CN107088080B - Blood vessel anastomat and its anastomosis procedure method - Google Patents
Blood vessel anastomat and its anastomosis procedure method Download PDFInfo
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- CN107088080B CN107088080B CN201710434374.8A CN201710434374A CN107088080B CN 107088080 B CN107088080 B CN 107088080B CN 201710434374 A CN201710434374 A CN 201710434374A CN 107088080 B CN107088080 B CN 107088080B
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- blood vessel
- vascular anastomosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
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Abstract
A kind of blood vessel anastomat and its anastomosis procedure method, wherein blood vessel anastomat includes the jaw component for being oriented to pipe sleeve component and being connected with guiding pipe sleeve component, equipped with discharging ring and the outer ring support tube being connected with discharging ring in the jaw component, it is arranged with the vascular anastomosis outer ring of elasticity outside the support tube of outer ring, the vascular anastomosis inner ring with vascular anastomosis outer ring cooperation is arranged in vascular anastomosis outer ring；The anastomosis procedure side includes the following steps: to be inserted into blood vessel A and extend on the outside of vascular anastomosis outer ring；Blood vessel B is covered outside vascular anastomosis inner ring and turned up；Blood vessel B is fitted into blood vessel A；Vascular anastomosis outer ring is pushed to be detached from and bind round on the blood vessel B at vascular anastomosis inner ring position.The present invention facilitates, reliable and stable, conducive to the efficiency for improving vascular anastomosis；By the structure of improved vascular anastomosis circle and discharging ring and outer ring support tube, so that the position fixation in vascular anastomosis is more acurrate, the stickiness of blood vessel is improved, success rate of operation is higher.
Description
Technical field
The present invention relates to vascular anastomosis technology more particularly to a kind of blood vessel anastomat and its anastomosis procedure methods.
Background technique
It is also most important basic operation that vascular anastomosis, which is the most frequently used in surgical operation, is much being related to blood vessel disease
It requires to carry out vascular anastomosis operation in disease or War injury operation, such as: vascular diseases, vasotransplantation, vascular repair and sound
Arteries and veins internal fistula production etc..
Currently, one is the modes that suture coincide, and one is kissed using blood vessel there are mainly two types of vascular anastomosis methods
The methods of anastomosis of clutch tool, so far, suture, which coincide, is still clinically most basic and most common vascular anastomosis side
Method.Even by the good doctor of surgical technic of long-time Repeated Operation training, each previous anastomotic of coincideing by hand is also required to 5
It was differed by 30 minutes.When needing identical blood vessel more in operation, operating time is longer.Some vascular anastomosis need in vitro
Circulation is lower to be carried out, and prolonged extracorporal circulatory system can bring very big negative effect to patient.Even if not needing extracorporal circulatory system auxiliary,
Prolonged anesthesia and operation can also cause biggish strike to patient.On the other hand prolonged vascular anastomosis can be such that operation cures
Life is very tired, and the fatigue and mood agitation of doctor often increases the fault rate of vascular anastomosis, increases operation risk.?
In certain operations, vascular anastomosis will race against time.Such as transfer operation, since donor organ Ischemia Time cannot be too long, operation is wanted
It races against time, the length of operating time and the success rate of operation are closely bound up.Using conventional manual suture, even if to operation
After doctor gives suturing skill intensive training, remain difficult to reduce operating time significantly.It is driven manual sutures vascular anastomosis hand
Not only operation difficulty is big for art, low efficiency, applies the identical precision of art and reliability is difficult to obtain effective guarantee.
With the development of medical instrument manufacturing process and the appearance of new material, blood vessel anastomat anastomosis has been obtained comparatively fast
Development.All kinds of blood vessel anastomats occur in succession, common structure one kind as disclosed in Chinese patent ZL 201310111076.7
Aorta anastomosis device, it use clamp and tooth button fixed form, although structure is by a relatively simple, operating position it is accurate
Property it is lower, be especially difficult to ensure the compactness of anastomosis of blood vessel, and cannot be guaranteed the accuracy of vascular anastomosis angles and positions, it is postoperative
It is also larger to dismount difficulty.
Summary of the invention
The object of the present invention is to provide a kind of blood vessel anastomat and its anastomosis procedure method, it have simple and stable structure,
The easy to operate and high feature of vascular anastomosis degree.
The present invention is achieved like this, a kind of blood vessel anastomat, which is characterized in that it include guiding pipe sleeve component and
The jaw component being connected with guiding pipe sleeve component, the jaw component is interior to be supported equipped with discharging ring and the outer ring being connected with discharging ring
Pipe, outer ring support tube are arranged with the vascular anastomosis outer ring of elasticity outside, are arranged with and the vascular anastomosis outer ring in vascular anastomosis outer ring
The vascular anastomosis inner ring of cooperation.
The guiding pipe sleeve component includes that positioning pipe sleeve and one end extend into positioning pipe sleeve and slide with positioning pipe sleeve
The movable internal pipe of dynamic connection.
The jaw component includes the moving jaw being connected with movable internal pipe and the positioning wrench jaw that is connected with positioning pipe sleeve.
One end that the movable internal pipe is extend into positioning pipe sleeve is also connected with spring.
Preferably: several are uniformly provided on the periphery of the vascular anastomosis inner ring for fixing the puncture knot of blood vessel
Structure.
Preferably: the positioning wrench jaw and moving jaw are all provided with jagged away from the side of guiding pipe sleeve component.
The discharging ring is fence type structure, and outer ring support tube is uniformly placed with several close to one end periphery of discharging ring
With the clamping locating piece of fence type structure positioning cooperation；The discharging ring and outer ring support tube are dismountable half opening structure.
Preferably: the vascular anastomosis outer ring and vascular anastomosis inner ring are net structure circle.
The present invention also describes a kind of anastomosis procedure method of blood vessel anastomat, which is characterized in that the operating method is based on
The blood vessel anastomat of above structure, it includes the following steps: that (1) assembles blood vessel anastomat according to above structure, and blood vessel is kissed
Outer ring is closed to be set in outside the support tube of outer ring；(2) blood vessel A is inserted into from moving jaw, so that the insertion end of blood vessel A is sequentially passed through and unloaded
Feed ring and outer ring support tube, and extend on the outside of vascular anastomosis outer ring；(3) blood vessel B is covered outside vascular anastomosis inner ring, and by blood
The elongated end of pipe B turns up；(4) the blood vessel B with vascular anastomosis inner ring is fitted into blood vessel A, until vascular anastomosis inner ring is complete
It extend into blood vessel B；(5) movable internal pipe, side of the moving jaw that drive is connected with movable internal pipe to vascular anastomosis outer ring are pushed
To movement, moving jaw pushes discharging ring, and discharging ring is pushed the vascular anastomosis outer ring being set on the support tube of outer ring to blood vessel and kissed
Inner ring is closed, is detached from outer ring support tube back ferrule on the blood vessel B at vascular anastomosis inner ring position in vascular anastomosis outer ring；(6) it dismantles
It is oriented to pipe sleeve component, jaw component and discharging ring and outer ring support tube, completes the anastomosis procedure of blood vessel A and blood vessel B.
In the step (3), the elongated end to blood vessel B is greater than or equal in vascular anastomosis apart from vascular anastomosis inner ring proximal end
Tube wall and fixation when the length of circle, by 180 ° of blood vessel B flange, until the puncturing structure insertion blood vessel B of vascular anastomosis inner ring.
The invention has the benefit that one aspect of the present invention can be right with jaw component by the guiding pipe sleeve component of design
Identical circle is positioned and is oriented to, so that vascular anastomosis outer ring is smoothly detached from, and is accurately cooperated with vascular anastomosis inner ring and is realized
Coincideing for blood vessel, it is easy to operate, it is reliable and stable, conducive to the efficiency for improving vascular anastomosis；On the other hand, it is kissed by improved blood vessel
The structure of circle and discharging ring and outer ring support tube is closed, so that the fixed more accurate stable in the position in vascular anastomosis, improves
The stickiness of blood vessel, conducive to the success rate for improving vascular anastomosis.
Detailed description of the invention
Fig. 1 is the Structure explosion diagram of one embodiment of the invention.
Fig. 2 is the structural assembly diagram of embodiment illustrated in fig. 1.
Fig. 3 is the cross-sectional view of the structure of embodiment illustrated in fig. 1.
Fig. 4 is the attachment structure schematic diagram that pipe sleeve component and jaw component are oriented in embodiment illustrated in fig. 1.
Fig. 5 is the attachment structure schematic diagram of embodiment illustrated in fig. 1 vascular anastomosis outer ring and outer ring support tube.
Fig. 6 is the installation diagram of embodiment illustrated in fig. 1 vascular anastomosis outer ring and outer ring support tube and positioning wrench jaw.
Fig. 7 is the assembling schematic diagram of embodiment illustrated in fig. 1 and blood vessel A.
Fig. 8 is blood vessel A shown in Fig. 7 and the schematic diagram after stapler assembly.
Fig. 9 is the assembling schematic diagram of vascular anastomosis inner ring and blood vessel B.
Figure 10 is the schematic diagram after blood vessel B shown in Fig. 9 is assembled and turned up with vascular anastomosis inner ring.
Figure 11 is the structural schematic diagram in blood vessel A and blood vessel B assembly.
Figure 12 is the structural schematic diagram that blood vessel A and blood vessel B assembly is completed.
Figure 13 is that vascular anastomosis outer ring binds round outside blood vessel A and cooperates the structure for completing vascular anastomosis to show with vascular anastomosis inner ring
It is intended to.
Figure 14 is that the present invention completes the structural schematic diagram that outer ring support tube and discharging ring are dismantled after coincideing.
1, vascular anastomosis inner ring 2, vascular anastomosis outer ring 3, positioning wrench jaw 4, outer ring support tube 5, adjustable clamp in the figure
Mouth 6, discharging ring 7, movable internal pipe 8, positioning pipe sleeve 9, spring.
Specific embodiment
Specific embodiments of the present invention will be further explained with reference to the accompanying drawing.
The invention is realized in this way as shown in Figure 1-3, the blood vessel anastomat include guiding pipe sleeve component and with lead
The jaw component being connected to pipe sleeve component, the interior outer ring support tube for being equipped with discharging ring 6 and being connected with discharging ring 6 of the jaw component
4, as shown in fig. 6, the vascular anastomosis outer ring 2 of elasticity is arranged with outside outer ring support tube 4, as shown in figure 5, in vascular anastomosis outer ring 2
It is arranged with the vascular anastomosis inner ring 1 with the vascular anastomosis outer ring 2 cooperation；Position and fortune using pipe sleeve component to jaw component
Dynamic direction is positioned and is oriented to, so that the discharging ring 6 being located in jaw component pushes the blood being set in outside outer ring support tube 4
It manages the outer ring 2 that coincide to be detached from, be realized with cooperating it with vascular anastomosis inner ring 1
Blood vessel coincide；The stapler is not only simple in structure, easy to operate, and accurate positioning, conducive to the efficiency for improving vascular anastomosis
And success rate.
Key structure of the invention is to be oriented to pipe sleeve component, jaw component and jaw component and discharging ring 6 and outer ring
4 structure of support tube and positional relationship, in the specific implementation, the guiding pipe sleeve component include that positioning pipe sleeve 8 and one end are protruded into
Movable internal pipe 7 that is in positioning pipe sleeve 8 and being slidably connected with positioning pipe sleeve 8；With the jaw group of guiding pipe sleeve component cooperation
Part structure is as shown in figure 4, it includes the moving jaw 5 being connected with movable internal pipe 7 and the positioning wrench jaw being connected with positioning pipe sleeve 8
3；In order to improve the stability of operation, one end that the movable internal pipe 7 is extend into positioning pipe sleeve 8 is also connected with spring 9；In this way,
By the cooperation of positioning pipe sleeve 8 and movable internal pipe 7 in guiding pipe sleeve component, the phase of moving jaw 5 with positioning wrench jaw 3 can be positioned
To positional relationship, in operation, it is applied to 7 active force of movable internal pipe, keeps it mobile relative to positioning pipe sleeve 8, work can be adjusted
The relative position of movable clamp port 5 and positioning wrench jaw 3 is realized and is accurately positioned control；Under the action of moving jaw 5, it is set in outer ring
Vascular anastomosis outer ring 2 outside support tube 4 is detached from, and is cooperated with vascular anastomosis inner ring 1 and is realized vascular anastomosis.
Another key of the present invention implements the shape knot that structure is vascular anastomosis inner ring 1 and vascular anastomosis outer ring 2
Structure makes the relatively reliable simplicity of anastomosis procedure by the Curve guide impeller of its structure, in the specific implementation, the vascular anastomosis inner ring
Several are uniformly provided on 1 periphery for fixing the puncturing structure 101 of blood vessel, as shown in figure 9, the vascular anastomosis outer ring 2
It is net structure circle with vascular anastomosis inner ring 1；On the one hand the fixation to blood vessel can be realized using puncturing structure 101, guarantee kiss
The position precision of conjunction, on the other hand, net structure circle being capable of evenly dispersed vascular anastomosis outer ring 2 and vascular anastomosis inner ring 1 and blood
The active force of pipe, so that the stickiness after vascular anastomosis is more preferable.
For ease of operation, further increase the reliability of practical application, the present invention also to the detail of stapler into
Gone improvement, as shown in figure 4, the positioning wrench jaw 3 and moving jaw 5 be all provided with away from the side of guiding pipe sleeve component it is jagged,
It is on the one hand on the other hand also convenient for observation jaw component and jaw component convenient for the equipment dismounting after vascular anastomosis in this way and unloads
The work of feed ring 6, the operation is more convenient.Simultaneously, also by the discharging ring 6 be fence type structure, as shown in Figure 1, outer ring
Support tube 4 is uniformly placed with the clamping locating piece of several and the cooperation of fence type structure positioning close to one end periphery of discharging ring 6
401, cooperated using fence type structure and clamping locating piece 401, position and the sliding that can be accurately oriented to discharging ring 6 are axial, make
It will can accurately push the vascular anastomosis outer ring 2 being set in outside outer ring support tube 4, guarantee the normal of vascular anastomosis outer ring 2
It is detached from；The discharging ring 6 and outer ring support tube 4 are that dismountable half opening structure can further improve so as shown in figure 14
The convenience of operation.
In stapler assembly, since vascular anastomosis outer ring 2 is a net structure circle of a flexible ability, led to
It crosses outer ring support tube 4 to support, and covers in 4 outer wall of outer ring support tube, as shown in Figure 5；Then it is packed into positioning in the direction of arrows again
Jaw 3, such as Fig. 6.It is reloaded into discharging ring 6 and moving jaw 5, positioning wrench jaw 3 and positioning pipe sleeve 7 are fixed, moving jaw 5 and activity
Inner tube 8 is fixed, spring 9 is packed into positioning pipe sleeve 7 and movable internal pipe 8, so that it may complete the installation of entire component, as shown in Figure 2.
The invention also discloses a kind of anastomosis procedure method of blood vessel anastomat, blood of the operating method based on above structure
Pipe stapler, it includes the following steps: that (1) assembles blood vessel anastomat according to above structure, and vascular anastomosis outer ring 2 is set in
Outside outer ring support tube 4；(2) blood vessel A is inserted into from moving jaw 5, so that the insertion end of blood vessel A sequentially passes through discharging ring 6 and outer
Support tube 4 is enclosed, and extends to 2 outside of vascular anastomosis outer ring, in operation, blood vessel A is inserted into from moving jaw 5 in the direction of arrows,
As shown in Figure 7.Their position is as shown in Figure 8 after insertion；(3) blood vessel B is covered outside vascular anastomosis inner ring 1, and by blood vessel B's
Elongated end turns up, and as shown in Figure 9 and Figure 10, since vascular anastomosis inner ring 1 is a net structure circle, nonelastic, surrounding is had
Puncturing structure 101 passes through the fixed blood vessel B outer wall of the puncturing structure 101 and its flanging；(4) vascular anastomosis inner ring 1 will be had
Blood vessel B is fitted into blood vessel A, until vascular anastomosis inner ring 1 protrudes fully into blood vessel B, as is illustrated by figs. 11 and 12；(5) it pushes
Movable internal pipe 7 drives the moving jaw 5 being connected with movable internal pipe 7 to move to the direction of vascular anastomosis outer ring 2, and moving jaw 5 pushes away
Dynamic discharging ring 6, discharging ring 6 pushes the vascular anastomosis outer ring 2 being set on outer ring support tube 4 to vascular anastomosis inner ring 1, in blood vessel
Disengaging 4 back ferrule of outer ring support tube of outer ring 2 coincide on the blood vessel B at 1 position of vascular anastomosis inner ring, as shown in Figure 12 and Figure 13；
(6) disassembly guiding pipe sleeve component, jaw component and discharging ring 6 and outer ring support tube 4 complete blood vessel A and blood as shown in figure 14
The anastomosis procedure of pipe B；In blood vessel A before vascular anastomosis inner ring 1 and blood vessel the B component fixed are fitted into the direction of arrows,
Such as Figure 11, it is encased in blood vessel B overturning mouth and is flushed with the port blood vessel A, blood vessel A is acted in the puncturing structure 101 of vascular anastomosis inner ring 1
Under be fixed on blood vessel B outer wall, as shown in figure 12.Then movable internal pipe 7 is pushed by external force F, so that being fixed on movable internal pipe 7
Moving jaw 5 act on discharging ring 6, drive vascular anastomosis outer ring 2 to separate from 4 wall of outer ring support tube, bind round in blood vessel A
On outer wall, such blood vessel A and blood vessel B complete to coincide under the elastic force effect of vascular anastomosis inner ring 1 Yu vascular anastomosis outer ring 2.
In order to improve identical stability, the operating method is especially it is noted that length that blood vessel B turns up and position, the step
It, will when the elongated end of blood vessel B is greater than or equal to the length of vascular anastomosis inner ring 1 apart from 1 proximal end of vascular anastomosis inner ring in rapid 3
180 ° of blood vessel B flange, tube wall and fixation until the insertion of the puncturing structure 101 blood vessel B of vascular anastomosis inner ring 1, only turns up
Length is not less than the length of vascular anastomosis inner ring 1, just can guarantee blood vessel B and blood vessel A inner wall stickiness, obtains its stability of coincideing
To guarantee.
Claims (8)
1. a kind of blood vessel anastomat, which is characterized in that it includes the pincers for being oriented to pipe sleeve component and being connected with guiding pipe sleeve component
Mouth component, the interior outer ring support tube (4) for being equipped with discharging ring (6) and being connected with discharging ring (6) of the jaw component, outer ring support tube
(4) it is arranged with the vascular anastomosis outer ring (2) of elasticity outside, is arranged in vascular anastomosis outer ring (2) and matches with the vascular anastomosis outer ring (2)
The vascular anastomosis inner ring (1) of conjunction.
2. blood vessel anastomat as described in claim 1, which is characterized in that the guiding pipe sleeve component includes positioning pipe sleeve (8)
And one end extend into movable internal pipe (7) that is in positioning pipe sleeve (8) and being slidably connected with positioning pipe sleeve (8).
3. blood vessel anastomat as claimed in claim 2, which is characterized in that the jaw component includes and movable internal pipe (7) phase
Moving jaw (5) even and the positioning wrench jaw (3) being connected with positioning pipe sleeve (8).
4. blood vessel anastomat as claimed in claim 3, which is characterized in that the movable internal pipe (7) extend into positioning pipe sleeve (8)
Interior one end is also connected with spring (9).
5. blood vessel anastomat as claimed in claim 4, which is characterized in that on the periphery of the vascular anastomosis inner ring (1) uniformly
It is used to fix the puncturing structure (101) of blood vessel equipped with several.
6. blood vessel anastomat as claimed in claim 5, which is characterized in that the positioning wrench jaw (3) and moving jaw (5) deviate from
The side of guiding pipe sleeve component is all provided with jagged.
7. blood vessel anastomat as claimed in claim 6, which is characterized in that the discharging ring (6) is fence type structure, outer ring branch
Stay tube (4) is positioned close to the clamping that one end periphery of discharging ring (6) is uniformly placed with several and the cooperation of fence type structure positioning
Block (401)；
The discharging ring (6) and outer ring support tube (4) are dismountable half opening structure.
8. the blood vessel anastomat as described in any one in claim 1-7, which is characterized in that the vascular anastomosis outer ring
(2) and vascular anastomosis inner ring (1) is net structure circle.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201710434374.8A CN107088080B (en) | 2017-06-09 | 2017-06-09 | Blood vessel anastomat and its anastomosis procedure method |
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| CN201710434374.8A CN107088080B (en) | 2017-06-09 | 2017-06-09 | Blood vessel anastomat and its anastomosis procedure method |
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| CN107088080A CN107088080A (en) | 2017-08-25 |
| CN107088080B true CN107088080B (en) | 2019-05-14 |
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| CN201710434374.8A Active CN107088080B (en) | 2017-06-09 | 2017-06-09 | Blood vessel anastomat and its anastomosis procedure method |
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Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107802308B (en) * | 2017-11-20 | 2024-01-05 | 盐木医疗科技(北京)有限公司 | Vascular anastomat and application method thereof |
| CN109646067B (en) * | 2019-02-28 | 2024-02-23 | 上海交通大学医学院附属第九人民医院 | Vascular anastomat |
| CN110200670B (en) * | 2019-07-01 | 2021-06-25 | 中南大学湘雅三医院 | Vascular anastomosis device for vascular surgery |
| CN112274203B (en) * | 2020-10-28 | 2023-08-22 | 北京麦德道科技有限公司 | Artificial blood vessel anastomosis device |
| CN113616274B (en) * | 2021-08-06 | 2024-06-14 | 北京九奕科技有限公司 | Disposable laser positioning guide pin for intramedullary nail hole positioning |
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| CN101485583A (en) * | 2009-02-13 | 2009-07-22 | 刘忠臣 | Sleeve type intestinal anastomosis ring |
| CN105125249A (en) * | 2015-09-15 | 2015-12-09 | 广东省医疗器械研究所 | Outward-turning type intestinal tract welding anastomat |
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| EP1569582B1 (en) * | 2002-12-02 | 2017-05-31 | GI Dynamics, Inc. | Bariatric sleeve |
| KR101155417B1 (en) * | 2008-10-22 | 2012-06-14 | 이호기 | Blood vessel anastomosing apparatus |
| ES2632190T3 (en) * | 2010-12-15 | 2017-09-11 | Meteso Ag | Medical anastomosis device |
| US11051818B2 (en) * | 2013-08-21 | 2021-07-06 | King Faisal Specialist Hospital And Research Center | Device for connecting hollow organs, especially blood vessels, by surgery |
| WO2015191859A2 (en) * | 2014-06-13 | 2015-12-17 | The Regents Of The University Of California | Sutureless anastomosis device |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101485583A (en) * | 2009-02-13 | 2009-07-22 | 刘忠臣 | Sleeve type intestinal anastomosis ring |
| CN105125249A (en) * | 2015-09-15 | 2015-12-09 | 广东省医疗器械研究所 | Outward-turning type intestinal tract welding anastomat |
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