CN107854151A - A kind of pull-down assembly tool of magnetic force stapler - Google Patents

A kind of pull-down assembly tool of magnetic force stapler Download PDF

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Publication number
CN107854151A
CN107854151A CN201711331602.5A CN201711331602A CN107854151A CN 107854151 A CN107854151 A CN 107854151A CN 201711331602 A CN201711331602 A CN 201711331602A CN 107854151 A CN107854151 A CN 107854151A
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CN
China
Prior art keywords
magnetic force
pull
assembly tool
force stapler
stapler
Prior art date
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Granted
Application number
CN201711331602.5A
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Chinese (zh)
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CN107854151B (en
Inventor
徐忠法
石会勇
王若谷
甄亚男
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AFFILIATED HOSPITAL OF SHANDONG ACADEMY OF MEDICAL SCIENCES
Original Assignee
AFFILIATED HOSPITAL OF SHANDONG ACADEMY OF MEDICAL SCIENCES
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Priority to CN201711331602.5A priority Critical patent/CN107854151B/en
Publication of CN107854151A publication Critical patent/CN107854151A/en
Application granted granted Critical
Publication of CN107854151B publication Critical patent/CN107854151B/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
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus

Abstract

The invention discloses a kind of pull-down assembly tool of magnetic force stapler, including magnetic force stapler and its assemble mechanism, magnetic force stapler includes the first noumenon and the second body being oppositely arranged, the first noumenon and the second body are provided with the magnet of mutual adhesive, the first noumenon and the second body are provided with the through hole communicated, assemble mechanism may pass through through hole, assemble mechanism includes the action bars with second body phase clamping, action bars is arranged with operating parts moving up and down, shell fragment is provided with operating parts, shell fragment is provided with card-bit part, operating parts top is provided with boss, for inwardly oppressing shell fragment, second body is provided with the neck being adapted with card-bit part, card-bit part, which has, is located at the first state for making action bars and second body phase clamping in neck and the second state that disengaging neck makes action bars be separated with the second body.It the advantage is that, the magnetic force stapler in the circular staplers in nail type anastomosis and magnetic force anastomosis is combined, combine the advantage that magnetic force is coincide and nail type is coincide.

Description

A kind of pull-down assembly tool of magnetic force stapler
Technical field
The present invention relates to the assembly tool of stapler, more particularly to a kind of pull-down assembly tool of magnetic force stapler.
Background technology
Existing more than the 100 years history of gastrointestinal anastomosis, a large amount of different materials applications are in gastrointestinal anastomosis, including silk thread, sheep intestines Line, stainless steel suture, new single fiber line and absorbable thread.In past 30 years, anastomat device is by surgeon Pursue.But how tact anastomosis select to be still many school's the question in dispute with Mechanical Suture.
With the development of anastomosis, postoperative complication gradually decreases, but anastomotic leakage is still most worrying art One of infectious-related complication.The incidence (1% -24%) of anastomotic leakage has very big difference, and low rectal anastomotic leakage (12% - 19%) incidence is higher than Colonic anastomosis mouth fistula (11%).Anastomotic leakage and higher local relapse and relatively low long-term life The rate of depositing has correlation.In addition, long-term gastrointestinal function also can be by the unfavorable of the complication such as methods of anastomosis, method and anastomotic leakage Influence.Closely for over 100 years more than a hundred years, people have carried out persistent exploration to Surgical healing technology, it is therefore an objective to which foundation is more safer than manual suture can Lean on, be more convenient, small anastomosis are influenceed on gut function, new method, new apparatus have been reported that various anastomosis have been demonstrated repeatly It can be coincide with the craft of standard and stapling technique in anus reservation compares favourably.However, most replacement anastomosis and immature.
Existing anastomosis have:1. nail type anastomosis;2. compressed anastomosis art;3rd, magnetic control anastomosis;Wherein pressurization kiss Close the compressed anastomosis device used in art includes Ultimum Ti (SMA), intracavitary compressing anastomosis ring (EndoCAR) again.And its In, coincideing for magnetic control mode is not statistically significant in terms of identical intestinal canal anastomosis complication with tact anastomosis or stapler.Do not draw Rise intestinal tube it is narrow, the intestinal canal anastomosis of magnetic has novelty, has wide practical use, and currently on the market magnetic force is kissed Clutch and existing nail type anastomosis connected applications to the assembly tool in operation.
The content of the invention
For overcome the deficiencies in the prior art, it is an object of the invention to provide a kind of assembling of the pull-down of magnetic force stapler Instrument.
The purpose of the present invention adopts the following technical scheme that realization:
A kind of pull-down assembly tool of magnetic force stapler, including magnetic force stapler and its assemble mechanism, the magnetic force kiss Clutch includes the first noumenon and the second body being oppositely arranged, and the first noumenon and the second body are provided with the magnetic of mutual adhesive Body, the first noumenon and the second body are provided with the through hole communicated, and the assemble mechanism may pass through the through hole, the assembling Mechanism includes the action bars with second body phase clamping, and the action bars is arranged with operating parts moving up and down, the operation Shell fragment is provided with part, the shell fragment is provided with card-bit part, and the operating parts top is provided with boss, for inwardly oppressing the bullet Piece, the boss are located above the shell fragment, and second body is provided with the neck being adapted with the card-bit part, the card Position part, which has, is located at the first state for making the action bars and second body phase clamping in the neck and the disengaging card Groove makes the second state that the action bars separates with second body.
Further, projection is provided with the boss correspondence position on the shell fragment, the projection contacts with the boss And inwardly extruding the shell fragment makes the card-bit part deviate from the neck.
Further, the boss is annular, and the contact surface with the projection is cambered surface or inclined-plane.
Further, the lug surface is provided with cambered surface or inclined-plane.
Further, the shell fragment quantity is multiple to be circumferentially provided on a sleeve, the operating parts is set in the set Cylinder is outer, and elongated drive shaft, the sleeve and the elongated drive shaft Joint are provided with the sleeve.
Further, the elongated drive shaft top is provided with puncture awl and nail bin groupware, and the puncture awl passes through the magnetic Power stapler is connected with resist-nailed seat, the resist-nailed seat and the first body phase clamping.
Further, an extension device is connected with the operating parts, the extension device is set in the operating parts end simultaneously With the operating parts Joint.
Further, the assemble mechanism includes resist-nailed seat, the resist-nailed seat and the detachable clamping of the first noumenon.
Further, the neck is annular groove, is arranged on the through-hole wall of second body.
Further, the quantity of the neck is multiple to be circumferentially distributed on the through-hole wall of second body.
Compared with prior art, the beneficial effects of the present invention are:
Magnetic force stapler in circular staplers in nail type anastomosis and magnetic force anastomosis is combined, by circular anastomosis Assembly tool of the device as magnetic force stapler, by second body phase clamping of the action bars of circular staplers and magnetic force stapler, It is the connection and separation that circular staplers and magnetic force stapler can be achieved by action bars, combines that magnetic force is coincide and nail type is coincide Advantage, avoid easily the shortcomings that causing anastomotic stricture that nail type is coincide, expand indication scope, nearly anus can be carried out The anastomosis operation of side, the intestinal tube of more anal sides can be retained, save anal function from damage.
Brief description of the drawings
Fig. 1 is the structural representation of the assembly tool of the embodiment of the present invention;
Fig. 2 is in cross-sectional view during first state for the operating parts of the embodiment of the present invention;
Fig. 3 is in cross-sectional view during the second state for the operating parts of the embodiment of the present invention;
Fig. 4 is the structural representation of the sleeve with shell fragment of the embodiment of the present invention;
Fig. 5 is the structural representation of the operating parts of the embodiment of the present invention.
In figure:10th, magnetic force stapler;11st, the first noumenon;12nd, the second body;13rd, through hole;14th, neck;20th, assembly machine Structure;21st, resist-nailed seat;22nd, action bars;23rd, elongated drive shaft;24th, puncture awl;25th, nail bin groupware;30th, operating parts;31st, screens Part;32nd, shell fragment;33rd, boss;34th, projection;35th, sleeve;36th, screw hole;37th, screw;38th, extension device;39th, contact surface.
Embodiment
Below, with reference to accompanying drawing and embodiment, the present invention is described further, it is necessary to which explanation is, not Under the premise of afoul, new implementation can be formed between various embodiments described below or between each technical characteristic in any combination Example.
In the description of the invention, it is necessary to which explanation, for the noun of locality, " " center ", " transverse direction ", " is indulged if any term To ", " length ", " width ", " thickness ", " on ", " under ", "front", "rear", "left", "right", " vertical ", " level ", " top ", The indicating position such as " bottom ", " interior ", " outer ", " clockwise ", " counterclockwise " and position relationship are based on orientation shown in the drawings or position Relation is put, it is of the invention necessary with simplified description, rather than the device or element of instruction or hint meaning to be for only for ease of narration Construct and operate with specific orientation, with particular orientation, it is impossible to be interpreted as the specific protection domain of the limitation present invention.
In addition, be only used for describing purpose if any term " first ", " second ", and it is not intended that indicating or implying relatively heavy The property wanted or the implicit quantity for indicating technical characteristic.Thus, " first " is defined, " second " feature can be expressed or implicit include One or more this feature, in the present description, " several " are meant that two or more, unless otherwise clearly having The restriction of body.
In the present invention, except as otherwise clear stipulaties and restriction, should make if any term " assembling ", " connected ", " connection " term Broad sense is gone to understand, for example, it may be being fixedly connected or being detachably connected, or is integrally connected;Can also be that machinery connects Connect;Can be joined directly together or be connected by intermediary, can be that two element internals are connected.For ability For the those of ordinary skill of domain, the concrete meaning of above-mentioned term in the present invention can be understood as the case may be.
As Figure 1-5, a kind of pull-down assembly tool of magnetic force stapler 10, including magnetic force stapler 10 and its assembling Mechanism 20, magnetic force stapler 10 include the body 12 of the first noumenon 11 and second being oppositely arranged, the body of the first noumenon 11 and second 12 are provided with the magnet of mutual adhesive, and the body 12 of the first noumenon 11 and second is provided with the through hole 13 communicated, and assemble mechanism 20 can Through through hole 13, assemble mechanism 20 includes the action bars 22 with the phase clamping of the second body 12, action bars 22 be arranged with can on move down Dynamic operating parts 30, operating parts 30 is interior to be provided with shell fragment 32, and shell fragment 32 is provided with card-bit part 31, and the top of operating parts 30 is provided with boss 33, for inwardly oppressing shell fragment 32, boss 33 is located at the top of shell fragment 32, and the second body 12 is provided with what is be adapted with card-bit part 31 Neck 14, card-bit part 31, which has to be located at the first state for making action bars 22 and the phase clamping of the second body 12 in neck 14 and depart from, to be blocked Groove 14 makes the second state that action bars 22 separates with the second body 12.
Magnetic force stapler 10 in circular staplers in nail type anastomosis and magnetic force anastomosis is combined, circle is kissed Assembly tool of the clutch as magnetic force stapler 10, by the action bars 22 of circular staplers and the second body of magnetic force stapler 10 12 phase clampings, it is the connection and separation that circular staplers and magnetic force stapler 10 can be achieved by action bars 22, combines magnetic force The advantage that identical and nail type is coincide, easy the shortcomings that causing anastomotic stricture that nail type is coincide is avoided, expands indication model Enclose, the anastomosis operation of nearly anus side can be carried out, the intestinal tube of more anal sides can be retained, save anal function from damage.
In particular, it is real by the neck 14 on the card-bit part 31 and the first noumenon 11 on the inner shrapnel 32 of operating parts 30 Existing clamping, card-bit part 31 and the position of neck 14 are interchangeable.
Projection 34 is provided with shell fragment 32 with the correspondence position of boss 33, projection 34 is contacted with boss 33 and inside extrusion elastic 32 Card-bit part 31 is set to deviate from neck 14.
Concrete operation method is:When action bars 22 is connected with the second body 12, boss 33 is located at the top of projection 34, it is necessary to solve The connection of the body 12 of division operation bar 22 and second, when removing circular staplers, for pulling operation part 30, boss 33 and projection 34 Then inside extrusion elastic 32 is contacted, card-bit part 31 is released neck 14 backward, the second body 12 does not reconnect with action bars 22, Action bars 22 exits magnetic force stapler 10 with resist-nailed seat 21, leaves gastrointestinal anastomosis position, and magnetic force stapler 10 clamps previous anastomotic, Stay in the body, after mouth healing to be anastomosed, excrete.
It can be coordinated in order to facilitate extrusion lug 34, between boss 33 and projection 34 by a face, the mode such as face face coordinates, more Specifically, boss 33 is annular, is arranged on the top of operating parts 30, and to inner process, surface is cambered surface or inclined-plane, or, will be with The contact surface 39 of projection 34 is set to cambered surface or inclined-plane, meanwhile, cambered surface or the inclined-plane that the surface of projection 34 is arranged to be adapted.
As shown in figure 4, the quantity of shell fragment 32 is multiple, it is circumferentially provided on a sleeve 35, convenient processing and assembling, operating parts 30 are set in outside sleeve 35, and elongated drive shaft 23, sleeve 35 and the elongated Joint of drive shaft 23 are provided with sleeve 35, makes sleeve 35 Relative displacement is not present between elongated drive shaft 23, keeps the stability used.In particular, the lower end of sleeve 35 is provided with spiral shell Silk hole 36, passes through screw 37 and the elongated Joint of drive shaft 23.
The elongated top of drive shaft 23 is provided with puncture awl 24 and nail bin groupware 25, and puncture awl 24 is through magnetic force stapler 10 with supporting Nail seat 21 is connected, resist-nailed seat 21 and the phase clamping of the first noumenon 11.
Assemble mechanism 20 includes resist-nailed seat 21, resist-nailed seat 21 and 11 detachable clamping of the first noumenon.
Specifically mode of operation is:The through hole 13 first resist-nailed seat 21 being put on the first noumenon 11, with the phase of the first noumenon 11 Clamping, it is put into a tissue interruptive port to be anastomosed, the through hole 13 for then inserting on the top of action bars 22 on second body 12, leads to Neck 14 and the phase clamping of card-bit part 31 are crossed, the top of action bars 22 is then put into another to be anastomosed group together with the second body 12 Knit in interruptive port, the puncture awl 24 on the top of action bars 22 be connected with resist-nailed seat 21, gradually made by elongated drive shaft 23 to Nail seat is close with action bars, until the body 12 of the first noumenon 11 and second clamps the two tissue broken ends of fractured bone to be anastomosed, then with action bars 22 The nail bin groupware 25 on top cuts off the suture mouth of inside, and the nail in nail bin groupware stretches out, the inflection under resist-nailed seat stop, stickfast While tissue, the inner ring tissue of the cast blade excision nails driven in nail bin groupware, then pulled down, grasped by operating parts 30 Annular boss 33 on the inwall of workpiece 30 oppresses the projection 34 on shell fragment 32,32 inside deformation of shell fragment, makes the card on the top of shell fragment 32 Position part 31 exits neck 14, releases the connection of the second body 12 and action bars 22, then by action bars 22 and resist-nailed seat 21 from logical Exited in hole 13, magnetic force stapler 10 stays in the body, and assemble mechanism 20 removes in vitro, completes to coincide.
An extension device 38 is connected with operating parts 30, extension device 38 is set in the end of operating parts 30, with the phase card of operating parts 30 Connect, facilitate user to grip, control operation part 30.
The concrete structure of neck 14 can have a variety of, Yi Zhongshi, and neck 14 is set into annular groove, is arranged on the second body On 12 inwall of through hole 13, card-bit part 31 can with action bars 22 be axis rotation in the neck 14.Another kind is the number of neck 14 Measure to be multiple, quantity is corresponding with card-bit part 31, is circumferentially distributed on the inwall of through hole 13 of the second body 12, with card-bit part 31 Sleeve 35 can not possibly be rotated significantly.
Magnet on magnetic force stapler 10 has the magnetic force of 2000-3000 Gausses, both can guarantee that it is identical complete close, again Can smoothly be come off discharge after the completion of coincideing, and ball surrounding tissue of coincideing is influenceed without magnetic force.Magnet ring thickness is only 2mm;Its The outer surface of housing is smooth surface, should not damage gastrointestinal mucosa, not easy damaged enteron aisle when moving in the intestine after coming off, is easy to arrange Except external, no incarceration occurs, and body is reacted without falling inflation etc. is uncomfortable when not falling off, and will not cause intestinal tube angulation, narrow, viscous Even, the obstruction even complication such as perforation.Housing is made of medical polyethylene plastics, and surface is smooth, and installed part uses stainless steel Material is made, and magnet ring uses magnetic Nd-Fe-B ring, and the gross weight of whole magnetic force stapler is only 25g, and foreign reacts, tissue compatible Property is good.
Above-mentioned embodiment is only the preferred embodiment of the present invention, it is impossible to the scope of protection of the invention is limited with this, The change and replacement for any unsubstantiality that those skilled in the art is done on the basis of the present invention belong to institute of the present invention Claimed scope.

Claims (10)

1. a kind of pull-down assembly tool of magnetic force stapler, it is characterised in that including magnetic force stapler and its assemble mechanism, institute The first noumenon and the second body that magnetic force stapler includes being oppositely arranged are stated, the first noumenon and the second body are provided with mutual The magnet of adhesive, the first noumenon and the second body are provided with the through hole communicated, and the assemble mechanism may pass through the through hole, The assemble mechanism includes the action bars with second body phase clamping, and the action bars is arranged with operating parts moving up and down, Shell fragment is provided with the operating parts, the shell fragment is provided with card-bit part, and the operating parts top is provided with boss, for inwardly oppressing The shell fragment, the boss are located above the shell fragment, and second body is provided with the neck being adapted with the card-bit part, The card-bit part has first state and the disengaging for being located at and making the action bars and second body phase clamping in the neck The neck makes the second state that the action bars separates with second body.
2. the pull-down assembly tool of magnetic force stapler as claimed in claim 1, it is characterised in that on the shell fragment with it is described Boss correspondence position is provided with projection, and the projection contacts with the boss and inwardly extruding the shell fragment deviates from the card-bit part The neck.
3. the pull-down assembly tool of magnetic force stapler as claimed in claim 2, it is characterised in that the boss is annular, Contact surface with the projection is cambered surface or inclined-plane.
4. the pull-down assembly tool of magnetic force stapler as claimed in claim 2, it is characterised in that the lug surface is provided with Cambered surface or inclined-plane.
5. the pull-down assembly tool of magnetic force stapler as claimed in claim 1, it is characterised in that the shell fragment quantity is more It is individual, it is circumferentially provided on a sleeve, the operating parts is set in outside the sleeve, and elongated drive shaft, institute are provided with the sleeve State sleeve and the elongated drive shaft Joint.
6. the pull-down assembly tool of magnetic force stapler as claimed in claim 5, it is characterised in that the elongated drive shaft top End is provided with puncture awl and nail bin groupware, and the puncture awl is connected through the magnetic force stapler with resist-nailed seat, the resist-nailed seat With the first body phase clamping.
7. the pull-down assembly tool of magnetic force stapler as claimed in claim 1, it is characterised in that connected on the operating parts Have an extension device, the extension device be set in the operating parts end and with the operating parts Joint.
8. the pull-down assembly tool of the magnetic force stapler as described in claim 1-7 any bars, it is characterised in that the assembling Mechanism includes resist-nailed seat, the resist-nailed seat and the detachable clamping of the first noumenon.
9. the pull-down assembly tool of the magnetic force stapler as described in claim 1-7 any bars, it is characterised in that the neck For annular groove, it is arranged on the through-hole wall of second body.
10. the pull-down assembly tool of the magnetic force stapler as described in claim 1-7 any bars, it is characterised in that the card The quantity of groove is multiple, is circumferentially distributed on the through-hole wall of second body.
CN201711331602.5A 2017-12-13 2017-12-13 Pull-down type assembly tool of magnetic force anastomat Active CN107854151B (en)

Priority Applications (1)

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CN201711331602.5A CN107854151B (en) 2017-12-13 2017-12-13 Pull-down type assembly tool of magnetic force anastomat

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CN201711331602.5A CN107854151B (en) 2017-12-13 2017-12-13 Pull-down type assembly tool of magnetic force anastomat

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CN107854151A true CN107854151A (en) 2018-03-30
CN107854151B CN107854151B (en) 2024-02-02

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201701250U (en) * 2009-12-10 2011-01-12 彭阳慧 Novel alimentary canal stapler osculating device
CN104201494A (en) * 2014-09-16 2014-12-10 上海航天科工电器研究院有限公司 Spring piece type pushing-to-unlock connector
CN104921772A (en) * 2015-07-02 2015-09-23 张林安 Manual type anorectal surgery magnetic ring anastomat
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN107332044A (en) * 2017-08-30 2017-11-07 苏州丰年科技股份有限公司 A kind of connector is to slotting locking mechanism
CN209032497U (en) * 2017-12-13 2019-06-28 山东省医学科学院附属医院 A kind of pull-down assembly tool of magnetic force stapler

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201701250U (en) * 2009-12-10 2011-01-12 彭阳慧 Novel alimentary canal stapler osculating device
CN104201494A (en) * 2014-09-16 2014-12-10 上海航天科工电器研究院有限公司 Spring piece type pushing-to-unlock connector
CN104921772A (en) * 2015-07-02 2015-09-23 张林安 Manual type anorectal surgery magnetic ring anastomat
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN107332044A (en) * 2017-08-30 2017-11-07 苏州丰年科技股份有限公司 A kind of connector is to slotting locking mechanism
CN209032497U (en) * 2017-12-13 2019-06-28 山东省医学科学院附属医院 A kind of pull-down assembly tool of magnetic force stapler

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