CN107802303B - Single suture endoscope anastomat - Google Patents

Single suture endoscope anastomat Download PDF

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Publication number
CN107802303B
CN107802303B CN201711043699.XA CN201711043699A CN107802303B CN 107802303 B CN107802303 B CN 107802303B CN 201711043699 A CN201711043699 A CN 201711043699A CN 107802303 B CN107802303 B CN 107802303B
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CN
China
Prior art keywords
nail
nail anvil
spring plate
suture
anvil
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CN201711043699.XA
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Chinese (zh)
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CN107802303A (en
Inventor
胥炜栋
冯亚
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Wuxi Beien Surgery Device Co ltd
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Wuxi Beien Surgery Device Co ltd
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Priority to CN201711043699.XA priority Critical patent/CN107802303B/en
Publication of CN107802303A publication Critical patent/CN107802303A/en
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    • 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
    • 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
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil

Abstract

The invention discloses a single-suture endoscope anastomat which comprises a nail bin assembly, a nail anvil assembly and a pushing sheet, wherein the nail anvil assembly comprises a supporting strip and a spring sheet, the supporting strip and the spring sheet are connected with the pushing sheet and are in linkage action, and plug assemblies which are connected in a matched mode are further arranged at the free ends of the nail bin and the nail anvil. Compared with the prior art, the method has the following advantages: (1) when the seam is repaired, the operation can be completed more conveniently, quickly and effectively, and the worry caused by the cutting knife is avoided; (2) the products with different types can be freely selected according to the requirements of the tissue to be sutured, for example, the length and the width of different tissues, and the products with different lengths and different staple rows can be selected, so that the healing of tissue wounds is facilitated.

Description

Single suture endoscope anastomat
Technical Field
The invention belongs to the technology of medical instruments, and particularly relates to a single-suture endoscope anastomat.
Background
The general principle of the endoscope anastomat in the current market is that an I-shaped knife pulls a nail chopping board, cutting is carried out simultaneously in the closing and sewing process, and in actual use, the following problems easily occur under the design condition: (1) if the situations of poor staple forming and serious blood seepage occur after tissue suturing, an operator cannot use the product for repairing the seam, and the difficulty of using other products for repairing the seam is higher; (2) the mending of other products has limitations, such as prolonged operation time due to the large length of the wound and pain of the patient. At present, an endoscopic stapler suitable for solving the problems is not available.
Disclosure of Invention
The invention aims to provide the single-suture endoscope anastomat which breaks the structure of the I-shaped knife and is more convenient and faster in suture repairing operation based on the problems.
The technical scheme is as follows: the invention relates to a single-suture endoscope anastomat which comprises a nail anvil assembly, a nail bin assembly, a nail pushing sliding block and a pushing sheet, wherein the nail anvil assembly is arranged on the nail bin assembly; the nail anvil component is a linkage component formed by a supporting bar penetrating through the nail anvil cover, a spring plate and the nail anvil; the nail bin assembly comprises a nail bin, and the nail pushing sliding block is arranged between the nail bin and the pushing piece; the upper surface of the propelling piece is provided with a propelling piece groove, and the supporting bar is hooked and buckled in the propelling piece groove after penetrating through the nail anvil cover, the elastic sheet and the nail anvil; the free ends of the nail bin and the nail anvil are provided with plug components which are connected in a matching way.
Furthermore, the nail anvil is provided with a nail anvil chute, the elastic sheet is a V-shaped piece, the middle part of the nail anvil is provided with an elastic sheet groove, the free end of the nail anvil cover is provided with a through hole, the support bar penetrates through the nail anvil cover, the free end of the support bar is also provided with a convex block, the convex block is embedded into the through hole at the free end of the nail anvil cover, the other end of the support bar is provided with a bent part and a reset hook, and the bent part of the support bar sequentially penetrates through the elastic sheet groove and the nail; the reset hook is buckled in the groove of the propelling piece.
Furthermore, the plug component comprises a first connecting piece arranged at the free end of the nail bin and a second connecting piece matched with the free end of the nail anvil.
Furthermore, the first connecting piece is a lug, and the second connecting piece is a through hole which is matched and sleeved with the lug.
The support bars are integrally formed.
The structures or components and the connection relationship thereof which are not illustrated in the invention can be realized by the design of the endoscope anastomat in the prior art.
The working principle is as follows: when the single-suture endoscope anastomat is used, the pushing sheet is used as a power source to drive the pushing nail sliding block and the supporting strip, but the tissue cutting effect is not achieved, namely the cutting edge and the cutting knife pin of the I-shaped knife with the traditional structure are removed; because the tissue suturing in-process, the anastomotic nail shaping needs to have sufficient holding power, the support bar has replaced traditional I-shaped sword structure, at the in-process of subassembly percussion, the propulsion piece is closed, impels the support bar, impels the nail slider as the power supply with the nail anvil in proper order to pull back the support bar in proper order, the nail anvil is bounced off when reseing, realizes closed and opening, through calculating the closed stroke of nail anvil when closed, the embolism action is accomplished to the embolism subassembly, thereby accomplish the normal shaping of anastomotic nail, accomplish the mending. The closing of the nail anvil head is that the nail anvil head obliquely pushes against the tail part of the nail anvil in the triggering process of the propelling plate, the tail part of the nail anvil rises from the initial lowest point (which is pushed against the bottom surface of the opening of the propelling plate) to the highest point (which is the upper surface of the propelling plate), and the closing angle of the nail anvil rotates by 30 degrees; when the nail anvil is closed, the pushing sheet is continuously triggered, the support bar resetting hook positioned at the tail end of the nail anvil contacts the inclined plane at the rear side of the groove of the pushing sheet, so that the support bar is driven to be triggered forwards until the support bar is bolted into the nail bin sleeve, and at the moment, the assembly completes the whole closing action; in the sewing process, the propelling piece is continuously triggered, the supporting strip is bolted into the nail bin sleeve to form positioning, and the supporting strip climbs to the upper surface of the propelling piece by the elasticity of the nail bin shell, so that the phenomenon that the propelling piece is blocked cannot occur. The anvil head of the nail is opened by pulling back the pushing sheet after the sewing of the component is finished, and the support strip reset hook positioned on the upper surface of the pushing sheet is contacted with the step of the driving end of the pushing sheet so as to be separated from the nail bin sleeve and reset; in the process, the nail anvil is also contacted with the inclined plane of the pushing sheet and rotates for 30 degrees by the close angle of the nail anvil elastic sheet, and the assembly can still return to the initial firing state after the whole pulling-back action is finished.
Has the advantages that: compared with the prior art, the method has the following advantages: (1) when the tissue is repaired, the operation can be completed more conveniently, quickly and effectively; (2) the products with different types can be freely selected according to the requirements of the tissue to be sutured, for example, the length and the width of different tissues, and the products with different lengths and different staple rows can be selected, so that the healing of tissue wounds is facilitated.
Drawings
FIG. 1 is a schematic structural diagram of the present application;
FIG. 2 is an exploded view of FIG. 1;
FIG. 3 is a schematic view of the structure of the joint of the actuator head;
figure 4 is a schematic diagram of the construction of the free end portion plug assembly of the actuation head.
Detailed Description
The present application will be described in detail with reference to specific examples.
As shown in fig. 1, 2, 3 and 4, a single suture endoscope anastomat comprises a nail anvil assembly 1, a nail bin assembly 2, a nail pushing slide block 3 and a pushing sheet 4; the nail anvil component 1 comprises a nail anvil 11, a nail anvil cover 12, a supporting bar 13 and a spring plate 14, wherein the nail anvil 11 is provided with a nail anvil chute 101, the spring plate 14 is a V-shaped piece, the middle part of the spring plate is provided with a spring plate groove 104, the free end of the nail anvil cover 12 is provided with a through hole 102, the supporting bar 13 is arranged in the nail anvil cover 12 in a penetrating way, the free end of the supporting bar 13 is also provided with a convex block 103, the convex block 103 is embedded into the through hole 102 of the free end of the nail anvil cover, the other end of the supporting bar is provided with a bending part 105 and a reset hook 106, the bending part; the nail bin assembly 2 comprises a nail bin 21, and the nail pushing slider 3 is arranged between the nail bin 21 and the pushing sheet 4; the upper surface of the propelling piece 4 is provided with a propelling piece groove 41, and the reset hook 106 is hooked in the propelling piece groove 41; the free ends of the nail bin 21 and the nail anvil 11 are provided with plug assemblies 5 which are matched and connected, and the plug assemblies comprise a first connecting piece 51 and a second connecting piece 52 which are specifically a projection and a through hole which are matched and connected with each other.
When the single-suture endoscope anastomat is used, the pushing sheet is used as a power source to drive the pushing nail sliding block and the supporting strip, but the tissue cutting effect is not achieved, namely the cutting edge and the cutting knife pin of the I-shaped knife with the traditional structure are removed; because the tissue suturing in-process, the anastomotic nail shaping needs to have sufficient holding power, the support bar has replaced traditional I-shaped sword structure, at the in-process of subassembly percussion, the propulsion piece is closed, impels the support bar, impels the nail slider as the power supply with the nail anvil in proper order to pull back the support bar in proper order, the nail anvil is bounced off when reseing, realizes closed and opening, through calculating the closed stroke of nail anvil when closed, the embolism action is accomplished to the embolism subassembly, thereby accomplish the normal shaping of anastomotic nail, accomplish the mending.

Claims (5)

1. The utility model provides a single suture chamber mirror anastomat which characterized in that: comprises a nail anvil component (1), a nail bin component (2), a nail pushing slide block (3) and a pushing sheet (4); the nail anvil component (1) is a linkage component which is formed by a supporting bar (13) penetrating through a nail anvil cover (12), a spring plate (14) and a nail anvil (11), the nail anvil (11) is provided with a nail anvil chute (101), the spring plate (14) is a V-shaped piece, and the middle part of the spring plate is provided with a spring plate groove (104); the nail bin assembly (2) comprises a nail bin (21), and the nail pushing sliding block (3) is arranged between the nail bin (21) and the pushing sheet (4); the upper surface of the propelling piece (4) is provided with a propelling piece groove (41), and the supporting bar (13) passes through the nail anvil cover (12), the spring plate groove (104) and the nail anvil chute (101) and then is hooked and buckled in the propelling piece groove (41); the free ends of the nail bin (21) and the nail anvil (11) are provided with plug components (5) which are connected in a matching way.
2. The single-suture endoscopic stapler of claim 1, wherein: the nail anvil component (1) comprises a nail anvil (11), a nail anvil cover (12), a supporting bar (13) and a spring plate (14), a through hole (102) is formed in the free end of the nail anvil cover (12), a convex block (103) is further arranged at the free end of the supporting bar (13), the convex block (103) is embedded into the through hole (102) in the free end of the nail anvil cover, a bending part (105) and a reset hook (106) are arranged at the other end of the supporting bar, and the bending part (105) of the supporting bar sequentially penetrates through a spring plate groove (104) and a nail anvil sliding groove (101) and is fixed through the reset; the reset hook (106) is hooked in the pushing sheet groove (41).
3. The single-suture endoscopic stapler according to claim 1 or 2, wherein: the plug component (5) comprises a first connecting piece (51) arranged at the free end of the nail box and a second connecting piece (52) matched with the free end of the nail anvil.
4. The single-suture endoscopic stapler of claim 3, wherein: the first connecting piece (51) is a convex block, and the second connecting piece (52) is a through hole matched and sleeved with the convex block.
5. The single-suture endoscopic stapler according to claim 1 or 2, wherein: the supporting strips (13) are integrally formed.
CN201711043699.XA 2017-10-31 2017-10-31 Single suture endoscope anastomat Active CN107802303B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN107802303A CN107802303A (en) 2018-03-16
CN107802303B true CN107802303B (en) 2020-08-11

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113288277B (en) * 2021-05-31 2022-04-29 常州安康医疗器械有限公司 Nail storehouse with mend seam function

Citations (1)

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CN208524938U (en) * 2017-10-31 2019-02-22 无锡贝恩外科器械有限公司 Single suture hysteroscope stapler

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US7857185B2 (en) * 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8757465B2 (en) * 2010-09-30 2014-06-24 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
BR112013007659B1 (en) * 2010-09-30 2020-09-08 Ethicon Endo-Surgery, Inc. SURGICAL INSTRUMENT
CN103860222B (en) * 2012-12-18 2016-05-04 苏州天臣国际医疗科技有限公司 A kind of straight line stitching instrument cutter sweep
CN103767751B (en) * 2014-01-03 2016-02-24 上海逸思医疗科技有限公司 A kind of surgical instruments of one-hand operation
CN106419983B (en) * 2015-12-22 2019-07-02 北京派尔特医疗科技股份有限公司 A kind of hysteroscope stapler and its nail bin groupware

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Publication number Priority date Publication date Assignee Title
CN208524938U (en) * 2017-10-31 2019-02-22 无锡贝恩外科器械有限公司 Single suture hysteroscope stapler

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