CN107374685A - Soft tissue set based on marmem cuts stapler - Google Patents
Soft tissue set based on marmem cuts stapler Download PDFInfo
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- CN107374685A CN107374685A CN201710554018.XA CN201710554018A CN107374685A CN 107374685 A CN107374685 A CN 107374685A CN 201710554018 A CN201710554018 A CN 201710554018A CN 107374685 A CN107374685 A CN 107374685A
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- soft tissue
- close
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- detent projection
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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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
Abstract
The invention belongs to technical field of medical instruments, and in particular to a kind of soft tissue set based on marmem cuts stapler.The soft tissue set, which cuts stapler, includes at least three close out sheet and the connection sheet with close out sheet quantity identical C fonts, the close out sheet includes two and connects first section for forming V-shape structure, adjacent first section of two close out sheet is bonded to each other, and all common splits of close out sheet form a planar structure or cone structure;Two first sections being bonded to each other are fixedly connected with the both ends of connection sheet respectively.The present invention solve the existing set bundle dynamics of existing human body soft tissue ligation instrument not enough, set prick the technical problem that scope is small, stability is poor, there is simple in construction, set to cut the advantages of effect is strong.
Description
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of soft tissue set based on marmem cuts kiss
Clutch.
Background technology
In hemorrhoid in the treatment operation of mucous membrane or internal piles, elastic rubber snare the bundles technology that clinically uses at present or identical
Device technology is used for hemorrhoid treating, is such as pricked mucous membrane in hemorrhoid or internal piles set using rubber ring when mucous membrane on doing hemorrhoid or internal piles are cut off,
Or the modus operandi cut off after being pegged mucous membrane in hemorrhoid or internal piles using stainless steel lag screws or titanium nail.Elastic rubber circle is due to material
Reason set bundle dynamics is inadequate, easily comes off, and because quality of rubber materials level of stretch is limited, can not cover sufficiently large set and prick model
Enclose, multiple elastic rubber circles are needed to use in an operation, stability is relatively low.And stainless steel or titanium nail are cut after mucous membrane is pegged
The operation removed, because the device is invasive surgery apparatus, patient will suffer exquisite pain, and stainless steel lag screws or titanium nail will be long
Phase is trapped in human body, may cause operative failure and sequelae.
The content of the invention
It is an object of the present invention to provide a kind of soft tissue set based on marmem to cut stapler, solves existing people
The existing set bundle dynamics of body soft tissue ligation instrument is inadequate, set pricks the technical problem that scope is small, stability is poor.
The present invention technical solution be:A kind of soft tissue set based on marmem cuts stapler, and its is special
Part is:Connection sheet including at least three close out sheet and with close out sheet quantity identical C fonts, the close out sheet include two
Individual to connect first section for forming V-shape structure, adjacent first section of two close out sheet is bonded to each other, and all close out sheet are total to
A planar structure or cone structure are formed with split;Both ends of two first sections being bonded to each other respectively with connection sheet are consolidated
Fixed connection.
Further, the inner side of first section to V-shape structure of above-mentioned close out sheet extends and is bent to form second section,
Second section is bonded to each other with adjacent connection sheet.
Further, be provided with detent projection in first section of above-mentioned close out sheet, close out sheet another first
The groove corresponding with detent projection is provided with branch section;Two adjacent first sections pass through respective detent projection or groove
It is mutually twisted.
Further, two first Duan Shangjun of above-mentioned close out sheet are staggeredly equipped with detent projection and groove, adjacent
Two first sections are mutually twisted on binding face by respective detent projection and groove.
Further, the common split of all close out sheet forms the cone structure that a cone angle is more than or equal to 120 degree.
Further, the common split of all close out sheet forms the cone structure that a cone angle is 160 degree.
Further, detent projection or groove are provided with second section of above-mentioned close out sheet, are set in the connection sheet
It is equipped with the groove corresponding with second section or detent projection;Adjacent connection sheet and second section are on adhesive piece by each
From detent projection or groove be mutually twisted.
Further, detent projection is provided with second section of above-mentioned close out sheet or in connection sheet, the dentation is convex
Rise on second binding face between section and connection sheet.
Further, detent projection and groove are staggeredly equipped with second section of above-mentioned close out sheet, in the connection sheet
It is provided with the groove corresponding with second section and detent projection;Adjacent connection sheet and second section are on binding face by each
From detent projection and groove be mutually twisted.
Further, the quantity of above-mentioned close out sheet is 3 or 4.
The beneficial effects of the present invention are:
1st, soft tissue set of the present invention cuts stapler as closing banding, is connected with each other and formed by multiple close out sheet and connection sheet,
Structure very simple.
2nd, soft tissue set of the present invention, which cuts stapler, can use the Ni-based marmem sheet material of titanium or tubing cutting processing system
Into i.e. usable through memory processing, process for machining and manufacturing is simple.
3rd, effect is cut in order to strengthen set, soft tissue set of the present invention cuts stapler and employs three-level anti-drop device:
The first order is connection sheet, and there is hyperelastic shape memory alloy material to be made when using higher than memory temperature for it,
The memory temperature of setting material is less than body temperature, and when soft tissue set, which cuts stapler, to be entered in human body, material shows super-elasticity, to
Contract, persistently tissue is pressurizeed;
The second level is the close out sheet at the sensing center connected as one by connection sheet, and the head of close out sheet can be pierced into tissue
Portion, prevent set from cutting stapler and coming off;
The third level is to extend be bent to form second in first section of V-shape structure in close out sheet and by first section
Branch section, adjacent first section are bonded to each other, and adjacent second section is also bonded to each other with connection sheet, so as to which comprehensive clamping is soft
Tissue.In addition, can arrange the detent projection being engaged each other and/or groove on all binding faces, further improve soft
Tissue set cuts occlusion ability of the stapler to soft tissue.
4th, the dual-use function of excision and engaging tissue in a organized way of the invention.
5th, surgical procedure of the present invention is simple.The present invention is used to use to cardioid closed mode during hemorrhoid removal, by soft tissue
Set is cut stapler and is clipped on mucous membrane, thoroughly blocks the blood circulation in haemorrhoids, makes nipped necrosis, postnecrotic wound
Healing.Soft tissue set cuts stapler Automatic-falling, does not stay foreign matter in vivo after being organized in necrosis.
6th, soft tissue set, which cuts stapler, can be shaped to 120-180 degree, be cut soft tissue set using special Technology for Heating Processing
Stapler processing be with superelastic properties, according to use demand clinically, by external force by soft tissue set cut stapler from
Center struts, and it is enclosed on the column type release head of release device.Because hyperelastic effect, soft tissue set cut kiss after release
Clutch is restored to the state before strutting and gripping tissue.
7th, because the different of clinic require, soft tissue set, which cuts stapler, includes positive installation and reversely installation when strutting,
Its characteristic is:Soft tissue set is cut into stapler using special clamping device to strut from center, engagement teeth directional is included on the inside of band
Release direction, lateral base direction outside band.As the concave surface of 120-180 degree will be shaped to when preparing to strut towards release direction,
It is then reversely installation, now discharges, then soft tissue set cuts stapler spring back angle more than 90 degree;As that will be shaped to when preparing and strutting
Then install, now discharge, then soft tissue set cuts stapler spring back angle for forward direction backwards to release direction in the concave surface of 120-180 degree
Less than 90 degree.
8th, soft tissue set cutter otch within the time of design of the present invention is organized in anastomosis clamp Automatic-falling after hyperplasia healing.
9th, the present invention is non-invasive operating theater instruments.
Brief description of the drawings
Fig. 1 is that the plane three-clove style soft tissue set of the embodiment of the present invention one cuts stapler structural representation.
Fig. 2 is that the plane three-clove style soft tissue set of the embodiment of the present invention one cuts stapler open mode schematic diagram.
Fig. 3 is that the conical surface three-clove style soft tissue set of the embodiment of the present invention two cuts stapler structural representation.
Fig. 4 is that the plane fFour piece type soft tissue set of the embodiment of the present invention three cuts stapler structural representation.
Fig. 5 is that the plane fFour piece type soft tissue set of the embodiment of the present invention three cuts stapler open mode schematic diagram.
Fig. 6 is that the conical surface fFour piece type soft tissue set of the embodiment of the present invention four cuts stapler structural representation.
Fig. 7 is that the plane three-clove style soft tissue set of the embodiment of the present invention five cuts stapler structural representation.
Fig. 8 is that the plane three-clove style soft tissue set of the embodiment of the present invention six cuts stapler structural representation.
Fig. 9 is that the plane three-clove style soft tissue set of the embodiment of the present invention seven cuts stapler structural representation.
Figure 10 is that the plane three-clove style soft tissue set of the embodiment of the present invention eight cuts stapler structural representation.
Figure 11 is that the plane three-clove style soft tissue set of the embodiment of the present invention nine cuts stapler structural representation.
Figure 12 is that the plane fFour piece type soft tissue set of the embodiment of the present invention ten cuts stapler structural representation.
Figure 13 is that the plane fFour piece type soft tissue set of the embodiment of the present invention 11 cuts stapler structural representation.
Figure 14 is that the plane fFour piece type soft tissue set of the embodiment of the present invention 12 cuts stapler structural representation.
Figure 15 is that the plane fFour piece type soft tissue set of the embodiment of the present invention 13 cuts stapler structural representation.
Figure 16 is that the plane fFour piece type soft tissue set of the embodiment of the present invention 14 cuts stapler structural representation.
Wherein, reference is:1- close out sheet, first section of 2-, second section of 3-, 4- connection sheets.
Embodiment
Embodiment one
As depicted in figs. 1 and 2, the present embodiment is that a kind of plane three-clove style soft tissue set cuts stapler, by higher than memory temperature
There is the Ni-based shape memory alloy material of hyperelastic titanium to be processed as the memory character clinically needed when spending.When external force effect or
Its shape, refresh memory shape when being higher than after external force unloading or again memory temperature can be changed during less than memory temperature.
The structure that the present embodiment plane three-clove style soft tissue set cuts stapler mainly includes three close out sheet 1 and three C words
The connection sheet 4 of type;Close out sheet 1 includes two and connected to form the plane branch section 2 of V-shape structure, and adjacent the of two close out sheet
One section 2 is bonded to each other, and all 1 common splits of close out sheet form a planar structure, so as to which the soft tissue for cutting off needs is tight
It is close to be clamped between each close out sheet.
The inner side of first section 2 to V-shape structure extends and is bent to form second section 3.Two be bonded to each other first
Both ends of the branch section 2 respectively with connection sheet 4 are fixedly connected, and connection sheet 4 is bonded to each other with second section 3 positioned at inner side.Soft tissue
Easily it is squeezed under the clamp position of close out sheet and shifts laterally, the setting of second section 3 can be firm by soft tissue
It is limited between connection sheet 4 and first section 2, prevents from influenceing therapeutic effect because soft tissue is pressurized skew.
Detent projection and groove, adjacent two first sections are staggeredly equipped with two first sections 2 of close out sheet 1
2 are mutually twisted on binding face by respective detent projection and groove, can be increased using the cooperation of detent projection and groove
Soft tissue set cuts chucking power of the stapler for soft tissue, improves therapeutic effect.
In actual use, for the focus for needing to cut off, such as mucous membrane or internal piles in hemorrhoid, plane three-clove style soft tissue set
Cut stapler soft tissue can be carried out continue Self-pressurizing agri, block focus blood supply, making lesions position, progressively necrosis comes off, with up to
To the purpose for the treatment of.
Embodiment two
As shown in figure 3, the present embodiment, which is a kind of conical surface three-clove style soft tissue set, cuts stapler, its cone angle is 160 degree.The kiss
There is the Ni-based shape memory alloy material of hyperelastic titanium to be processed as the memory clinically needed when clutch is by higher than memory temperature
Character.When external force acts on or can changed during less than memory temperature its shape, when being higher than after external force unloading or again memory temperature
Refresh memory shape.
The structure that the present embodiment conical surface three-clove style soft tissue set cuts stapler mainly includes three close out sheet 1 and three C words
The connection sheet 4 of type;Close out sheet 1 includes two and connected to form the plane branch section 2 of V-shape structure, and adjacent the of two close out sheet
One section 2 is bonded to each other, and all 1 common splits of close out sheet form a cone structure, so as to which the soft tissue for cutting off needs is tight
It is close to be clamped between each close out sheet.
The inner side of first section 2 to V-shape structure extends and is bent to form second section 3.Two be bonded to each other first
Both ends of the branch section 2 respectively with connection sheet 4 are fixedly connected, and connection sheet 4 is bonded to each other with second section 3 positioned at inner side.Soft tissue
Easily it is squeezed under the clamp position of close out sheet and shifts laterally, the setting of second section 3 can be firm by soft tissue
It is limited between connection sheet 4 and first section 2, prevents from influenceing therapeutic effect because soft tissue is pressurized skew.
Detent projection and groove, adjacent two first sections are staggeredly equipped with two first sections 2 of close out sheet 1
2 are mutually twisted on binding face by respective detent projection and groove, can be increased using the cooperation of detent projection and groove
Soft tissue set cuts chucking power of the stapler for soft tissue, improves therapeutic effect.
In actual use, for the focus for needing to cut off, such as mucous membrane or internal piles in hemorrhoid, conical surface three-clove style soft tissue set
Cut stapler soft tissue can be carried out continue Self-pressurizing agri, block focus blood supply, lesions position necrosis is come off, with up to
To the purpose for the treatment of.
Embodiment three
As shown in Figure 4 and Figure 5, the present embodiment is that a kind of plane fFour piece type soft tissue set cuts stapler, by higher than memory temperature
There is the Ni-based shape memory alloy material of hyperelastic titanium to be processed as the memory character clinically needed when spending.When external force effect or
Its shape, refresh memory shape when being higher than after external force unloading or again memory temperature can be changed during less than memory temperature.
The structure that the present embodiment plane fFour piece type soft tissue set cuts stapler mainly includes four close out sheet 1 and four C words
The connection sheet 4 of type;Close out sheet 1 includes two and connected to form the plane branch section 2 of V-shape structure, and adjacent the of two close out sheet
One section 2 is bonded to each other, and all 1 common splits of close out sheet form a planar structure, so as to which the soft tissue for cutting off needs is tight
It is close to be clamped between each close out sheet.
The inner side of first section 2 to V-shape structure extends and is bent to form second section 3.Two be bonded to each other first
Both ends of the branch section 2 respectively with connection sheet 4 are fixedly connected, and connection sheet 4 is bonded to each other with second section 3 positioned at inner side.Soft tissue
Easily it is squeezed under the clamp position of close out sheet and shifts laterally, the setting of second section 3 can be firm by soft tissue
It is limited between connection sheet 4 and first section 2, prevents from influenceing therapeutic effect because soft tissue is pressurized skew.
Detent projection and groove, adjacent two first sections are staggeredly equipped with two first sections 2 of close out sheet 1
2 are mutually twisted on binding face by respective detent projection and groove, can be increased using the cooperation of detent projection and groove
Soft tissue set cuts chucking power of the stapler for soft tissue, improves therapeutic effect.
In actual use, for the focus for needing to cut off, such as mucous membrane or internal piles in hemorrhoid, plane fFour piece type soft tissue set
Cut stapler soft tissue can be carried out continue Self-pressurizing agri, block focus blood supply, lesions position necrosis is come off, with up to
To the purpose for the treatment of.
Example IV
As shown in fig. 6, the present embodiment, which is a kind of conical surface fFour piece type soft tissue set, cuts stapler, its cone angle is 160 degree.The kiss
There is the Ni-based shape memory alloy material of hyperelastic titanium to be processed as the memory clinically needed when clutch is by higher than memory temperature
Character.When external force acts on or can changed during less than memory temperature its shape, when being higher than after external force unloading or again memory temperature
Refresh memory shape.
The structure that the present embodiment conical surface fFour piece type soft tissue set cuts stapler mainly includes four close out sheet 1 and four C words
The connection sheet 4 of type;Close out sheet 1 includes two and connected to form the plane branch section 2 of V-shape structure, and adjacent the of two close out sheet
One section 2 is bonded to each other, and all 1 common splits of close out sheet form a cone structure, so as to which the soft tissue for cutting off needs is tight
It is close to be clamped between each close out sheet.
The inner side of first section 2 to V-shape structure extends and is bent to form second section 3.Two be bonded to each other first
Both ends of the branch section 2 respectively with connection sheet 4 are fixedly connected, and connection sheet 4 is bonded to each other with second section 3 positioned at inner side.Soft tissue
Easily it is squeezed under the clamp position of close out sheet and shifts laterally, the setting of second section 3 can be firm by soft tissue
It is limited between connection sheet 4 and first section 2, prevents from influenceing therapeutic effect because soft tissue is pressurized skew.
Detent projection and groove, adjacent two first sections are staggeredly equipped with two first sections 2 of close out sheet 1
2 are mutually twisted on binding face by respective detent projection and groove, can be increased using the cooperation of detent projection and groove
Soft tissue set cuts chucking power of the stapler for soft tissue, improves therapeutic effect.
In actual use, for the focus for needing to cut off, such as mucous membrane or internal piles in hemorrhoid, conical surface fFour piece type soft tissue set
Cut stapler soft tissue can be carried out continue Self-pressurizing agri, block focus blood supply, lesions position necrosis is come off, with up to
To the purpose for the treatment of.
Embodiment five
As shown in fig. 7, on the basis of embodiment one, it is convex that the present embodiment is provided with dentation in all second sections
Rise, detent projection is located on the binding face of second section and connection sheet.
Embodiment six
As shown in figure 8, on the basis of embodiment one, difference in this case is that:Adjacent it is bonded to each other at two
First section on, one of them first section sets detent projection, and another first section is set to be adapted with detent projection
Groove.
Embodiment seven
As shown in figure 9, on the basis of embodiment six, it is convex that the present embodiment is provided with dentation in all second sections
Rise, detent projection is located on the binding face of second section and connection sheet.
Embodiment eight
As shown in Figure 10, on the basis of embodiment six, the present embodiment eliminates second section to be fitted with connection sheet.
Embodiment nine
As shown in figure 11, on the basis of embodiment one, the present embodiment eliminates second section to be fitted with connection sheet.
Embodiment ten
As shown in figure 12, on the basis of embodiment three, it is convex that the present embodiment is provided with dentation in all second sections
Rise, detent projection is located on the binding face of second section and connection sheet.
Embodiment 11
As shown in figure 13, on the basis of embodiment three, difference in this case is that:Adjacent it is bonded to each other at two
First section on, one of them first section sets detent projection, and another first section is set to be adapted with detent projection
Groove.
Embodiment 12
As shown in figure 14, on the basis of embodiment 11, the present embodiment is provided with dentation in all second sections
Projection, detent projection are located on the binding face of second section and connection sheet.
Embodiment 13
As shown in figure 15, on the basis of embodiment 11, the present embodiment eliminates second to be fitted with connection sheet
Section.
Embodiment 14
As shown in figure 16, on the basis of embodiment three, the present embodiment eliminates second section to be fitted with connection sheet.
Claims (10)
1. a kind of soft tissue set based on marmem cuts stapler, it is characterised in that:Including at least three close out sheet and
With the connection sheet of close out sheet quantity identical C fonts, the close out sheet includes first that two connections form V-shape structure
Section, adjacent first section of two close out sheet is bonded to each other, all common splits of close out sheet form a planar structure or
Cone structure;Two first sections being bonded to each other are fixedly connected with the both ends of connection sheet respectively.
2. the soft tissue set according to claim 1 based on marmem cuts stapler, it is characterised in that:It is described to close
The inner side for closing first section to V-shape structure of piece extends and is bent to form second section, second section and adjacent company
Contact pin is bonded to each other.
3. the soft tissue set according to claim 1 or 2 based on marmem cuts stapler, it is characterised in that:Institute
State and detent projection is provided with first section of close out sheet, be provided with another first section of close out sheet convex with dentation
Play corresponding groove;Two adjacent first sections are mutually twisted by respective detent projection or groove.
4. the soft tissue set according to claim 1 or 2 based on marmem cuts stapler, it is characterised in that:Institute
Two first Duan Shangjun for stating close out sheet are staggeredly equipped with detent projection and groove, and adjacent two first sections are in binding face
It is upper to be mutually twisted by respective detent projection and groove.
5. the soft tissue set according to claim 1 or 2 based on marmem cuts stapler, it is characterised in that:Institute
There is the common split of close out sheet to form the cone structure that a cone angle is more than or equal to 120 degree.
6. the soft tissue set according to claim 5 based on marmem cuts stapler, it is characterised in that:It is all to close
Close the common split of piece and form the cone structure that a cone angle is 160 degree.
7. the soft tissue set according to claim 2 based on marmem cuts stapler, it is characterised in that:It is described to close
Close and be provided with detent projection or groove in second section of piece, be provided with the connection sheet corresponding with second section recessed
Groove or detent projection;Adjacent connection sheet and second section are mutually stung on adhesive piece by respective detent projection or groove
Close.
8. cut stapler according to the soft tissue set based on marmem described in claim 2, it is characterised in that:The closure
Detent projection is provided with second section of piece or in connection sheet, the detent projection is positioned at second between section and connection sheet
Binding face on.
9. the soft tissue set according to claim 2 based on marmem cuts stapler, it is characterised in that:It is described to close
Close and be staggeredly equipped with detent projection and groove in second section of piece, be provided with the connection sheet corresponding with second section
Groove and detent projection;Adjacent connection sheet and second section are mutually stung on binding face by respective detent projection and groove
Close.
10. the soft tissue set based on marmem according to claim 1,2,7,8 or 9 cuts stapler, its feature
It is:The quantity of the close out sheet is 3 or 4.
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CN201710554018.XA CN107374685B (en) | 2017-07-09 | 2017-07-09 | Soft tissue sleeve cutting anastomat based on shape memory alloy |
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WO2019218592A1 (en) * | 2018-05-17 | 2019-11-21 | 南京微创医学科技股份有限公司 | Self-anastomosis clamp for digestive tract and releasing device thereof |
US11857192B2 (en) | 2018-05-17 | 2024-01-02 | Micro-Tech (Nanjing) Co., Ltd. | Self-service anastomosis clamp for digestive tract and delivery system thereof |
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