CN108771556A - A kind of automatic stapling apparatus of minimally-invasive vascular - Google Patents
A kind of automatic stapling apparatus of minimally-invasive vascular Download PDFInfo
- Publication number
- CN108771556A CN108771556A CN201810319834.7A CN201810319834A CN108771556A CN 108771556 A CN108771556 A CN 108771556A CN 201810319834 A CN201810319834 A CN 201810319834A CN 108771556 A CN108771556 A CN 108771556A
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- Prior art keywords
- push bar
- movable push
- hollow stock
- bending device
- lever
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- 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
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
Abstract
The present invention relates to a kind of automatic stapling apparatus of minimally-invasive vascular, which includes：Hollow stock, the movable push bar being slidably arranged in inside hollow stock, the lever being connected simultaneously with the top of hollow stock and movable push bar, the bending device being fixedly connected with the bottom end of hollow stock and the conical head with platform end and tip, wherein, lever can drive movable push bar to be slided up and down in hollow stock；The middle part of bending device can be bent and outwardly protrude when the free end of bending device is squeezed, and the lower part of bending device is uniformly provided with multiple needle trays along the circumferential direction of bending device；Conical head is fixedly connected by the center at platform end with the bottom end of movable push bar, and the edge at platform end is provided perpendicular to the annular cutting blade at platform end.A kind of automatic stapling apparatus of minimally-invasive vascular of the present invention, by the way that two sections of compressions of bending apparatus and movable push bar are arranged, realization trepanning, the bridge joint blood vessel that coincide on aorta are once completed, easy to use, safe and efficient.
Description
Technical field
The present invention relates to a kind of medical instrument more particularly to a kind of automatic stapling apparatus of minimally-invasive vascular.
Background technology
Patients with Myocardial Ischemia needs to carry out heart bypass transfer operation, and general process is first on the coronary artery of the external membrane of heart
Piece bridge joint blood vessel of connection, bridge joint blood vessel is connected with Supraaortic opening and is coincide by the then trepanning on aorta, to real
Existing bridging between coronary artery and aorta.Since blood pressure height, flowing velocity are fast in aorta, directly actively
Trepanning will lead to massive haemorrhage on arteries and veins, therefore in conventional cardiac bypass graft, need to clamp one using side wall pincers first
Divide aorta, isolate aortic tissue of the sub-fraction without blood flow, then uses card punch in the part aorta wall
Upper punching, and complete the connection with transplanting vascular bypass.But for minimally invasive bypass surgery, the trepanning very little on patient body,
Operating space is limited, and the volume of side wall pincers is larger, can not be used in Cardiac operation with mini-trauma, cause on aorta trepanning and
Compatible grafting vascular bypass becomes problem.
Invention content
In view of the above-mentioned problems, the object of the present invention is to provide a kind of automatic stapling apparatus of minimally-invasive vascular, may be implemented in master
Trepanning, the bridge joint blood vessel that coincide once are completed on artery, easy to use, safe and efficient.
To achieve the above object, the present invention takes following technical scheme：A kind of automatic stapling apparatus of minimally-invasive vascular, feature
It is, which includes：Hollow stock, the movable push bar being slidably arranged in inside the hollow stock, while with it is described hollow
The lever that the top of stock is connected with movable push bar, the bending device being fixedly connected with the bottom end of the hollow stock, and tool
There is the conical head at platform end and tip, wherein the lever can drive the movable push bar upper and lower in the hollow stock
Sliding；The middle part of the free end of bending device bending device when being squeezed can be bent and outwardly protrude, described curved
The lower part of device for folding is uniformly provided with multiple needle trays along the circumferential direction of the bending device；The conical head passes through the platform end
Center is fixedly connected with the bottom end of the movable push bar, and the edge at the platform end is provided perpendicular to the annular at the platform end
Cutting blade；
The movement position of the movable push bar includes three states：
Free state：The movable push bar is in the top position, the platform of the conical head in the hollow stock
End in contact and the free end for squeezing the bending device, make the middle bent of the bending device outwardly protrude；
Cut state：The movable push bar is in lowest positions, the platform of the conical head in the hollow stock
End is not contacted with the free end of the bending device, and the annular cutting blade exposes, and the bending device is integrally straight；
Pierce and take out state：The movable push bar is in the hollow stock in relatively intermediate position, the cone
The platform end of forming head is in contact with the free end of the bending device but does not squeeze, and the annular cutting blade is hidden into the bending device
In, the bending device is integrally straight.
The lever is fixedly connected by elastic piece with the top of the hollow stock, and the lever is opposite under free state
An angle is opened in the hollow stock, pressing the lever can move relative to the hollow stock；The hollow stock
Sliding slot is offered on the side wall of middle and upper part, the lever is located at the same side of the sliding slot, and the position of the flared end of the lever
It sets corresponding with the position of the sliding slot；Further include the movable rod across the sliding slot, the flared end of the lever passes through institute
It states movable rod with the top of the movable push bar to be connected, pressing the lever can drive the movable push bar described hollow
It is slided up and down in stock.
Two sliding slots are symmetrically offered on the side wall of the hollow stock middle and upper part, the lever and movable rod also wrap
Include symmetrically arranged two.
Positioning device is additionally provided on the hollow stock and movable push bar, the positioning device can push away the activity
The movement position of bar, which is fixed on, pierces and takes out state.
The positioning device includes the elastic card ball being arranged on the movable push bar and is opened on the hollow stock
Card slot, be provided with button in the card slot；When the movable push bar moves to the position for piercing and taking out state, the bullet
Property card ball just enter in the card slot, to fix the movable push bar, the elastic card ball jacks up the button；It presses
The button is pressed, the elastic card top dome is gone out into the card slot, then the movable push bar can be in the hollow stock after reforwarding
It is dynamic.
The quantity of the needle tray is 4-8.
Cabling channel corresponding with the position of needle groove is offered on the outer wall of the hollow stock.
Outer diameter and the conical head of the outer diameter, the bending device of the hollow stock under whole straightened condition are put down
The outer diameter of end is consistent.
The hollow stock, lever, movable push bar, bending apparatus and conical head be all made of medical grade stainless steel make and
At.
The invention adopts the above technical scheme, which has the following advantages：1, a kind of minimally-invasive vascular of the invention is automatic
Stapling apparatus realizes that the trepanning on aorta, coincide bridge joint blood vessel by the way that two sections of compressions of bending apparatus and movable push bar are arranged
It is primary to complete, it is easy to use, it is safe and efficient.2, the automatic stapling apparatus of a kind of minimally-invasive vascular of the invention, simple in structure, system
Make with it is easy to use, not only can be widely applied to heart bridge joint Minimally Invasive Surgery in, can be used for other need trepanning and
In identical Minimally Invasive Surgery.
Description of the drawings
Fig. 1 is the structural schematic diagram of the present invention；
Fig. 2 is the partial enlargement structural representation under free state of the present invention；
Fig. 3 be the present invention pierce and taking-up state under partial enlargement structural representation；
Fig. 4 is the partial enlargement structural representation under cut state of the present invention；
Fig. 5 is the enlarged structure schematic diagram of positioning device of the present invention.
Specific implementation mode
The present invention is described in detail below with reference to the accompanying drawings and embodiments.
As shown in Figure 1 to 4, the automatic stapling apparatus of a kind of minimally-invasive vascular provided by the invention comprising hollow stock 1,
Elastic lever 2, movable push bar 3, movable rod 4, bending apparatus 5, conical head 6 and positioning device 7.Wherein, in hollow stock 1
Sliding slot 11 is offered on the side wall in portion；Elastic lever 2 is fixedly connected by elastic piece 21 with the top of hollow stock 1, elastic grip
Handle 2 is located at the same side of sliding slot 11, and the position of the flared end 22 of elastic lever 2 is corresponding with the position of sliding slot 11, free shape
Elastic lever 2 opens certain angle relative to hollow stock 1 under state, and pressing elastic lever 2 can transport relative to hollow stock 1
It is dynamic；Movable push bar 3 is slidably arranged in inside hollow stock 1；Movable rod 4 passes through sliding slot 11, the opening of one end and elastic lever 2
End 22 is connected, and the other end is connected with the top of movable push bar 3, then pressing elastic lever 2 can drive movable push bar 3 hollow
It is slided up and down in stock 1；Bending device 5 is fixedly connected with the bottom end of hollow stock 1, in the free end of bending device 5 by crowded
The middle part of bending device 5 can be bent and outwardly protrude when pressure, and the lower part of bending device 5 is uniformly opened up along the circumferential direction of bending device 5
There are multiple needle trays 51；Conical head 6 includes platform end 61 and tip 62, and conical head 6 passes through 61 center of platform end and movable push bar 3
Bottom end is fixedly connected, and 61 edge of platform end of conical head 6 is provided perpendicular to the annular cutting blade 63 at platform end 61；Positioning device 7
It is arranged on hollow stock 1 and movable push bar 3, the movement position of movable push bar 3 can be fixed on and pierce and take out state.
The automatic stapling apparatus of minimally-invasive vascular of the present invention includes three working conditions：
Free state：Movable push bar 3 is in the top position in hollow stock 1, and the contact of platform end 61 of conical head 6 is simultaneously
The free end for squeezing bending device 5, makes the middle bent of bending device 5 outwardly protrude.
Cut state：Movable push bar 3 is in lowest positions, platform end 61 and the bending of conical head 6 in hollow stock 1
The free end of device 5 does not contact, and annular cutting blade 63 exposes, and bending device 5 is whole straight.
Pierce and take out state：Movable push bar 3 is in hollow stock 1 in relatively intermediate position, the platform of conical head 6
End 61 is in contact with the free end of bending device 5 but does not squeeze, and annular cutting blade 63 is hidden in bending device 5, and bending device 5 is whole
It is straight.
In above-described embodiment, two sliding slots 11, corresponding elasticity lever are symmetrically offered on the side wall of 1 middle and upper part of hollow stock
2 and movable rod 4 also include symmetrically arranged two, symmetrically arranged two elastic levers 2, sliding slot 11 and movable rod 4 can
So as to hold and operate and is more convenient simple.
In above-described embodiment, cabling channel 12 corresponding with 51 position of needle tray is offered on 1 outer wall of hollow stock, for putting
Suture is set, can arbitrarily be left about to avoid suture and cause to tangle confusion.
In above-described embodiment, the outer diameter and conical head 6 under the whole straightened condition of outer diameter, bending device 5 of hollow stock 1 are flat
The outer diameter of end 61 is consistent.
In above-described embodiment, the quantity of needle tray 51 is 4-8.
In above-described embodiment, as shown in figure 5, positioning device 7 includes the elastic card ball 71 being arranged on movable push bar 3 and opens
The card slot 72 being located on hollow stock 1 is additionally provided with button 73 in card slot 72；Shape is pierced and takes out when movable push bar 3 moves to
When the position of state, elastic card ball 71 just enters in card slot 72, and to fixing movable push bar 3, elastic card ball 71 is by button
73 jack up；Button 73 is pressed, elastic card ball 71 is ejected into card slot 72, then movable push bar 3 can be in hollow stock 1 after reforwarding
It is dynamic.
In above-described embodiment, hollow stock 1, elastic lever 2, movable push bar 3, movable rod 4, bending apparatus 5, conical head
6 and positioning device 7 be all made of medical grade stainless steel and be made, be simple to manufacture easy cleaning.
The present invention a kind of automatic stapling apparatus of minimally-invasive vascular when in use, first in a free state, bending apparatus 5
Middle bent protrudes, and sewing needle 200 can be easily fitted into needle tray 51 by needle tray 51 outside being exposed to well, and will seam
Zygonema is packed into cabling channel 12, prevents suture from leaving about tied up in knots；Then, elastic lever 2 is pressed, 4 band of movable rod is made
Dynamic movable push bar 3 moves downward, until elastic card ball 71 just enters in card slot 72, movable push bar 3 is fixed on and pierces and takes
It does well, mark intends bridging position on aorta, is pierced in aorta vessel using the tip 62 of conical head 6, aorta
Vascular wall is softened；By lower button 73, elastic card ball 71 is ejected into card slot 72, movable push bar 3 can continue to move, continue to press
Elastic lever 2 makes annular cutting blade 63 expose, and aortic blood tube wall is contracted on movable push bar 3, is now in cut state；It puts
Loose elasticity lever 2, under the reply force effect of elastic piece 21, movable push bar 3 moves upwards automatically, until elastic card ball 71 is just
Into in card slot 72, movable push bar 3 is fixed on and pierces and take out state, at this point, annular cutting blade 63 is in the mistake moved upwards
The trepanning identical with 61 outer diameter of platform end of conical head 6 of a diameter is cut into journey on aortic blood tube wall；It pushes hollow
Stock 1 goes successively to aorta vessel, until bending apparatus 5 is completely into aorta vessel, by lower button 73, by elastic card
Ball 71 ejects card slot 72, and movable push bar 3 can continue to move；Loosen elastic lever 2 completely, at this time in a free state, bending
The middle bent of device 5 protrudes, and the opening of sewing needle 200 is made to be exposed in aorta vessel；Extract hollow stock out to outside aorta
1, distance of the needle point away from trepanning center on aorta is more than the radius of trepanning, thus sewing needle 200 after being opened due to sewing needle 200
Aortic blood tube wall can be pierced by around trepanning；Extract out successively each sewing needle 200 and by aorta trepanning with bridge joint blood vessel
Tentatively sutured；Finally, elastic lever 2 is pressed again, makes movable rod 4 that movable push bar 3 be driven to move downward, until elasticity
Card ball 71 just enters in card slot 72, and movable push bar 3 is fixed on and pierces and take out state, quickly extracts hollow stock 1 out, and will
Aorta trepanning carries out final suture with bridge joint blood vessel.Hand is carried out using a kind of automatic stapling apparatus of minimally-invasive vascular of the present invention
Art, one can very easily operate, and the trepanning on blood vessel is smaller, effectively reduce the bleeding risk in operation.
The various embodiments described above are merely to illustrate the present invention, wherein the structure of each component, installation position and its connection type etc.
It may be changed, every equivalents carried out based on the technical solution of the present invention and improvement should not arrange
In addition in protection scope of the present invention.
Claims (10)
1. a kind of automatic stapling apparatus of minimally-invasive vascular, which is characterized in that the device includes：
Hollow stock,
The movable push bar being slidably arranged in inside the hollow stock,
The lever being connected simultaneously with the top of the hollow stock and movable push bar,
The bending device being fixedly connected with the bottom end of the hollow stock, and
Conical head with platform end and tip,
Wherein, the lever can drive the movable push bar to be slided up and down in the hollow stock；The bending device
The middle part of the bending device can be bent and outwardly protrude when free end is squeezed, and the lower part of the bending device is along described curved
The circumferential direction of device for folding is uniformly provided with multiple needle trays；Center and the movable push bar of the conical head by the platform end
Bottom end is fixedly connected, and the edge at the platform end is provided perpendicular to the annular cutting blade at the platform end；
The movement position of the movable push bar includes three states：
Free state：The movable push bar is in the top position in the hollow stock, and the platform of the conical head terminates
The free end for touching and squeezing the bending device makes the middle bent of the bending device outwardly protrude；
Cut state：The movable push bar in the hollow stock be in lowest positions, the platform end of the conical head with
The free end of the bending device does not contact, and the annular cutting blade exposes, and the bending device is integrally straight；
Pierce and take out state：The movable push bar is in the hollow stock in relatively intermediate position, the conical head
Platform end be in contact but do not squeeze with the free end of the bending device, it is described annular cutting blade hide in the bending device,
The bending device is integrally straight.
2. a kind of automatic stapling apparatus of minimally-invasive vascular as described in claim 1, which is characterized in that the lever passes through elastic piece
It is fixedly connected with the top of the hollow stock, the lever opens an angle relative to the hollow stock under free state
Degree, pressing the lever can move relative to the hollow stock；Sliding slot is offered on the side wall of the hollow stock middle and upper part,
The lever is located at the same side of the sliding slot, and the position of the flared end of the lever is corresponding with the position of the sliding slot；
Further include the movable rod across the sliding slot, the flared end of the lever passes through the movable rod and the movable push bar
Top is connected, and pressing the lever can drive the movable push bar to be slided up and down in the hollow stock.
3. a kind of automatic stapling apparatus of minimally-invasive vascular as claimed in claim 2, which is characterized in that the hollow stock middle and upper part
Side wall on symmetrically offer two sliding slots, the lever and movable rod also include symmetrically arranged two.
4. the automatic stapling apparatus of a kind of minimally-invasive vascular as described in claims 1 or 2 or 3, which is characterized in that the hollow stock
With positioning device is additionally provided on movable push bar, the movement position of the movable push bar can be fixed on brill by the positioning device
Enter and take out state.
5. a kind of automatic stapling apparatus of minimally-invasive vascular as claimed in claim 4, which is characterized in that the positioning device includes setting
The card slot set elastic card ball on the movable push bar and be opened on the hollow stock, be provided in the card slot by
Button；When the movable push bar moves to the position for piercing and taking out state, the elastic card ball just enters in the card slot,
To fix the movable push bar, the elastic card ball jacks up the button；The button is pressed, by the elastic card ball
The card slot is ejected, then the movable push bar can continue to move in the hollow stock.
6. the automatic stapling apparatus of a kind of minimally-invasive vascular as described in claims 1 or 2 or 3 or 5, which is characterized in that the needle tray
Quantity be 4-8.
7. a kind of automatic stapling apparatus of minimally-invasive vascular as claimed in claim 4, which is characterized in that the quantity of the needle tray is 4-
8.
8. the automatic stapling apparatus of a kind of minimally-invasive vascular as described in claims 1 or 2 or 3 or 5 or 7, which is characterized in that the sky
Cabling channel corresponding with the position of needle groove is offered on the outer wall of heart stock.
9. the automatic stapling apparatus of a kind of minimally-invasive vascular as described in claims 1 or 2 or 3 or 5 or 7, which is characterized in that the sky
The outer diameter at the platform end of the outer diameter and the conical head of the outer diameter of heart stock, the bending device under whole straightened condition
It is consistent.
10. the automatic stapling apparatus of a kind of minimally-invasive vascular as described in claims 1 or 2 or 3 or 5 or 7, which is characterized in that described
Hollow stock, lever, movable push bar, bending apparatus and conical head are all made of medical grade stainless steel and are made.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810319834.7A CN108771556B (en) | 2018-04-11 | 2018-04-11 | Automatic anastomosis device for minimally invasive blood vessels |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810319834.7A CN108771556B (en) | 2018-04-11 | 2018-04-11 | Automatic anastomosis device for minimally invasive blood vessels |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108771556A true CN108771556A (en) | 2018-11-09 |
| CN108771556B CN108771556B (en) | 2020-05-05 |
Family
ID=64033702
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810319834.7A Active CN108771556B (en) | 2018-04-11 | 2018-04-11 | Automatic anastomosis device for minimally invasive blood vessels |
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| CN (1) | CN108771556B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110368047A (en) * | 2019-08-30 | 2019-10-25 | 河南科技大学第一附属医院 | A kind of blood vessel end to end anastomosis device |
| CN110368155A (en) * | 2019-08-30 | 2019-10-25 | 河南科技大学第一附属医院 | A kind of broken ends of fractured bone vascular anastomosis support device |
| CN114948038A (en) * | 2022-07-28 | 2022-08-30 | 北京大学第三医院（北京大学第三临床医学院） | Automatic anastomosis device for minimally invasive blood vessels through catheters |
| CN116725600A (en) * | 2021-02-24 | 2023-09-12 | 王永红 | Bridging tool combination capable of measuring pipe diameter and temporarily connecting broken blood vessel |
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| US20030065341A1 (en) * | 2001-09-28 | 2003-04-03 | Schulze Dale R. | Arrangement and method for vascular anastomosis |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110368047A (en) * | 2019-08-30 | 2019-10-25 | 河南科技大学第一附属医院 | A kind of blood vessel end to end anastomosis device |
| CN110368155A (en) * | 2019-08-30 | 2019-10-25 | 河南科技大学第一附属医院 | A kind of broken ends of fractured bone vascular anastomosis support device |
| CN110368155B (en) * | 2019-08-30 | 2021-03-09 | 河南科技大学第一附属医院 | Broken end blood vessel anastomosis supporting device |
| CN110368047B (en) * | 2019-08-30 | 2021-05-18 | 江苏华夏医疗器械有限公司 | Blood vessel end-to-end anastomosis device |
| CN116725600A (en) * | 2021-02-24 | 2023-09-12 | 王永红 | Bridging tool combination capable of measuring pipe diameter and temporarily connecting broken blood vessel |
| CN114948038A (en) * | 2022-07-28 | 2022-08-30 | 北京大学第三医院（北京大学第三临床医学院） | Automatic anastomosis device for minimally invasive blood vessels through catheters |
| CN114948038B (en) * | 2022-07-28 | 2022-09-30 | 北京大学第三医院（北京大学第三临床医学院） | Automatic anastomosis device for minimally invasive blood vessels through catheters |
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