion type anastomosis ring applicator, including:Stapler body, the resist-nailed seat of hollow, resist-nailed seat lateral surface is provided with To nail face, stapler body includes:Nail bin part, so that nail bin part can be socketed on resist-nailed seat, is provided with suturing nail in nail bin part Be additionally provided with suturing nail, the cutting corresponding nail of cutter position and tool bore so that seam on cutter, and nail bin part madial wall Dowel and cutter can stretch out from nail bin part.
Further, nail bin part includes:Elastic transition section, pincerlike buckling piece A and buckling piece A ', and buckling piece A and One end of buckling piece A ' homonymy is connected with elastic transition section respectively, and the side of elastic transition section slides and is connected to stapler body At the mouth of pipe;Connecting leg A is also connected with elastic transition section.
Further, elastic transition section is consistently greater than the width at any one place in the mouth of pipe in the width at the outer any one place of the mouth of pipe Degree.
Further, buckling piece A, buckling piece A ', elastic transition section are hollow, and wherein, buckling piece A and buckling piece A ' is all Inside it is provided with Chu Ding area, and the side in Chu Ding area is connected with nail and tool bore;
It is respectively equipped with corresponding extrusion B of opposite side and the extrusion in the Chu Ding area being located with it in buckling piece A and buckling piece A ' Part B ';
Extrusion B and extrusion B ' be connected with transition section B and transition section B respectively ', be arranged on transition section B in elastic transition section and The side of transition section B ' be flexibly connected, and be additionally provided with fastener in elastic transition section so that transition section B and transition section B ' slides card It is connected on fastener;
Transition section B and transition section B ' also it is connected with connecting leg B.
Further, transition section B and transition section B ' between be additionally provided with compression spring.
Further, stapler body also includes:Trigger A and trigger B, wherein, trigger A is connected with connecting leg A, trigger B with Connecting leg B is connected.
Further, it is provided with nail groove to nail face, and when nail bin part is socketed on resist-nailed seat, the position of nail groove and nail Put corresponding;
It is provided with cutter groove to nail face, and when nail bin part is socketed on resist-nailed seat, cutter groove is corresponding with the position of tool bore.
Further, resist-nailed seat bottom is provided with snap ring, interior when the external diameter of snap ring is socketed on resist-nailed seat more than nail bin part Footpath.
Further, nail is located at the both sides of tool bore, and any side at least three dog holes.
Further, resist-nailed seat includes hinged seat A and seat B.
Compared with prior art, the present invention has advantages below:
1., when the present invention uses, first resist-nailed seat is enclosed within lumen to be anastomosed, will turn on nail face outside lumen edge, then will Another section of lumen is socketed on this lumen, finally carries out anastomosis procedure by storage nail bin, skill of coincideing outside such intussusception eversion type chamber Art, postoperative anastomotic healing is fast, is not susceptible to anastomotic leakage;
2. previous anastomotic inner chamber is smooth, will not form foreign matter residual;
3. postoperative previous anastomotic inner chamber is smooth, is not in the situation of anastomotic stricture, Anastomotic bleeding;
4. it coincide and coincide for end end intussusception eversion type, need not separately make side wall relief;
5. the present invention is simple to operate, and doctor only needs to can achieve, by pulling trigger A and trigger B, the process coincideing;
6. the present invention need not penetrate into any device in the lumen of patient, reduce the difficulty of operation, decrease the misery of patient.
Brief description
Fig. 1 is existing circular staplers schematic diagram.
Fig. 2 is stapler bulk junction composition.
Fig. 3 is nail bin part structural representation.
Fig. 4 is the perspective structure figure of nail bin part.
Tu5Wei Chuding area sectional view.
Fig. 6 is that the structure of trigger A and trigger B connects sketch.
Fig. 7 is the stereogram of nail bin part.
Fig. 8 is resist-nailed seat stereogram.
The identical end of 1- suture, 2- nail bin part, 3- trigger B, 4- trigger A, 5- stapler body, 601- buckling piece A, 602- Buckling piece A ', the 7- mouth of pipe, 8- elasticity transition section, 9- connecting leg A, 10- Chu Ding area, 11- extrusion B, 12- extrusion B ', 13- gradual change Part B, 14- transition section B ', 15- fastener, 16- connecting leg B, 17- suturing nail, 18- cutter, 19- nail, 20- tool bore, 21- seat A, 22- seat B, 23- follow closely groove, 24- cutter groove, and 25- supports nail face, 26- snap ring.
Specific embodiment
The invention will be further described with reference to the accompanying drawings and examples, and embodiments of the present invention include but is not limited to The following example.
Embodiment one
As shown in Fig. 2 to Fig. 8, a kind of eversion type anastomosis ring applicator, including:Stapler body 5, the resist-nailed seat of hollow, resist-nailed seat Including hinged seat A and seat B, during use, open an A and seat B, the resist-nailed seat of hollow is enclosed within the outside of inclined narrow end lumen, then On closing seat A and seat B, the lumen at end less than normal of turning up and resist-nailed seat lateral surface, and clamp is fixed.Resist-nailed seat lateral surface be provided with to Nail face 25, stapler body 5 includes:Nail bin part 2, so that nail bin part 2 can be socketed on resist-nailed seat, is provided with seam in nail bin part 2 It is additionally provided with the nail corresponding with suturing nail 17, cutter 18 position on dowel 17 and cutter 18, and nail bin part 2 madial wall 19 and tool bore 20 so that suturing nail 17 and cutter 18 can stretch out from nail bin part 2.The other end lumen set that will need to coincide Be laminated on resist-nailed seat on nail face 25, nail bin part 2 is socketed on resist-nailed seat, and the suturing nail 17 in nail bin part 2 is used for two sections of chambeies Altogether, cutter 18 are used for excising the identical edge of lumen it is ensured that suture is neat pipe seam.It is in annulus after suturing nail 17 suture Shape, corresponding, to nail face 25 be provided with nail groove 23, these nail grooves 23 corresponding with the position of nail 19 it is ensured that suture when suturing nail 17 pass through two lumen faces then touch nail groove 23, nail groove 23 be a kind of round and smooth groove, suturing nail 17 under larger pressure Groove goes out to produce deformation, forms the suturing nail 17 of primary and secondary " B " shape, so not only has good stationarity, suturing nail 17 itself With perforation it is ensured that blood can be good perfusion, be conducive to the healing of wound;Same also is provided with cutter groove on nail face 25 24, generally, nail 19 is located at the both sides of tool bore 20, and an any side at least dog holes 19, tool bore 20 with cut The shape of cutter 18 is corresponding with position, in strip it is ensured that cutter 18 effectively can be cut to excess tissue.Suture And after the completion of cutting, open an A and seat B and take off resist-nailed seat, simple to operation.
Resist-nailed seat bottom is provided with snap ring 26, the internal diameter when external diameter of snap ring 26 is socketed on resist-nailed seat more than nail bin part 2, protects Demonstrate,prove nail bin part 2 can accurately be enclosed within resist-nailed seat.
Embodiment two
As shown in Fig. 2 to Fig. 8, below the nail bin part 2 described in embodiment one is described further:
Nail bin part 2 includes:Elastic transition section 8, pincerlike buckling piece A and buckling piece A ', and buckling piece A and buckling piece A ' homonymy One end be connected with elastic transition section 8 respectively, the functional similarity with pliers, buckling piece A and buckling piece A ' closure after just can be enclosed within On resist-nailed seat, when not using, buckling piece A and buckling piece A ' are separate, and the side of elastic transition section 8 slides and is connected to stapler At the mouth of pipe 7 of body 5;Also it is connected with connecting leg A in elastic transition section 8.So that elastic transition section 8 is to bottom offset, for operation during use Convenient, connecting leg A can be pulled to make it carry dynamic elasticity transition section 8 to bottom offset, it can be seen that elastic transition section 8 is upper The width at end is significantly less than the bore of the mouth of pipe 7, and that is, elastic transition section 8 is consistently greater than the mouth of pipe 7 in the width at the outer any one place of the mouth of pipe 7 The width at interior any one place, so elastic transition section 8 to contract, and then will drive buckling piece A and buckling piece A ' closure, complete The socket of resist-nailed seat in pairs.
Elastic transition section 8 can have resilient material using rubber or resin or plastics or metal etc. and make.
Embodiment three
Shown as shown in Fig. 2 to Fig. 8, below to and the nail bin part 2 stated of embodiment two be described further:
Buckling piece A, buckling piece A ', elastic transition section 8 are hollow, and wherein, buckling piece A and buckling piece A ' is all interior to be provided with storage nail Area, described suturing nail 17 and cutter 18 are all located in this region, and the side in Chu Ding area and nail 19 and tool bore 20 are connected so that suturing nail 17 and cutter 18 can smoothly stretch out.
Problem now to be solved is how to allow suturing nail 17 and cutter 18 stretch out, in the present invention buckling piece A and It is respectively equipped with corresponding extrusion B of opposite side and extrusion B in the Chu Ding area being located with it in buckling piece A ' ', by extruding Part B and extrusion B ' suturing nail 17 in Chu Ding area and cutter 18 are extruded respectively from nail 19 and tool bore 20.
For convenience of operation, extrusion B and extrusion B ' it is connected with transition section B and transition section B respectively ', it is arranged on elastic gradual change Transition section B in part 8 and transition section B ' it is flexibly connected it is preferred that can adopt hinged here, and in elastic transition section 8 also Be provided with fastener 15 so that transition section B and transition section B ' side slide and be connected on fastener 15.With the fastening described in embodiment two Part A is similar with the closure principle of buckling piece A ', transition section B and transition section B ' as an entirety, width above it for the in figure is total The angle of ' to bottom offset when, the transition section B and transition section B ' hinged place that is greater than following width, when transition section B and transition section B ' drive extrusion B and extrusion B ' will be diminished, and then transition section B and transition section B to the suturing nail 17 in Chu Ding area and cutter 18 pressures, so as to be extruded by storage nail piece, complete to suture and cut.Transition section B and transition section B ' between be additionally provided with compression spring when making With after the completion of transition section B and transition section B ' can automatically spring open again, facilitate follow-up operation.
For easy to use, transition section B and transition section B ' also it is connected with connecting leg B, connecting leg B only need to be pulled can to complete to extrude behaviour Make.Therefore the stapler body 5 of the present invention also includes:Trigger A and trigger B, wherein, trigger A is connected with connecting leg A, trigger B and connecting leg B is connected.Only need doctor to move trigger A and trigger B in far-end can complete to operate, very convenient easy-to-use.
The use overall flow of the present invention is as follows:
First, in the resist-nailed seat on proper really set that coincide;
2nd, hold stapler body 5, nail bin part 2 is prevented in the position of corresponding resist-nailed seat, cocking A, by buckling piece A and button Component A ' pincers are in required suture and cut place;
3rd, pull trigger B and realize the suture to identical end and cutting;
4th, take off resist-nailed seat.

Claims (10)

1. a kind of eversion type anastomosis ring applicator is it is characterised in that include:Stapler body(5), the resist-nailed seat of hollow, resist-nailed seat Lateral surface is provided with to nail face(25), stapler body(5)Including:Nail bin part(2)So that nail bin part(2)Can be socketed in In nail seat, nail bin part(2)Inside it is provided with suturing nail(17)With cutter(18), and nail bin part(2)It is additionally provided with madial wall and stitch Dowel(17), cutter(18)The corresponding nail in position(19)And tool bore(20)So that suturing nail(17)And cutter(18) Can be from nail bin part(2)In stretch out.
2. a kind of eversion type anastomosis ring applicator according to claim 1 is it is characterised in that nail bin part(2)Including:Elasticity is gradually Become part(8), pincerlike buckling piece A(601)With buckling piece A '(602), and buckling piece A(601)With buckling piece A '(602)Homonymy One end respectively with elastic transition section(8)It is connected, elastic transition section(8)Side slide be connected to stapler body(5)Pipe Mouthful(7)Place;Elastic transition section(8)On be also connected with connecting leg A(9).
3. a kind of eversion type anastomosis ring applicator according to claim 2 is it is characterised in that elastic transition section(8)In the mouth of pipe (7)The width at any one place is consistently greater than the mouth of pipe outward(7)The width at interior any one place.
4. a kind of eversion type anastomosis ring applicator according to claim 2 is it is characterised in that buckling piece A(601), buckling piece A’(602), elastic transition section(8)It is hollow, wherein, buckling piece A(601)With buckling piece A '(602)All interior it is provided with Chu Ding area (10), and Chu Ding area(10)Side and nail(19)And tool bore(20)It is connected;
Buckling piece A(601)With buckling piece A '(602)Inside it is respectively equipped with the Chu Ding area being located with it(10)Opposite side corresponding Extrusion B(11)With extrusion B '(12);
Extrusion B(11)With extrusion B '(12)It is connected with transition section B respectively(13)With transition section B '(14), it is arranged on elastic gradual change Part(8)Interior transition section B(13)With transition section B '(14)It is flexibly connected, and elastic transition section(8)Inside it is additionally provided with fastener(15), Make transition section B(13)With transition section B '(14)Side slide be connected to fastener(15)On;
Transition section B(13)With transition section B '(14)Also it is connected with connecting leg B(16).
5. a kind of eversion type anastomosis ring applicator according to claim 4 is it is characterised in that transition section B(13)And transition section B’(14)Between be additionally provided with compression spring.
6. a kind of eversion type anastomosis ring applicator according to claim 4 is it is characterised in that stapler body(5)Also include: Trigger A(4)With trigger B(3), wherein, trigger A(4)With connecting leg A(9)It is connected, trigger B(3)With connecting leg B(16)It is connected.
7. a kind of eversion type anastomosis ring applicator according to claim 1 is it is characterised in that support nail face(25)It is provided with nail groove (23), and work as nail bin part(2)When being socketed on resist-nailed seat, follow closely groove(23)With nail(19)Position corresponding;
To nail face(25)It is provided with cutter groove(24), and work as nail bin part(2)When being socketed on resist-nailed seat, cutter groove(24)With tool bore (20)Position corresponding.
8. a kind of eversion type anastomosis ring applicator according to claim 1 is it is characterised in that resist-nailed seat bottom is provided with snap ring (26), snap ring(26)External diameter be more than nail bin part(2)Internal diameter when being socketed on resist-nailed seat.
9. a kind of eversion type anastomosis ring applicator according to claim 1 is it is characterised in that nail(19)Positioned at tool bore(20) Both sides, and any side at least three dog holes(19).
10. a kind of eversion type anastomosis ring applicator according to claim 1 is it is characterised in that resist-nailed seat includes hinged seat A (21)With seat B(22).
CN201610968664.6A 2016-10-28 2016-10-28 Everting type annular anastomat Active CN106419986B (en)

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Application Number Priority Date Filing Date Title
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CN106419986B CN106419986B (en) 2023-10-27

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108542495A (en) * 2018-05-11 2018-09-18 四川大学华西第二医院 A kind of fallopian tubal Plastic recovery pincers
CN112244921A (en) * 2020-11-11 2021-01-22 冯文红 Anastomat

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WO1981001958A1 (en) * 1980-01-17 1981-07-23 S Lee Surgical cutter stapler
US4930674A (en) * 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
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CN101485585A (en) * 2009-02-12 2009-07-22 杭州桐庐尖端医光器械总厂 Disposal surgical forceps for abdominoscope
CN101926673A (en) * 2010-09-02 2010-12-29 倪明 Circumcision anastomat
CN102217969A (en) * 2011-05-19 2011-10-19 常熟市亨利医疗器械有限公司 Foreskin cutting and sewing device
CN202104995U (en) * 2011-05-19 2012-01-11 常熟市亨利医疗器械有限公司 Foreskin cutting and stitching instrument
CN102525593A (en) * 2012-01-20 2012-07-04 东南大学 Clamp control unit and clamp unit matched with same
CN203564290U (en) * 2013-10-31 2014-04-30 南京迈迪欣医疗器械有限公司 Needle bin component of endoscope anastomat
CN104958091A (en) * 2015-07-24 2015-10-07 宜春善德科技有限公司 Foreskin cutting suture instrument
CN105395230A (en) * 2014-09-11 2016-03-16 天津瑞贝精密机械技术研发有限公司 Outwards-turned type end-end surgical stapler
CN206463026U (en) * 2016-10-28 2017-09-05 何文武 A kind of eversion type anastomosis ring applicator

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1981001958A1 (en) * 1980-01-17 1981-07-23 S Lee Surgical cutter stapler
US4930674A (en) * 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
CN1620267A (en) * 2002-01-25 2005-05-25 爱尔伯电子医疗设备公司 Device for the production of anastomoses between hollow organs
CN101485585A (en) * 2009-02-12 2009-07-22 杭州桐庐尖端医光器械总厂 Disposal surgical forceps for abdominoscope
CN101926673A (en) * 2010-09-02 2010-12-29 倪明 Circumcision anastomat
CN102217969A (en) * 2011-05-19 2011-10-19 常熟市亨利医疗器械有限公司 Foreskin cutting and sewing device
CN202104995U (en) * 2011-05-19 2012-01-11 常熟市亨利医疗器械有限公司 Foreskin cutting and stitching instrument
CN102525593A (en) * 2012-01-20 2012-07-04 东南大学 Clamp control unit and clamp unit matched with same
CN203564290U (en) * 2013-10-31 2014-04-30 南京迈迪欣医疗器械有限公司 Needle bin component of endoscope anastomat
CN105395230A (en) * 2014-09-11 2016-03-16 天津瑞贝精密机械技术研发有限公司 Outwards-turned type end-end surgical stapler
CN104958091A (en) * 2015-07-24 2015-10-07 宜春善德科技有限公司 Foreskin cutting suture instrument
CN206463026U (en) * 2016-10-28 2017-09-05 何文武 A kind of eversion type anastomosis ring applicator

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108542495A (en) * 2018-05-11 2018-09-18 四川大学华西第二医院 A kind of fallopian tubal Plastic recovery pincers
CN108542495B (en) * 2018-05-11 2023-07-25 四川大学华西第二医院 Oviduct restoration plastic forceps
CN112244921A (en) * 2020-11-11 2021-01-22 冯文红 Anastomat
CN112244921B (en) * 2020-11-11 2023-08-04 冯文红 Anastomat

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