CN106580383A - Endoscopic cutting stapler - Google Patents

Endoscopic cutting stapler Download PDF

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Publication number
CN106580383A
CN106580383A CN201710047300.9A CN201710047300A CN106580383A CN 106580383 A CN106580383 A CN 106580383A CN 201710047300 A CN201710047300 A CN 201710047300A CN 106580383 A CN106580383 A CN 106580383A
Authority
CN
China
Prior art keywords
push rod
closure
fixed part
coincide
anastomosis
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710047300.9A
Other languages
Chinese (zh)
Inventor
郝迎学
钟华
余佩武
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of TMMU
Original Assignee
First Affiliated Hospital of TMMU
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of TMMU filed Critical First Affiliated Hospital of TMMU
Priority to CN201710047300.9A priority Critical patent/CN106580383A/en
Publication of CN106580383A publication Critical patent/CN106580383A/en
Pending legal-status Critical Current

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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • 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
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • 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
    • A61B2017/1132End-to-end connections

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an endoscopic cutting stapler and belongs to the technical field of medical equipment. The endoscopic cutting stapler comprises a stapler body and further comprises an anastomosis push rod and a lift anastomosis push rod, wherein a handle part and a cutting part are respectively arranged at two ends of the stapler; the cutting part comprises a fixing part and a stapling part; the anastomosis push rod and the lift anastomosis push rod are fixed on the fixing part in a way of being vertical to the axial direction of the stapler body; the end of the lift anastomosis push rod is fixed on the stapling part; a piston rod of the anastomosis push rod is in sliding fit with the stapling part, and a through hole is formed in the end of the piston rod; and a locking push rod of which the piston rod can be in sliding fit with the through hole is arranged in the stapling part. According to the combined application of the anastomosis push rod, the lift anastomosis push rod and the locking push rod, the stapling part is always kept parallel to the fixing part when stapling, occlusal force at any position on the fixing part is ensured to be uniform and consistent, and the condition that intestines stressed by non-uniform extrusion force slide out of the fixing part so as not to complete stapling and cutting operations is avoided.

Description

Hysteroscope cutting closer
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of hysteroscope cutting closer.
Background technology
Hysteroscope Endo-GIA generally by identical functor, connecting rod, excite the parts such as handle to constitute.During operation, in abdomen Several small wounds are done in the position such as wall or thoracic wall, insert perforator, and identical functor is stretched into from perforator, reach select location Afterwards handle is excited from manipulation in vitro, reach the effect fast and effectively cut to tissue, suture.Its advantage is minimally invasive, and healing is fast. But there is also following deficiency:
Existing anastomat takes rotating closed mode to be coincide substantially, and its gmatjpdumamicss size is with biting point apart from rotating shaft There is larger difference in distance, or even there is situation about cannot be engaged in distal end;In addition, under rotary squeezing effect, intestinal body also can Squeezed from round end and skid off nail bin toward opening, it is impossible to complete to coincide and cutting operation.
The content of the invention
In view of this, it is an object of the invention to provide the hysteroscope that a kind of gmatjpdumamicss are uniform, intestinal body will not skid off fixed part Cutting closer.
To reach above-mentioned purpose, the present invention provides following technical scheme:
Hysteroscope cutting closer, including anastomat body, anastomat two ends are respectively provided with handle portion and cutting part, described to cut Portion is cut including the self-fitting device body fixed part for extending and the closure that can be opened and be closed, it is characterised in that:Also It coincide including the identical push rod and lifting for being arranged at the closure and fixed part distal end and near-end between the two in parallel to each other Push rod, the push rod that coincide perpendicularly is fixed on fixed part with the identical push rod of lifting with anastomat body axial direction, is lifted The end of push-rod piston bar is fixed with closure, and the push-rod piston bar that coincide is slidably matched with closure, and its end is provided with one and leads to Hole, is provided with the locking push rod that its piston rod can be slidably matched with through hole in the closure, the handle portion includes fixed handss Handle, and control coincide push rod, lifting coincide push rod and locking push rod extended and shrinkage operation control knob.
Further, the closure is provided with sliding rib, the fixed part in the near-end central region coordinated with fixed part On be correspondingly arranged on sliding rib groove.
Further, the closure is provided with backgauge rib, the fixation in the distal end central region coordinated with fixed part Backgauge rib groove is correspondingly arranged in portion.
Further, the backgauge rib is in inverted cone shape.
Further, identical push rod, the identical push rod of lifting and locking push rod are multi-section combined.
The beneficial effects of the present invention is:
The present invention makes closure in closed procedure by the combination application of the push rod that coincide, the identical push rod of lifting and locking push rod When, all the time with fixed part keeping parallelism, it is ensured that optional position and gmatjpdumamicss uniformity on fixed part, it is to avoid intestinal body is subject to not Uniform extruding force skids off fixed part and cannot complete to coincide and the occurrence of cutting operation.
Other advantages of the present invention, target and feature will be illustrated in the following description to a certain extent, and And to a certain extent, based on will be apparent to those skilled in the art to investigating hereafter, Huo Zheke To be instructed from the practice of the present invention.The present invention target and other advantages can be realized by description below and Obtain.
Description of the drawings
In order that the purpose of the present invention, technical scheme and beneficial effect are clearer, the present invention provides drawings described below and carries out Explanation:
Fig. 1 is the structural representation of the present invention;
Fig. 2 be closure of the present invention be in open state when structural representation;
Fig. 3 be closure of the present invention be in locking state when structural representation;
Fig. 4 is the structural representation of cutting part of the present invention;
Fig. 5 is for Fig. 4 along A-A to sectional view;
Fig. 6 is Fig. 4 along B-B direction sectional view;
Fig. 7 is the structural representation of closure;
Fig. 8 is the right view of Fig. 7.
Specific embodiment
Below in conjunction with accompanying drawing, the preferred embodiments of the present invention are described in detail.
As shown in figures 1-8, the hysteroscope cutting closer of the present embodiment, including anastomat body 1, anastomat two ends set respectively Put handle portion and cutting part, cutting part includes the fixed part 2 that self-fitting device body extends and can be opened and be closed Closure 3, particularly, the present embodiment also includes coincideing push rod 4 and lifts the push rod 5 that coincide, and coincide push rod and the identical push rod of lifting Closure is arranged in parallel to each other with fixed part between the two, as illustrated, the push rod that coincide is located at distal end, the identical push rod of lifting It is proximally-located, meanwhile, the push rod that coincide is perpendicular with anastomat body axial direction with the identical push rod of lifting, and its Spin Control Part is fixed on fixed part, and the end for lifting push-rod piston bar is fixed with closure, and the push-rod piston bar that coincide is slided with closure Dynamic to coordinate, its end is provided with a through hole, the locking push rod 6 that its piston rod can be slidably matched with through hole is provided with closure, In the piston rod insertion through hole of locking push rod 6, the piston rod of the push rod that coincide is locked, and then together with the identical push rod of lifting Anastomosis procedure is completed, because identical push rod and the identical push rod of lifting be arranged in parallel, and both are arranged respectively in distal end and near-end, because This, can produce the identical power of uniformity in the length range of closure, improve match result;Meanwhile, the present embodiment Handle portion includes fixed handle 11, and the identical push rod of control, the identical push rod of lifting and locking push rod are extended and shunk behaviour The control knob 12 of work, by button control, is easy to operate, succinct, laborsaving, it is possible to reduce prior art takes manual operations Inconvenience with it is loaded down with trivial details.
In the present embodiment, the push rod that coincide, the identical push rod of lifting and locking push rod are multi-section combined structure, can be used less Realize longer elongation range in space.
In the present embodiment, closure is provided with sliding rib 7 in the near-end central region coordinated with fixed part, right on fixed part Sliding rib groove 8 should be provided with, by the cooperation of sliding rib and sliding rib groove, on the one hand the movement of closer can be oriented to, be improved The accuracy and reliability of anastomosis procedure, on the other hand can also reduce contact area, reduce coefficient of friction and kinetic damping.
In the present embodiment, closure is provided with backgauge rib 9 in the distal end central region coordinated with fixed part, on fixed part Backgauge rib groove 10 is correspondingly arranged on, backgauge rib is arranged in inverted cone shape, as shown in fig. 7, in identical early stage, the head elder generation of backgauge rib Contact with intestinal body, with identical continuation, the back taper of backgauge rib is formed to intestinal body and extruded, and forces it to move toward inner chamber, and then is kept away Exempt from intestinal body and skid off fixed part, further improve the reliability of operation.
Specific operation process:
1) lift the push rod that coincide to rise, closure is moved into open state, as shown in Figure 2;
2) closer is pushed ahead, is intended to identical intestinal body and penetrates between closure and fixed part;
3) push rod that coincide rises, and its piston rod is penetrated in closure,
4) push rod work is locked, its piston rod is penetrated and is locked in the piston rod of identical push rod, as shown in Figure 3;
5) identical push rod, the identical push rod of lifting are return simultaneously, complete anastomosis procedure, as shown in Figure 1;
6) lock push rod to return, overall process is completed.
The present invention makes closure in closed procedure by the combination application of the push rod that coincide, the identical push rod of lifting and locking push rod When, all the time with fixed part keeping parallelism, it is ensured that optional position and gmatjpdumamicss uniformity on fixed part, it is to avoid intestinal body is subject to not Uniform extruding force skids off fixed part and cannot complete to coincide and the occurrence of cutting operation.
Finally illustrate, preferred embodiment above is only unrestricted to illustrate technical scheme, although logical Cross above preferred embodiment to be described in detail the present invention, it is to be understood by those skilled in the art that can be In form and in details various changes are made to it, without departing from claims of the present invention limited range.

Claims (5)

1. hysteroscope cutting closer, including anastomat body, anastomat two ends are respectively provided with handle portion and cutting part, the cutting Portion includes the self-fitting device body fixed part for extending and the closure that can be opened and be closed, it is characterised in that:Also wrap Include and be arranged at the closure and fixed part in parallel to each other between the two the identical push rod and lifting of distal end and near-end coincide and push away Bar, the push rod that coincide perpendicularly is fixed on fixed part with the identical push rod of lifting with anastomat body axial direction, and lifting is pushed away The end of bar piston rod is fixed with closure, and the push-rod piston bar that coincide is slidably matched with closure, and its end is provided with a through hole, The locking push rod that its piston rod can be slidably matched with through hole is provided with the closure, the handle portion includes fixed handle, And control coincide push rod, lifting coincide push rod and locking push rod extended and shrinkage operation control knob.
2. hysteroscope cutting closer according to claim 1, it is characterised in that:The closure is coordinating with fixed part Sliding rib is provided with near-end central region, sliding rib groove is correspondingly arranged on the fixed part.
3. hysteroscope cutting closer according to claim 1, it is characterised in that:The closure is coordinating with fixed part Backgauge rib is provided with the central region of distal end, backgauge rib groove is correspondingly arranged on the fixed part.
4. hysteroscope cutting closer according to claim 3, it is characterised in that:The backgauge rib is in inverted cone shape.
5. hysteroscope cutting closer according to claim 1, it is characterised in that:Identical push rod, the identical push rod of lifting and lock Tight push rod is multi-section combined.
CN201710047300.9A 2017-01-22 2017-01-22 Endoscopic cutting stapler Pending CN106580383A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710047300.9A CN106580383A (en) 2017-01-22 2017-01-22 Endoscopic cutting stapler

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710047300.9A CN106580383A (en) 2017-01-22 2017-01-22 Endoscopic cutting stapler

Publications (1)

Publication Number Publication Date
CN106580383A true CN106580383A (en) 2017-04-26

Family

ID=58585108

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201710047300.9A Pending CN106580383A (en) 2017-01-22 2017-01-22 Endoscopic cutting stapler

Country Status (1)

Country Link
CN (1) CN106580383A (en)

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0885595A1 (en) * 1997-06-17 1998-12-23 United States Surgical Corporation Anastomosis instrument with detachable loading unit
CN1382028A (en) * 1999-07-12 2002-11-27 机能医疗干预公司 Expanding parallel jaw device for use with electromechanical driver device
CN2577769Y (en) * 2002-11-13 2003-10-08 马剑文 Lateral suturing device
CN201127628Y (en) * 2007-12-21 2008-10-08 常州市康迪医用吻合器有限公司 Disposal linear type rotating stitching instrument
EP2248473A2 (en) * 2009-05-06 2010-11-10 Tyco Healthcare Group LP Pin locking mechanism for a surgical instrument
CN202446168U (en) * 2012-01-10 2012-09-26 常州市康迪医用吻合器有限公司 Linear type cutting anastomat for surgical department
CN102835982A (en) * 2011-06-21 2012-12-26 伊西康内外科公司 Linear stitching instrument with multifunctional retaining pin assembly
CN203417225U (en) * 2013-03-27 2014-02-05 北京中法派尔特医疗设备有限公司 Electric surgery stapling instrument
CN203576573U (en) * 2013-11-11 2014-05-07 江苏风和医疗器材有限公司 Self-locking elongated straight-line cutting stapler
EP2992841A2 (en) * 2014-09-05 2016-03-09 Ethicon Endo-Surgery, Inc. Polarity of hall magnet to detect misloaded cartridge

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0885595A1 (en) * 1997-06-17 1998-12-23 United States Surgical Corporation Anastomosis instrument with detachable loading unit
CN1382028A (en) * 1999-07-12 2002-11-27 机能医疗干预公司 Expanding parallel jaw device for use with electromechanical driver device
CN2577769Y (en) * 2002-11-13 2003-10-08 马剑文 Lateral suturing device
CN201127628Y (en) * 2007-12-21 2008-10-08 常州市康迪医用吻合器有限公司 Disposal linear type rotating stitching instrument
EP2248473A2 (en) * 2009-05-06 2010-11-10 Tyco Healthcare Group LP Pin locking mechanism for a surgical instrument
CN102835982A (en) * 2011-06-21 2012-12-26 伊西康内外科公司 Linear stitching instrument with multifunctional retaining pin assembly
CN202446168U (en) * 2012-01-10 2012-09-26 常州市康迪医用吻合器有限公司 Linear type cutting anastomat for surgical department
CN203417225U (en) * 2013-03-27 2014-02-05 北京中法派尔特医疗设备有限公司 Electric surgery stapling instrument
CN203576573U (en) * 2013-11-11 2014-05-07 江苏风和医疗器材有限公司 Self-locking elongated straight-line cutting stapler
EP2992841A2 (en) * 2014-09-05 2016-03-09 Ethicon Endo-Surgery, Inc. Polarity of hall magnet to detect misloaded cartridge

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Application publication date: 20170426