CN108338815A - The anastomosis staple pusher of blood vessel anastomat - Google Patents

The anastomosis staple pusher of blood vessel anastomat Download PDF

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Publication number
CN108338815A
CN108338815A CN201810215523.6A CN201810215523A CN108338815A CN 108338815 A CN108338815 A CN 108338815A CN 201810215523 A CN201810215523 A CN 201810215523A CN 108338815 A CN108338815 A CN 108338815A
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CN
China
Prior art keywords
handle
jacking block
pushing
push rod
sliding groove
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Granted
Application number
CN201810215523.6A
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Chinese (zh)
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CN108338815B (en
Inventor
许祖年
许叶鹏
薛小强
戴俊
赵靓
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WUXI SHENKANG MEDICAL INSTRUMENT EQUIPMENT Co Ltd
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WUXI SHENKANG MEDICAL INSTRUMENT EQUIPMENT Co Ltd
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Priority to CN201810215523.6A priority Critical patent/CN108338815B/en
Publication of CN108338815A publication Critical patent/CN108338815A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical 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
    • A61B2017/1107Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention belongs to the field of medical instrument technology, and in particular to a kind of anastomosis staple pusher of blood vessel anastomat is matched with blood vessel anastomat, and vascular anastomosis is complied with without penetrating lumen of vessels for placing vascular anastomosis titanium nail with blocking way.Including pushing slice of nail, push rod, pushing block, jacking block, return spring piece and fixed handle;Fixed handle is made of upper handle and lower handle;Upper and lower handle front is provided with universal wheel mounting groove, upper and lower middle handle is provided with pushing block sliding groove and close handles limit sliding groove, jacking block sliding front of the slot is provided with return spring piece installation buckle, lower handle rear end is provided with close handles hinge column, and upper and lower handle both sides are provided with close handles mounting groove;Pushing slice of nail front end matches to be arc-shaped with anastomosis staple bottom circular arc, and pushing slice of nail sliding boss are arranged in pushing slice of nail rear end;Pushing block front is provided with resetting spring mounting post, and pushing block rear portion both sides are provided with triangle push wing, and pushing block is provided centrally with push rod sliding eye.

Description

The anastomosis staple pusher of blood vessel anastomat
Technical field
The invention belongs to the field of medical instrument technology, and in particular to a kind of anastomosis staple pusher of blood vessel anastomat, with Blood vessel anastomat matches, and vascular anastomosis is complied with without penetrating blood vessel for placing vascular anastomosis titanium nail with blocking way Chamber.
Background technology
The vascular surgeries such as artery or venesecton, end end suture, End-to-side coaptation art, side-to-side neurorrhaphy art, tradition side Method is needlework sutured anastomosis method, but it is cumbersome time-consuming, and blood vessel internal membrane damage is big;Suture often causes platelet deposition, leads Cause thrombosis etc..
Invention content
The purpose of the present invention is place provides a kind of anastomosis staple pusher of blood vessel anastomat, blood vessel against the above deficiency Anastomosis staple pusher and the blood vessel anastomat of stapler match, and blood vessel anastomat has staple formation component, rotation Device, anastomosis staple pusher, percussion lock, resetting spring, fixed handle.When the close handles of stapler are held simultaneously When, it is just closed in the nail of organization edge.After unclamping the close handles of stapler, new nail will be automatically into stapler Mouth end.The present invention provides a kind of ideal blood vessel anastomat and vascular anastomosis method for surgery, is kissed using this blood vessel anastomat It is easy quickly to close vascular procedure, match result is infallible, is a kind of feasible vascular anastomosis instrument.
The anastomosis staple pusher of blood vessel anastomat takes following technical scheme to realize:
The anastomosis staple pusher of blood vessel anastomat includes pushing slice of nail, push rod, pushing block, jacking block, return spring piece, fixed hand Handle.
Fixed handle is made of upper handle and lower handle.Lower handle front end, middle part, rear end are respectively arranged with upper handle positioning Column mounting hole, lower handle front are provided with universal wheel mounting groove, and pushing block sliding groove, resetting spring limit are provided in the middle part of lower handle Position boss and close handles limit sliding groove, and lower handle middle and back is provided with jacking block sliding groove, and jacking block sliding front of the slot is provided with Return spring piece installation buckle, lower handle rear end are provided with close handles hinge column, and lower handle both sides are provided with close handles peace Tankage.
Upper handle front end, middle part, rear end are respectively arranged with upper handle positioning column, and upper handle front is provided with universal wheel installation Slot, is provided with pushing block sliding groove, resetting spring positive stop lug boss and close handles limit sliding groove in the middle part of upper handle, in upper handle Rear portion is provided with jacking block sliding groove, and jacking block sliding front of the slot is provided with return spring piece installation buckle, and upper handle both sides are provided with Close handles mounting groove.
Pushing slice of nail front end matches to be arc-shaped with anastomosis staple bottom circular arc, and it is convex that pushing slice of nail sliding is arranged in pushing slice of nail rear end Platform is oriented to sliding groove with push rod and matches.
Pushing block front is provided with resetting spring mounting post, and spring mounting post front end is provided with boss, with guide rail rear end Pushing block mounting groove connects, and pushing block rear portion both sides are provided with triangle push wing, and pushing block is provided centrally with push rod sliding eye.
Jacking block front end is provided with push rod mounting hole, and jacking block rear end is provided with return spring piece locating slot.
Return spring piece is rolled by strip spring leaf.
When anastomosis staple pusher assembles, return spring piece is mounted on by the return spring piece installation buckle on lower handle In jacking block sliding groove on lower handle.Jacking block is mounted in the jacking block sliding groove on lower handle, and jacking block rear end passes through return spring Piece locating slot acts against return spring on piece, and jacking block front end acts against pushing block rear end.Putting back-end passes through pushing away on pushing block Bar sliding eye is mounted in the push rod mounting hole of jacking block front end.Push rod front end sequentially passes through the push rod sliding groove in fixed card, It is then passed through the push rod being oriented on fixinig plate and is oriented to sliding groove, act against pushing slice of nail rear end.
Operation principle
Anastomosis staple pusher and the blood vessel anastomat of blood vessel anastomat match, and blood vessel anastomat is performed the operation in use, by blood Pipe stapler is oriented to the edge that close out sheet front end is placed on vascular wall overturning tissue, to make them coincide, it is ensured that vascular wall is overturn Tissue just matches with close out sheet mouth end is oriented to, and tightly pinches both sides close handles as far as possible, when clutching close handles, coincide Nail, which can be stabilized in, is oriented to fixinig plate mouth end, and is closed the edge of vascular wall tissue, then unclamps both sides close handles.Anastomosis staple It can be detached from fixinig plate port is oriented to, then remove blood vessel anastomat.Pushing slice of nail in anastomosis staple pusher is in return Spring leaf passes through jacking block, push rod, pushing slice of nail under pushing can be automatically by next identical screw top to front end.Such as vascular suture position When needing adjustment, universal wheel can be rotated by rotating device, find best suture angle.If you need to according to vascular suture length Additional to increase stitch points, the sequence of anastomosis staple should be compact as far as possible, between distance be no more than 0.5mm.
The anastomosis staple pusher reasonable design of blood vessel anastomat, compact-sized, the anastomosis staple push dress of blood vessel anastomat It sets and is matched with blood vessel anastomat, it is easy to use, quick and accurate vascular anastomosis is provided, traditional suture can be substituted Method, blocking way place anastomosis staple and comply with vascular anastomosis without penetrating lumen of vessels, this allows for vascular anastomosis can be into Row is shunk with expansion to accommodate pulse blood flow, which is suitable for different type vascular surgery, is most commonly used at vascular entrance.This Invention is that surgery provides a kind of ideal blood vessel anastomat and vascular anastomosis method, using the operation of this blood vessel anastomat anastomosis of blood vessel Easy to be quick, match result is infallible, is a kind of feasible vascular anastomosis instrument.Blood vessel anastomat is suitable for artery or vein The vascular anastomosis such as otomy, end end suture, End-to-side coaptation art, side-to-side neurorrhaphy art.
Description of the drawings
Below with reference to attached drawing, the invention will be further described:
Fig. 1 is blood vessel anastomat structural schematic diagram;
Fig. 2 is the anastomosis staple pusher structural schematic diagram of blood vessel anastomat;
Fig. 3 is the pushing slice of nail structural schematic diagram of the anastomosis staple pusher of blood vessel anastomat;
Fig. 4 is the pushing block structural schematic diagram of the anastomosis staple pusher of blood vessel anastomat;
Fig. 5 is the ejecting block schematic diagram of the anastomosis staple pusher of blood vessel anastomat;
Fig. 6 is the fixed handle structural schematic diagram of the anastomosis staple pusher of blood vessel anastomat.
In figure:1, anastomosis staple, 2, pushing slice of nail, 3, push rod, 4, be oriented to close out sheet, 5, be oriented to fixinig plate, 6, guide rail, 7, universal Wheel, 8, fixed card, 9, resetting spring, 10, pushing block, 11, jacking block, 12, return spring piece, 13, close handles, 14, fixed Handle, 15, connection sheet;
2-1, pushing slice of nail sliding boss;
10-1, resetting spring mounting post, 10-2, boss, 10-3, triangle push wing, 10-4, push rod sliding eye;
11-1, push rod mounting hole, 11-2, return spring piece locating slot;
14-1, upper fixed handle, 14-2, lower fixed handle;
14-1-4,14-1-1, upper handle positioning column, 14-1-2, universal wheel mounting groove, 14-1-3, pushing block sliding groove reset bullet Spring positive stop lug boss, 14-1-5, close handles limit sliding groove, 14-1-6, jacking block sliding groove, 14-1-7, the installation of return spring piece Buckle, 14-1-8, close handles mounting groove;
14-2-1, upper handle positioning column mounting hole, 14-2-2, universal wheel mounting groove, 14-2-3 pushing block sliding grooves, 14-2-4, Resetting spring positive stop lug boss, 14-2-5, close handles limit sliding groove, 14-2-6, jacking block sliding groove, 14-2-7, return spring Piece installation buckle, 14-2-8, close handles hinge column, 14-2-9, close handles mounting groove.
Specific implementation mode
With reference to attached drawing 1-6, a kind of blood vessel anastomat include staple formation component, rotating device, anastomosis staple pusher, Percussion lock, resetting spring 9, fixed handle 14.
The anastomosis staple pusher of blood vessel anastomat includes pushing slice of nail 2, push rod 3, pushing block 10, jacking block 11, return spring Piece 12 and fixed handle 14.
Fixed handle 14 is made of upper handle 14-1 and lower handle 14-2.The front ends lower handle 14-2, middle part, rear end are set respectively It is equipped with upper handle positioning column mounting hole 14-2-1, lower handle front is provided with universal wheel mounting groove 14-2-2, is set in the middle part of lower handle It is equipped with pushing block sliding groove 14-2-3, resetting spring positive stop lug boss 14-2-4 and close handles limit sliding groove 14-2-5, is set about Handle middle and back is provided with jacking block sliding groove 14-2-6, and the front ends jacking block sliding groove 14-2-6 are provided with return spring piece installation buckle 14-2-7, lower handle rear end are provided with close handles hinge column 14-2-8, and lower handle both sides are provided with close handles mounting groove 14- 2-9。
The front ends upper handle 14-1, middle part, rear end are respectively arranged with upper handle positioning column 14-1-1, and upper handle front is provided with Universal wheel mounting groove 14-1-2, upper handle middle part are provided with pushing block sliding groove 14-1-3, resetting spring positive stop lug boss 14-1-4 Sliding groove 14-1-5 is limited with close handles, upper handle middle and back is provided with jacking block sliding groove 14-1-6, jacking block sliding groove 14-1- 6 front ends are provided with return spring piece installation buckle 14-1-7, and upper handle both sides are provided with close handles mounting groove 14-1-8.
2 front end of pushing slice of nail matches to be arc-shaped with anastomosis staple bottom circular arc, and it is convex that pushing slice of nail sliding is arranged in 1 rear end of pushing slice of nail Platform 2-1 is oriented to sliding groove 5-2 with push rod and matches.
10 front of pushing block is provided with resetting spring mounting post 10-1, and the front ends spring mounting post 10-1 are provided with boss 10- 2, it is connect with the pushing block mounting groove 6-2 of 6 rear end of guide rail, 10 rear portion both sides of pushing block are provided with triangle push wing 10-3, push Block 10 is provided centrally with push rod sliding eye 10-4.
11 front end of jacking block is provided with push rod mounting hole 11-1, and jacking block rear end is provided with return spring piece locating slot 11-2.
Return spring piece 12 is rolled by strip spring leaf.
The push rod 3 uses metal pushrod or plastic push-rod.
When anastomosis staple pusher assembles, return spring piece 12 installs buckle by the return spring piece on lower handle 14-2 14-2-7 is mounted in the jacking block sliding groove 14-2-6 on lower handle 14-2.Jacking block 11 is mounted on the jacking block on lower handle 14-2 and slides In dynamic slot 14-2-6,11 rear end of jacking block is acted against by return spring piece locating slot 11-2 on return spring piece 12, before jacking block 11 End acts against 10 rear end of pushing block.3 rear end of push rod is mounted on 11 front end of jacking block by the push rod sliding eye 10-4 on pushing block 10 Push rod mounting hole 11-1 in.3 front end of push rod sequentially passes through the push rod sliding groove 8-4 in fixed card 8, is then passed through guiding and fixes Push rod on piece 5 is oriented to sliding groove 5-2, acts against 2 rear end of pushing slice of nail.
Anastomosis staple pusher and the blood vessel anastomat of blood vessel anastomat match, blood vessel anastomat operation in use, Blood vessel anastomat is oriented to 4 front end of close out sheet and is placed on the edge that vascular wall overturns tissue, to make them coincide, it is ensured that vascular wall Overturning tissue just matches with guiding close out sheet mouth end, tightly pinches both sides close handles 13 as far as possible, when clutching close handles When 13, anastomosis staple 1, which can be stabilized in, is oriented to 5 mouthfuls of ends of fixinig plate, and is closed the edge of vascular wall tissue, then unclamps both sides and is closed Handle 13.Anastomosis staple 1 can be detached from 5 port of fixinig plate is oriented to, and then remove blood vessel anastomat.In anastomosis staple pusher Pushing slice of nail 2 can next anastomosis staple 1 be pushed up automatically by jacking block 11, push rod 3, pushing slice of nail 2 under the promotion of return spring piece 12 To front end.When needing adjustment such as vascular suture position, universal wheel 7 can be rotated by rotating device, find best suture Angle.If you need to additionally increase stitch points according to vascular suture length, the sequence of anastomosis staple 1 should be compact as far as possible, between distance No more than 0.5mm.

Claims (5)

1. a kind of anastomosis staple pusher of blood vessel anastomat, it is characterised in that:
Including pushing slice of nail, push rod, pushing block, jacking block, return spring piece and fixed handle;
Fixed handle is made of upper handle and lower handle;Lower handle front end, middle part, rear end are respectively arranged with upper handle positioning column peace Hole is filled, lower handle front is provided with universal wheel mounting groove, pushing block sliding groove, resetting spring limit convex are provided in the middle part of lower handle Platform and close handles limit sliding groove, and lower handle middle and back is provided with jacking block sliding groove, and jacking block sliding front of the slot is provided with return Spring leaf installation buckle, lower handle rear end are provided with close handles hinge column, and lower handle both sides are provided with close handles mounting groove;
Upper handle front end, middle part, rear end are respectively arranged with upper handle positioning column, and upper handle front is provided with universal wheel mounting groove, Be provided with pushing block sliding groove, resetting spring positive stop lug boss and close handles limit sliding groove in the middle part of upper handle, in upper handle after Portion is provided with jacking block sliding groove, and jacking block sliding front of the slot is provided with return spring piece installation buckle, and upper handle both sides, which are provided with, to be closed Close handle mounting groove;
Pushing slice of nail front end matches to be arc-shaped with anastomosis staple bottom circular arc, and pushing slice of nail sliding boss are arranged in pushing slice of nail rear end, with Push rod is oriented to sliding groove and matches;
Pushing block front is provided with resetting spring mounting post, and spring mounting post front end is provided with boss, the promotion with guide rail rear end Block mounting groove connects, and pushing block rear portion both sides are provided with triangle push wing, and pushing block is provided centrally with push rod sliding eye.
2. the anastomosis staple pusher of blood vessel anastomat according to claim 1, it is characterised in that:Jacking block front end is provided with Push rod mounting hole, jacking block rear end are provided with return spring piece locating slot.
3. the anastomosis staple pusher of blood vessel anastomat according to claim 1, it is characterised in that:Anastomosis staple pusher When assembling, return spring piece is mounted on the jacking block sliding groove on lower handle by the return spring piece installation buckle on lower handle Interior, jacking block is mounted in the jacking block sliding groove on lower handle, and jacking block rear end acts against return bullet by return spring piece locating slot On reed, jacking block front end acts against pushing block rear end, and putting back-end is by the push rod sliding eye on pushing block, before being mounted on jacking block In the push rod mounting hole at end, push rod front end sequentially passes through the push rod sliding groove in fixed card, is then passed through and is oriented on fixinig plate Push rod is oriented to sliding groove, acts against pushing slice of nail rear end.
4. the anastomosis staple pusher of blood vessel anastomat according to claim 1, it is characterised in that:The return spring Piece is rolled by strip spring leaf.
5. the anastomosis staple pusher of blood vessel anastomat according to claim 1, it is characterised in that:The push rod uses Metal pushrod or plastic push-rod.
CN201810215523.6A 2018-03-15 2018-03-15 Anastomotic nail pushing device of vascular anastomat Active CN108338815B (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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CN108338815A true CN108338815A (en) 2018-07-31
CN108338815B CN108338815B (en) 2023-10-27

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10300787A1 (en) * 2003-01-13 2004-09-09 A.M.I (Agency for Medical Innovations GmbH) Nailing device for attaching a net to animal or human tissue, has magazine manually pressed to release and drive tissue nails towards marked points on surface of tissue, and needle or meter used to determine depth of driven tissue nails
US20100191258A1 (en) * 2009-01-26 2010-07-29 Harris Jason L surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
CN102292036A (en) * 2009-01-26 2011-12-21 伊西康内外科公司 A surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
CN202920270U (en) * 2012-09-27 2013-05-08 中国人民解放军第三军医大学第一附属医院 Closer for endoscopic gastrointestinal anastomosis surgery
WO2014094571A1 (en) * 2012-12-18 2014-06-26 苏州天臣国际医疗科技有限公司 Elongated surgical stapling device
CN105342658A (en) * 2015-11-17 2016-02-24 江苏孜航精密五金有限公司 Disposable anorectal cutting anastomat
WO2016107447A1 (en) * 2014-12-30 2016-07-07 苏州天臣国际医疗科技有限公司 Medical anastomat
WO2016107586A1 (en) * 2014-12-30 2016-07-07 苏州天臣国际医疗科技有限公司 Nail head assembly and suturing and cutting apparatus for endoscopic surgery
CN106725751A (en) * 2016-12-27 2017-05-31 广州德脉医疗器械有限公司 A kind of foreskin Endo-GIA of band after stop device

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10300787A1 (en) * 2003-01-13 2004-09-09 A.M.I (Agency for Medical Innovations GmbH) Nailing device for attaching a net to animal or human tissue, has magazine manually pressed to release and drive tissue nails towards marked points on surface of tissue, and needle or meter used to determine depth of driven tissue nails
US20100191258A1 (en) * 2009-01-26 2010-07-29 Harris Jason L surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
CN102292036A (en) * 2009-01-26 2011-12-21 伊西康内外科公司 A surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
CN202920270U (en) * 2012-09-27 2013-05-08 中国人民解放军第三军医大学第一附属医院 Closer for endoscopic gastrointestinal anastomosis surgery
WO2014094571A1 (en) * 2012-12-18 2014-06-26 苏州天臣国际医疗科技有限公司 Elongated surgical stapling device
WO2016107447A1 (en) * 2014-12-30 2016-07-07 苏州天臣国际医疗科技有限公司 Medical anastomat
WO2016107586A1 (en) * 2014-12-30 2016-07-07 苏州天臣国际医疗科技有限公司 Nail head assembly and suturing and cutting apparatus for endoscopic surgery
CN105342658A (en) * 2015-11-17 2016-02-24 江苏孜航精密五金有限公司 Disposable anorectal cutting anastomat
CN106725751A (en) * 2016-12-27 2017-05-31 广州德脉医疗器械有限公司 A kind of foreskin Endo-GIA of band after stop device

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