A kind of Linear cutting anastomat of intracavitary bridge architecture
Technical field
The present invention relates to the linear type cuttings of the field of medical instrument technology, more particularly to a kind of intracavitary bridge architecture to coincide
Device.
Background technique
The equal height of the morbidity and mortality of China's cancer of the esophagus occupies first place in the world.With regard to the current treatment status of the current cancer of the esophagus, 5 years
Survival rate is difficult to be significantly improved in a short time, and tries to improve the quality of life of patient, improves operation safety to be then more
The target of reality.Anastomotic stricture, to backflow be to seriously affect two of patient's postoperative life quality aspects, and influence operation safety
Property is then anastomotic leakage.
Gastric and esophageal " side to side anastomosis " is a kind of novel methods of anastomosis for carrying out recently both at home and abroad, multi-party document report its prevent it is narrow
The characteristic of narrow, anti-reflux and anti-anastomotic leakage is substantially better than current conventional use of end to end anastomosis.Side to side anastomosis is different from tradition
End to end anastomosis has special circular staplers one-pass molding, which is coincide by instrument side is linear in advance, finally closes pairing food
Pipe stump and the residual mouth of stomach tube need to be completed by manual operations, and the difference of oesophagus stomach texture feature itself is (in operating process
Oesophagus is smaller because longitudinal muscle more contracts, otherwise the residual mouth of stomach then the more expands the more big), cause pairing difficult, it is cumbersome;Collard JM formula
Coincide, result is analogous to side to side anastomosis+circular anastomosis, although as a result preventing that narrow effect is obvious, due to circular anastomosis
In the presence of leading to anti-reflux declines;Previous anastomotic is close to linear after Orringer is improved, but oesophagus triangular tip part is to kiss
Heal up the potential dangerous point of healing, but also it is more cumbersome to coincide, in side to side anastomosis field, instrument used is that linear is cut
Stitching unstrument, and non-exclusive instrument, result need separately processing by hand to close the remaining port on remaining oesophagus and stomach tube, and
Process, the mode closed by hand directly affect surgical effect.
Side to side anastomosis mode is to adapt to and will allow instrument to serve operation, for original hand with regard to instrument at present
The manual operations of art closes residual oral area and divides still cumbersome, operating time more traditional end to end anastomosis increase by 20 minutes or more problems,
Patent No. CN207101314U discloses a kind of Linear cutting anastomat of intracavitary bridge architecture, including nail bin frame, nail bin,
The driving mechanism that resist-nailed seat, cutter, ejector pin component and the cutter of driving, ejector pin component are acted simultaneously, nail bin support
Nail seat is connected on the nail bin frame, and between nail bin frame and resist-nailed seat, the upper surface of nail bin is offered from thereafter nail bin
Portion extends to the cunning cutter groove of front, is distributed from the rear part to multiple nail hole of front, and the cunning cutter groove is located at the nail bin
On the axis of upper surface, nail hole is located at the two sides of sliding cutter groove, and stapler further includes being set in the nail bin frame, outside resist-nailed seat
Short set, when anteriorly moving the short set, resist-nailed seat pushing is matched with nail bin;When driving mechanism driving cutter, push away
When screw assembly is acted simultaneously, cutter are gradually stretched out out of sliding cutter groove, and the nail in ejector pin components drive nail bin is sutured
Movement stretch out the movement that sliding cutter groove is cut prior to cutter.
But there is also following deficiencies for the patent: cutter head is to be fixedly connected, and knife bar is fixedly connected with driving mechanism with knife bar,
This, which has resulted in cutter, to be replaced according to actually required, and influence entirely to perform the operation goes on smoothly, therefore needs to design
A kind of Linear cutting anastomat of intracavitary bridge architecture.
Summary of the invention
The purpose of the present invention is to solve disadvantages existing in the prior art, such as: cutter can not be according to actually required
It is replaced, influence entirely to perform the operation goes on smoothly.
To achieve the goals above, present invention employs following technical solutions:
A kind of Linear cutting anastomat of intracavitary bridge architecture, including cutter head and knife bar, the cutter head are located at knife bar
Side, the knife bar is fixedly installed with mounting base close to the side of cutter head, and the mounting base is equipped with close to the side of cutter head and uses
In the slot of socket cutter head, the side of the cutter head is located in slot, symmetrical above and below in the mounting base to set that there are two first to pacify
It behave affectedly, mounting rod is rotatably connected in two first installation cavitys, the side of the mounting base is equipped with and the first installation cavity
First opening of connection, one end of the mounting rod pass through the first opening and extend to outside mounting base, the elongated end of the mounting rod
Be fixedly connected with control handle, the slot be symmetrically arranged on the inner wall of the first installation cavity side two respectively with two
Second opening of one installation cavity connection, the mounting base are symmetrically arranged with two the second installation cavitys, institute far from the side of control handle
It states slot and is symmetrically arranged with two third being connected to respectively with two the second installation cavitys openings far from the side of the first installation cavity, it is described
Mounting rod sequentially passes through the second opening, slot, third opening far from one end of control handle and extends in the second installation cavity, described
The elongated end of mounting rod and the second installation cavity are rotatablely connected, and slidably connect left clamp and right clamping plate, the left side in the slot
Clamping plate and right clamping plate are located at the left and right sides of cutter head, and two mounting rods are located at the part in slot and are respectively equipped with
One external screw thread and the second external screw thread, two first external screw threads are located at the side that two mounting rods keep left, described in two
Second external screw thread is located at the side that two mounting rods are kept right, and the left clamp passes through the first external screw thread and two mounting rod spiral shells
Line connection, the right clamping plate are threadedly coupled by the second external screw thread with two mounting rods, first external screw thread and the second outer spiral shell
Line it is contrary.
Preferably, it symmetrically opens up in the left clamp there are two the first screw thread mouth, is equipped in two first screw thread mouths
It with the first internal screw thread of the first external screw thread cooperation, symmetrically opens up on the right clamping plate there are two the second screw thread mouth, two described the
The second internal screw thread cooperated with the second external screw thread is equipped in two screw thread mouths.
Preferably, it is symmetrically fixedly connected in the slot there are two gag lever post, it is symmetrical in the left clamp and right clamping plate
Equipped with the cunning mouth for the gag lever post that is slidably connected, two gag lever posts are located at the two sides of cutter head, the bottom of the slot
It is symmetrically fixedly connected there are two limited block, two limited blocks are located at the two sides of cutter head, and two limited blocks are respectively positioned on a left side
Between clamping plate and right clamping plate.
Preferably, the mounting base is symmetrically fixedly connected with two fixations there are two fixing seat close to the side of knife bar
Seat is fixedly connected by two bolts with knife bar respectively.
Preferably, it is fixedly installed with mounting ring in two first installation cavitys, offers and is used in the mounting ring
It is rotatablely connected the rotation mouth of mounting rod, is fixedly installed with mounting disc in two second installation cavitys, the mounting disc is close
The side of mounting rod is equipped with the rotation slot for being rotatablely connected mounting rod.
Preferably, the left clamp and the opposite side of right clamping plate are fixedly installed with fixture block, left and right pair on the cutter head
Claim to set there are two the card slot for being clamped fixture block, the fixture block is fixedly installed with the first magnetic sheet, the card close to the side of card slot
The bottom of slot is fixedly installed with the second magnetic sheet for cooperating the first magnetic sheet.
Compared with prior art, the beneficial effects of the present invention are: the present invention passes through control handle, mounting rod, left clamp, the right side
Clamping plate, mounting base, bolt and fixing seat realize the connection between cutter head and knife bar, can be with to facilitate the replacement of cutter head
Different cutter heads is replaced according to the case where patient, to be conducive to going on smoothly for medical staff's operation, is also beneficial to hand
The success of art.
Detailed description of the invention
Fig. 1 is the side structure signal of the Linear cutting anastomat of intracavitary bridge architecture of one kind proposed by the present invention
Figure;
Fig. 2 is the structure inside the Linear cutting anastomat mounting base of intracavitary bridge architecture of one kind proposed by the present invention
Schematic diagram;
Fig. 3 is structural schematic diagram at the A of Fig. 2.
In figure: 1 cutter head, 2 mounting bases, 3 control handles, 4 fixing seats, 5 bolts, 6 knife bars, 7 first magnetic sheets, 8 right clamping plates, 9
Second installation cavity, 10 limited blocks, 11 gag lever posts, 12 mounting rods, 13 mounting rings, 14 first installation cavitys, 15 card slots, 16 fixture blocks, 17
Second magnetic sheet, 18 slots, 19 mounting discs, 20 left clamps.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.
In the description of the present invention, it is to be understood that, term " on ", "lower", "front", "rear", "left", "right", "top",
The orientation or positional relationship of the instructions such as "bottom", "inner", "outside" is to be based on the orientation or positional relationship shown in the drawings, merely to just
In description the present invention and simplify description, rather than the device or element of indication or suggestion meaning must have a particular orientation, with
Specific orientation construction and operation, therefore be not considered as limiting the invention.
Referring to Fig.1-3, a kind of Linear cutting anastomat of intracavitary bridge architecture, including cutter head 1 and knife bar 6, cutter head 1
Positioned at the side of knife bar 6, knife bar 6 is connected with driving mechanism far from the side of cutter head 1, and knife bar 6 is close to the fixed peace in the side of cutter head 1
Equipped with mounting base 2, mounting base 2 is symmetrically fixedly connected close to the side of knife bar 6 there are two fixing seat 4, and two fixing seats 4 are led to respectively
It crosses two bolts 5 to be fixedly connected with knife bar 6, being fixedly connected for knife bar 6 and mounting base 2 is realized by fixing seat 4 and bolt 5.
Mounting base 2 is equipped with the slot 18 for being socketed cutter head 1 close to the side of cutter head 1, and the side of cutter head 1 is located at slot 18
It is interior, it is symmetrical above and below in mounting base 2 to set there are two the first installation cavity 14, mounting rod is rotatably connected in two the first installation cavitys 14
12, the side of mounting base 2 is equipped with the first opening being connected to the first installation cavity 14, and one end of mounting rod 12 passes through the first opening and prolongs
It extends to outside mounting base 2, the elongated end of mounting rod 12 is fixedly connected with control handle 3, and slot 18 is close to 14 side of the first installation cavity
Inner wall on be symmetrically arranged with two be connected to respectively with two the first installation cavitys 14 second opening, mounting base 2 far from control handle 3
Side be symmetrically arranged with two the second installation cavitys 9, slot 18 far from the side of the first installation cavity 14 be symmetrically arranged with two respectively with
The third opening of two the second installation cavity 9 connections, mounting rod 12 sequentially pass through the second opening far from one end of control handle 3, insert
Slot 18, third opening extend in the second installation cavity 9, and the elongated end of mounting rod 12 and the second installation cavity 9 are rotatablely connected.
It is fixedly installed with mounting ring 13 in two the first installation cavitys 14, is offered in mounting ring 13 for being rotatablely connected peace
The rotation mouth for filling bar 12, is fixedly installed with mounting disc 19 in two the second installation cavitys 9, mounting disc 19 close to mounting rod 12 one
Side is equipped with the rotation slot for being rotatablely connected mounting rod 12, is rotated by the cooperation of mounting ring 13 and mounting disc 19 to mounting rod 12
Process limited so that mounting rod 12 rotation it is more stable.
Left clamp 20 and right clamping plate 8 are slidably connected in slot 18, left clamp 20 and right clamping plate 8 are located at cutter head 1
The left and right sides, two mounting rods 12 are located at the part in slot 18 and are respectively equipped with the first external screw thread and the second external screw thread, and two
First external screw thread is located at the side that two mounting rods 12 keep left, and two the second external screw threads are located at two mounting rods 12 and lean on
Right side, left clamp 20 are threadedly coupled by the first external screw thread with two mounting rods 12, right clamping plate 8 pass through the second external screw thread and
Two mounting rods 12 are threadedly coupled, the first external screw thread and second externally threaded contrary, symmetrically offer two in left clamp 20
A first screw thread mouth, two the first screw thread mouths are interior to be equipped with the first internal screw thread cooperated with the first external screw thread, symmetrically opens on right clamping plate 8
If being equipped with the second internal screw thread cooperated with the second external screw thread in two the second screw thread mouths there are two the second screw thread mouth, passing through first
Screw thread mouth realizes the threaded connection of left clamp 20 and mounting rod 12, realizes right clamping plate 8 and mounting rod 12 by the second screw thread mouth
It is threadedly coupled.
Two control handles 3 are rotated clockwise, two mounting rods 12 is can control and rotates clockwise, so that 20 He of left clamp
Right clamping plate 8 slides in opposition, and left clamp 20 and the opposite side of right clamping plate 8 are equipped with the first anti-skid chequer, and the two sides of cutter head 1, which are equipped with, to be used
In the second anti-skid chequer for cooperating the first anti-skid chequer, the stability clamped for promoting left clamp 20 and right clamping plate 8 to cutter head 1 is inserted
It is symmetrically fixedly connected in slot 18 there are two gag lever post 11, is symmetrically arranged in left clamp 20 and right clamping plate 8 for the limit that is slidably connected
The cunning mouth of position bar 11, two gag lever posts 11 are located at the two sides of cutter head 1, and the bottom symmetrical of slot 18 is fixedly connected with that there are two limits
Position block 10, two limited blocks 10 are located at the two sides of cutter head 1, and two limited blocks 10 are respectively positioned between left clamp 20 and right clamping plate 8, lead to
The limit that two gag lever posts 11 carry out direction to the sliding of left clamp 20 and right clamping plate 8 is crossed, keeps sliding process more stable, passes through
Slot 18 is defined the placement location of cutter head 1.
Left clamp 20 and the opposite side of right clamping plate 8 are fixedly installed with fixture block 16, symmetrically set on cutter head 1 there are two
For being clamped the card slot 15 of fixture block 16, fixture block 16 is fixedly installed with the first magnetic sheet 7, the bottom of card slot 15 close to the side of card slot 15
It is fixedly installed with the second magnetic sheet 17 for cooperating the first magnetic sheet 7, by sliding in opposition for left clamp 20 and right clamping plate 8, is cooperated
Two fixture blocks 16 are inserted into the card slot 15 on cutter head 1, and the first magnetic sheet 7 is attracting by magnetic force with the second magnetic sheet 17, completes
The clamping of fixture block 16 and card slot 15.
In the present invention, when user uses the device, when needing replacing cutter head 1, two controls can be rotated counterclockwise
Handle 3, so that mounting rod 12 rotates counterclockwise, under the position-limiting action of gag lever post 11, left clamp 20 and right clamping plate 8 are sliding opposite to each other
It is dynamic, so that two fixture blocks 16 are skidded off from the card slot 15 in original cutter head 1, cutter head 1 is taken out at this time, be inserted into and need replacing
Then cutter head 1 rotates clockwise control handle 3, so that left clamp 20 and right clamping plate 8 move towards, two insertion cards of fixture block 16
In slot 15, the first magnetic sheet 7 and the second magnetic sheet 17 are attracting, complete installation when controlling handle 3 and screwing.
The foregoing is only a preferred embodiment of the present invention, but scope of protection of the present invention is not limited thereto,
Anyone skilled in the art in the technical scope disclosed by the present invention, according to the technique and scheme of the present invention and its
Inventive concept is subject to equivalent substitution or change, should be covered by the protection scope of the present invention.