CN106618656B - Anastomat - Google Patents

Anastomat Download PDF

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Publication number
CN106618656B
CN106618656B CN201710110345.6A CN201710110345A CN106618656B CN 106618656 B CN106618656 B CN 106618656B CN 201710110345 A CN201710110345 A CN 201710110345A CN 106618656 B CN106618656 B CN 106618656B
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CN
China
Prior art keywords
firing
working head
operating handle
button
groove
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Active
Application number
CN201710110345.6A
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Chinese (zh)
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CN106618656A (en
Inventor
王叶挺
沈伟庆
陆坚
向长林
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Suzhou Frankenman Medical Equipment Co Ltd
Original Assignee
Suzhou Frankenman Medical Equipment Co Ltd
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.)
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Publication date
Application filed by Suzhou Frankenman Medical Equipment Co Ltd filed Critical Suzhou Frankenman Medical Equipment Co Ltd
Priority to CN201710110345.6A priority Critical patent/CN106618656B/en
Publication of CN106618656A publication Critical patent/CN106618656A/en
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Publication of CN106618656B publication Critical patent/CN106618656B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable

Abstract

The invention relates to an anastomat, which comprises a working head and an operating handle which are connected with each other, wherein the working head comprises an actuating mechanism provided with a nail bin, a nail abutting seat and a cutter and used for executing sewing and cutting work, the operating handle comprises a firing mechanism for controlling the actuating mechanism to work, a driving device for providing power for the firing mechanism, and a locking mechanism for locking the firing mechanism in a firing initial state, the firing mechanism is provided with a firing stroke, the working head is detachably connected with the operating handle, and the anastomat also comprises an adjusting mechanism for adjusting the size of the firing stroke. In the use process of the invention, the working heads with different suture sizes and lengths can be replaced according to the needs or the working heads with different total lengths can be replaced according to different operation conditions. The doctor can select the most suitable working head as far as possible in the operation, and the using difficulty of the doctor is not increased.

Description

Anastomat
Technical Field
The invention belongs to the field of medical instruments, and particularly relates to an anastomat.
Background
Anastomat (surgicalstabler) is a surgical instrument commonly used in surgery at present, and replaces traditional manual suturing, and is mainly applied to the sealing of the residual ends of organs and the anastomosis of incisions in surgical treatment. There are some electric products developed and used with the development of automation trend, and mainly the products of the us cherish-kang company and the us surgery company are mature. The use of the electric appliance improves the stability during surgical cutting anastomosis and greatly improves the use condition of doctors.
In comparison, the two series of products are very different. The product of the American cherish health company is a disposable product, and one instrument can replace staple cartridges with different colors, but cannot replace different suture lengths. If a smaller size assembly needs to be replaced during surgery, an additional replacement of the instrument is needed, which can result in greater costs to the patient. The product of the U.S. surgical company is a single use assembly that allows for the reuse of the instrument body. Although the components with different stitching lengths can be replaced, the staple cartridges with different colors cannot be directly replaced, and the subsequent operations of cleaning, sterilizing and the like of the instrument main body are complicated, so that the instrument is not safe and convenient as disposable.
In addition, the two types of instruments do not have related detection prompt functions related to the electric quantity of the battery, if the electric quantity is insufficient, the risk of insufficient force generation exists in the operation, incomplete cutting closure can be caused, finally, operation failure is caused, and the risk is extremely high. Are not very sophisticated from a safety point of view.
Disclosure of Invention
The invention aims to solve the technical problem of providing an improved anastomat which overcomes the defects of the prior art.
In order to solve the technical problems, the invention adopts the following technical scheme:
the utility model provides an anastomat, includes interconnect's work head and operating handle, and the work head includes the actuating mechanism that is used for carrying out the work of sewing and cutting that has nail storehouse, support nail seat and cutter, and operating handle is including the firing mechanism that controls actuating mechanism work, for the actuating mechanism provides power drive arrangement, be used for locking the firing mechanism in the locking mechanism of firing initial condition, the firing mechanism has the firing stroke for accomplishing the firing action, and the work head is connected with operating handle detachably, and the anastomat still includes the adjustment mechanism that is used for adjusting the size of firing stroke.
Further, the firing mechanism comprises a firing rack which moves linearly along the length direction of the anastomat, a travel groove which extends along the movement direction of the firing rack and is used for limiting the movement distance of the firing rack is arranged at one side edge of the firing rack, and the rear part of the firing rack is connected with the driving device; the adjusting mechanism comprises a limiting button movably arranged in the operating handle, the limiting button is provided with a limiting position and a non-limiting position, when the limiting button is positioned at the limiting position, one end of the limiting button is inserted into the travel groove to shorten the travel for moving the firing rack, and when the limiting button is positioned at the non-limiting position, the limiting button is separated from the travel groove. The design of the adjusting mechanism enables the size of the firing stroke to be correspondingly adjusted according to working heads with different lengths, so that the working heads with different lengths can be connected to the same operating handle. For example, when a working head with a shorter seam cutting size is required to be connected, the limit button can be moved into the travel groove, the travel groove is used for limiting the moving distance of the firing rack to be shortened, and the firing travel is adjusted to a shorter distance; when the working head with a longer sewing size needs to be connected, the limit button can be pulled outwards and separated from contact with the travel groove, the travel groove is used for limiting the moving distance of the firing rack to be increased, and the firing travel is adjusted to be longer.
Preferably, the limit knob is slidably disposed within the operating handle.
Further, the anastomat further comprises a return triggering device for returning the firing mechanism to the initial firing state after firing, wherein the return triggering device comprises a return button fixedly arranged in the operating handle and positioned at the front end of the travel groove for controlling the return action of the firing mechanism, and a boss fixedly arranged at the rear end of the travel groove, and the boss is in contact with the return button to realize triggering. The manner and structure of how the return button controls the return action of the firing mechanism can be set as is commonly used in the art, and is not particularly limited.
Further, the firing mechanism further comprises a push rod assembly, the front end of the firing rack is connected with the push rod assembly and is connected with the executing mechanism through the push rod assembly, and then the executing mechanism is controlled to do sewing and cutting work.
According to a specific aspect of the invention, the operating handle and the working head are detachably connected through a connecting mechanism, and the connecting mechanism comprises a buckling part which is arranged at the end parts of the operating handle and the working head and is used for axially locking the operating handle and the working head, and a lock sleeve which is slidably sleeved at the periphery of the connecting part of the operating handle and the working head and is used for radially locking the operating handle and the working head.
Further, the clamping part comprises a clamping table and/or a clamping groove which are formed at the end part of the operating handle and extend in the radial direction, and a clamping groove and/or a clamping table which are formed at the end part of the working head and are matched and clamped with the clamping groove and/or the clamping table on the working head. When the working heads of different types are replaced, the lock sleeve slides to one side along the axial direction of the working head, the operating handle and the working head are unlocked in the radial direction, the operating handle and the working head can move in the radial direction until the clamping table and the clamping groove which are connected in a clamping manner are separated from contact, the operating handle and the working head are unlocked in the axial direction, and the operating handle and the working head are separated.
Preferably, the ends of the operating handle and the working head are provided with clamping tables and clamping grooves.
Preferably, the cartridge is removably disposed on the front end piece of the working head.
Preferably, the driving device is an electric driving device and comprises a battery unit, the anastomat further comprises an electric quantity prompting device arranged at the rear part of the operating handle, the electric quantity prompting device is in signal connection with the battery unit, and when the electric quantity of the battery unit is lower than a set value, the electric quantity prompting device sends out alarm information.
Further, the electric quantity prompting device comprises a light prompting device and/or a liquid crystal display device and/or a vibration prompting device and/or a sound prompting device, and further, the electric quantity prompting device can be a prompting lamp, a liquid crystal screen, a vibrator, a loudspeaker and the like, and the alarm information sends out light through the prompting lamp and/or liquid crystal screen display information and/or the vibrator sends out vibration and/or the loudspeaker sends out sound prompting.
Due to the application of the technical scheme, compared with the prior art, the invention has the following advantages:
according to different operation conditions, the invention can replace working heads with different suture sizes and lengths and can replace working heads with different total lengths. The doctor can select the most suitable working head as far as possible in the operation, and the using difficulty of the doctor is not increased. The safety is improved, the selectivity is high, and the use cost of a patient is reduced.
Drawings
FIG. 1 is a schematic view of the overall structure of the stapler of the present invention;
FIG. 2 is a schematic view of the construction of a working head portion of the present invention (with a cartridge removable);
FIG. 3 is a schematic view of the overall structure of the connecting mechanism of the present invention;
FIG. 4 is a schematic view (partial structure) of the internal structure of the operating handle of the present invention;
FIG. 5 is a schematic perspective view of the cooperating firing rack, pusher bar assembly, return button and stop button of the present invention;
FIG. 6 is a schematic diagram of a cooperating front view of the firing rack, pusher bar assembly, return button and stop button of the present invention;
wherein: 1. a working head; 11. a staple cartridge; 12. a nail supporting seat; 2. an operation handle; 3. firing the rack; 30. a push rod assembly; 4. a travel groove; 41. a boss; 5. a limit button; 6. a connecting mechanism; 61. a lock sleeve; 62. a clamping table; 63. a clamping groove; 7. a battery unit; 8. an electric quantity prompting device; 9. a return button.
Detailed Description
The technical scheme of the invention is further described below with reference to the accompanying drawings and the specific embodiments.
As shown in fig. 1, 2, 4, 5 and 6, the anastomat of the invention comprises a working head 1 and an operating handle 2 which are connected with each other, wherein the working head 1 comprises a nail bin 11, a nail supporting seat 12 and an executing mechanism for executing a sewing work, a firing mechanism for controlling the executing mechanism to work, a driving device for providing power for the firing mechanism and a locking mechanism for locking the firing mechanism in a firing initial state are arranged in the operating handle 2, the firing mechanism is provided with a firing stroke required for completing a firing action, the working head 1 is detachably connected with the operating handle 2, and the anastomat further comprises an adjusting mechanism for adjusting the firing stroke.
The firing mechanism comprises a firing rack 3 which moves linearly along the length direction of the anastomat and a push rod assembly 30 fixedly connected with the front end of the firing rack, and the push rod assembly 30 is connected with the actuating mechanism so as to control the actuating mechanism to perform the sewing and cutting work.
A travel groove 4 extending along the movement direction of the firing rack 3 and used for limiting the movement distance of the firing rack 3 is arranged at one side of the firing rack 3, the front part of the firing rack 3 is connected with an actuating mechanism, and the rear part of the firing rack is connected with a driving device; the adjusting mechanism comprises a limit button 5 which is slidingly arranged in the operating handle 2, wherein the limit button 5 is provided with a limit position and a non-limit position, when the limit button is positioned at the limit position, one end of the limit button 5 is inserted into the travel groove 4 to shorten the travel for the movement of the firing rack 3, and when the limit button 5 is positioned at the non-limit position, the limit button 5 is separated from the travel groove 4. For easy operation, a portion of the limit knob 5 is exposed outside the operating handle 2. After the working head 1 with a shorter seam cutting size is replaced, the limiting button 5 is pressed down to be inserted into the travel groove 4, the travel groove 4 is used for limiting the moving distance of the firing rack 3 to be shortened, and the firing travel is regulated to a shorter distance; when the working head 1 with the longer sewing size is replaced, the limiting button 5 is pulled outwards and is separated from contact with the travel groove 4, the distance that the travel groove 4 is used for limiting the movement of the firing rack 3 is increased, and the firing travel is adjusted to be longer.
Further, as shown in fig. 3, the operating handle 2 and the working head 1 are detachably connected by a connecting mechanism 6, and the connecting mechanism 6 comprises a fastening part arranged at the end parts of the operating handle 2 and the working head 1 and used for axially locking the operating handle 2 and the working head 1, and a lock sleeve 61 slidably sleeved at the periphery of the connecting part of the operating handle 2 and the working head 1 and used for radially locking the operating handle 2 and the working head 1. The buckling part comprises a clamping table 62 and a clamping groove 63 which are formed at the end part of the operating handle 2 and extend along the radial direction, and a clamping groove 63 and a clamping table 62 which are formed at the end part of the working head 1; when the working heads 1 of different types are replaced, the lock sleeve 61 slides to one side along the axial direction, the operating handle 2 and the working heads 1 are unlocked radially, the operating handle 2 and the working heads 1 can move radially until the clamping table 62 and the clamping groove 63 which are connected in a clamping manner are out of contact, the operating handle 2 and the working heads 1 are unlocked axially, and the operating handle 2 and the working heads 1 are separated.
In the present invention, as shown in fig. 2, a cartridge 11 of the stapler is detachably provided on the working head 1.
Further, as shown in fig. 3, the driving device is an electric driving device, and includes a battery unit 7, the stapler further includes an electric quantity prompting device 8 disposed at the rear portion of the operating handle 2, the electric quantity prompting device 8 is in signal connection with the battery unit 7, and when the electric quantity of the battery unit 7 is lower than a set value, the electric quantity prompting device 8 sends out alarm information. The electric quantity prompting device 8 can be, for example, a prompting lamp, a liquid crystal screen, a vibrator, a loudspeaker and the like, wherein the alarming information sends out light through the prompting lamp and/or the liquid crystal screen displays information and/or the vibrator sends out vibration and/or the loudspeaker sends out sound prompt.
In addition, as shown in fig. 4, 5 and 6, the anastomat further comprises a return triggering device for returning to the initial state of firing after the firing mechanism fires, wherein the return triggering device comprises a return button 9 fixedly arranged in the operating handle 2 and positioned at the front end of the travel slot 4, and a boss 41 fixedly arranged at the rear end of the travel slot 4, and the return button 9 can control the return action of the firing mechanism. When the locking mechanism is unlocked, the boss 41 moves to the position of the reversion button 9 along with the firing rack 3 and directly/indirectly abuts against the reversion button, so that the reversion button 9 and the firing mechanism are triggered to do reversion until the reversion to the initial firing state.
In summary, the scheme of the invention realizes the disposable use of the operating handle, and the staple cartridges with different colors (types) can be replaced at will according to different operation conditions in use, the working heads with different suture sizes and lengths can be replaced, and the working heads with different total lengths can be replaced. The doctor can select the most suitable working head as far as possible in the operation, and the using difficulty of the doctor is not increased. The safety is improved, the selectivity is high, and the use cost of a patient is reduced. In addition, the special battery electric quantity reminding function of the design improves the safety of the use of the instrument, and can monitor the electric quantity state of the battery in real time. And the doctor is provided with clear information feedback, such as indicator lights with different colors, or screen display, vibration, sound or other modes. The invention has the advantages of convenient operation, low cost and good clinical application prospect.
The present invention has been described in detail with the purpose of enabling those skilled in the art to understand and practice the present invention, but not to limit the scope of the present invention, and the present invention is not limited to the above-described embodiments, and all equivalent changes or modifications according to the spirit of the present invention should be covered in the scope of the present invention.

Claims (8)

1. The utility model provides an anastomat, includes work head (1), operating handle (2), work head (1) include nail storehouse (11), support nail seat (12), be used for carrying out the actuating mechanism of sewing work, be equipped with in operating handle (2) control actuating mechanism work's firing mechanism, for the drive arrangement of firing mechanism power supply, be used for with the firing mechanism locks in the locking mechanism of firing initial condition, firing mechanism have firing stroke, its characterized in that: the working head (1) is detachably connected with the operating handle (2), the anastomat further comprises an adjusting mechanism for adjusting the size of the firing stroke, the firing mechanism comprises a firing rack (3) which moves linearly along the length direction of the anastomat, one side edge of the firing rack (3) is provided with a stroke groove (4) which extends along the moving direction and is used for limiting the moving distance of the firing rack (3), and the rear part of the firing rack (3) is connected with the driving device;
the adjusting mechanism comprises a limit button (5) movably arranged in the operating handle (2), wherein the limit button (5) is provided with a limit position and a non-limit position, when the limit position is adopted, one end of the limit button (5) is inserted into the travel groove (4) to shorten the travel for the movement of the firing rack (3), when the limit button (5) is in the non-limit position, the limit button (5) is separated from the travel groove (4), part of the limit button (5) is exposed out of the operating handle (2), and when the limit button is replaced by a working head (1) with a shorter seam cutting size, the limit button (5) is pressed down to be inserted into the travel groove (4); when the working head (1) with a longer seam cutting size is replaced, the limit button (5) is pulled outwards and is separated from contact with the travel groove (4); the anastomat further comprises a return triggering device for returning the firing mechanism to the initial firing state after firing, wherein the return triggering device comprises a return button (9) fixedly arranged in the operating handle (2) and positioned at the front end of the travel groove (4) for controlling the return action of the firing mechanism, and a boss (41) fixedly arranged at the rear end of the travel groove (4), and the boss (41) and the return button (9) are in touch for triggering.
2. The stapler of claim 1, wherein: the firing mechanism further comprises a push rod assembly (30), and the front end of the firing rack (3) is fixedly connected with the push rod assembly (30) and is connected with the executing mechanism through the push rod assembly (30).
3. The stapler of claim 1, wherein: the operation handle (2) is detachably connected with the working head (1) through a connecting mechanism (6), the connecting mechanism (6) comprises a clamping part and a lock sleeve (61) which are arranged at the end parts of the operation handle (2) and the working head (1) and used for enabling the operation handle (2) to be axially locked with the working head (1), and the lock sleeve (61) is arranged at the periphery of the joint of the operation handle (2) and the working head (1) in a sleeved mode and used for enabling the operation handle (2) to be radially locked with the working head (1).
4. A stapler according to claim 3, wherein: the clamping part comprises a clamping table (62) and/or a clamping groove (63) which are formed at the end part of the operating handle (2) and extend in the radial direction, and a clamping groove (63) and/or a clamping table (62) which are formed at the end part of the working head (1), wherein the clamping table (62) and/or the clamping groove (63) on the operating handle (2) are matched and clamped with the clamping groove (63) and/or the clamping table (62) on the working head (1).
5. The stapler of claim 4, wherein: the ends of the operating handle (2) and the working head (1) are respectively provided with the clamping table (62) and the clamping groove (63).
6. The stapler of claim 1, wherein: the nail bin (11) is detachably arranged on the front end part of the working head (1).
7. The stapler of claim 1, wherein: the driving device is an electric driving device and comprises a battery unit (7), the anastomat further comprises an electric quantity prompting device (8) arranged at the rear part of the operating handle (2), the electric quantity prompting device (8) is in signal connection with the battery unit (7), and when the electric quantity of the battery unit (7) is lower than a set value, the electric quantity prompting device (8) sends out alarm information.
8. The stapler of claim 7, wherein: the electric quantity prompting device (8) comprises a light prompting device, a liquid crystal display device, a vibration prompting device and/or a sound prompting device.
CN201710110345.6A 2017-02-28 2017-02-28 Anastomat Active CN106618656B (en)

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Application Number Priority Date Filing Date Title
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CN106618656B true CN106618656B (en) 2023-12-01

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Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107411793A (en) * 2017-08-25 2017-12-01 上海逸思医疗科技有限公司 A kind of reusable electronic hysteroscope Endo-GIA
WO2021109592A1 (en) * 2019-12-05 2021-06-10 山东威瑞外科医用制品有限公司 Electronic stapler and control system thereof
CN111820971B (en) * 2020-07-27 2021-02-02 苏州贝诺医疗器械有限公司 Anastomat handle device with safety mechanism and anastomat
CN112932580B (en) * 2021-01-26 2022-01-18 江苏明朗医疗器械科技有限公司 Disposable electric intracavity cutting anastomat with quick-release replacement osculating component
CN113081118B (en) * 2021-03-26 2022-03-25 苏州法兰克曼医疗器械有限公司 Endoscopic cutting anastomat
CN113100946B (en) * 2021-03-30 2023-09-01 北京科迈启元科技有限公司 Highly integrated surgical robot actuator and surgical robot system

Citations (4)

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Publication number Priority date Publication date Assignee Title
CN102665574A (en) * 2009-12-24 2012-09-12 伊西康内外科公司 Motor-driven surgical cutting instrument with electric actuator directional control assembly
CN203594704U (en) * 2013-12-05 2014-05-14 浙江长江搅拌设备有限公司 Quickly-detached transversely-moving coupler
CN106413579A (en) * 2014-03-26 2017-02-15 伊西康内外科有限责任公司 Power management control systems for surgical instruments
CN207075911U (en) * 2017-02-28 2018-03-09 苏州法兰克曼医疗器械有限公司 A kind of stapler

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102665574A (en) * 2009-12-24 2012-09-12 伊西康内外科公司 Motor-driven surgical cutting instrument with electric actuator directional control assembly
CN203594704U (en) * 2013-12-05 2014-05-14 浙江长江搅拌设备有限公司 Quickly-detached transversely-moving coupler
CN106413579A (en) * 2014-03-26 2017-02-15 伊西康内外科有限责任公司 Power management control systems for surgical instruments
CN207075911U (en) * 2017-02-28 2018-03-09 苏州法兰克曼医疗器械有限公司 A kind of stapler

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