CN109350156A - A kind of Medical stapler and its application method - Google Patents

A kind of Medical stapler and its application method Download PDF

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Publication number
CN109350156A
CN109350156A CN201810392019.3A CN201810392019A CN109350156A CN 109350156 A CN109350156 A CN 109350156A CN 201810392019 A CN201810392019 A CN 201810392019A CN 109350156 A CN109350156 A CN 109350156A
Authority
CN
China
Prior art keywords
nail
section
anastomosis staple
height
nail bin
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810392019.3A
Other languages
Chinese (zh)
Inventor
贲晓松
彭晓维
乔贵宾
韩艳秋
陈晓琳
张福霖
朱裕婷
王君
张秀梅
俞晓立
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Guangzhou Yu Doctor Team Medical Technology Co Ltd
Original Assignee
Guangzhou Yu Doctor Team Medical Technology Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Guangzhou Yu Doctor Team Medical Technology Co Ltd filed Critical Guangzhou Yu Doctor Team Medical Technology Co Ltd
Priority to CN201810392019.3A priority Critical patent/CN109350156A/en
Publication of CN109350156A publication Critical patent/CN109350156A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B2017/0688Packages or dispensers for surgical staplers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07235Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge

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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 discloses a kind of Medical stapler and its application methods, belong to medical instruments field.Bad, the height of present invention change nail anvil concordant profipole, nail bin concordant profipole and anastomosis staple, the blood fortune organized at improvement anastomotic stricture and previous anastomotic are transported in order to solve the problems, such as to may cause the Tissue Blood at anastomotic stricture and previous anastomotic because increasing stitching tissue.

Description

A kind of Medical stapler and its application method
Technical field
The invention belongs to the field of medical instrument technology, more particularly to a kind of Medical stapler and its application method.
Background technique
Surgical operation is usually needed two hollow organs and engaging tissue, such as kisses oesophagus stomach function regulating (or colon) Conjunction, intestines Surgical healing, Ureteral anastomosis, fallopian tubal coincide, biliary anastomosis and vascular anastomosis etc..Traditional anastomosis be with Suture gets up two hollow organs and engaging tissue, and effect is reliable, but cumbersome and technical requirements are high.
In recent years, with the development of stapler, can by anastomosis staple by two hollow organs or engaging tissue together. Anastomat hemorrhoidal circumcision mode is easy to operate, and effect is reliable.
It is identical that existing stapler generally uses two nails to carry out, it is possible to it is few and lead to anastomotic leakage stitching tissue occur Generation.Then there is a kind of three nails design, to increase stitching tissue, reduce the generation of anastomotic leakage, but be possible in this way Lead to anastomotic stricture, and the Tissue Blood fortune at previous anastomotic is bad.How more anastomosed tissues, avoid anastomotic stricture, improve Tissue Blood fortune at previous anastomotic is that urgent clinical needs solve the problems, such as.
Summary of the invention
For overcome the deficiencies in the prior art, the present invention provides-kind of Medical stapler, not only can more stitching tissues, but also can be with The stapler for avoiding anastomotic leakage from occurring, while improving the fortune of the Tissue Blood at previous anastomotic.
To achieve the above object, the color following technical solution of the present invention:
A kind of Medical stapler, including anastomotic part and operation portion, anastomotic part include nail bin, nail anvil, ejector pin portion and anastomosis staple, The ejector pin portion includes pushing slice of nail, and the pushing slice of nail supports the anastomosis staple, and the nail bin is provided with nail bin hole, the nail bin Hole accommodates the anastomosis staple, and the nail anvil is provided with nail anvil hole, and the anastomosis staple is under the promotion of the pushing slice of nail in the nail Anvil perforations molding, the nail anvil end be provided with it is dismountable roll target seeker, and the nail bin, the nail anvil and described push away Nail portion is provided in round two nails or round three nails.
Preferably, can by adjust two nails between spacing, come regulating nail be combined knit number.
Further, the nail bin section is low inside and high outside inclination section, and the nail anvil is that section is plane.
Further, the nail anvil section is low inside and high outside inclination section, and described be nail bin section is plane.
Further, the nail bin section is low inside and high outside inclination section, and the nail anvil is that section is low inside and high outside Roll section.
Further, the nail bin section is plane, and the nail anvil is that section is plane.
Further, three row of the anastomosis staple height is equal.
Further, three row's height of anastomosis staple successively increases from inside to outside.
Further, three row's height of anastomosis staple successively reduces from inside to outside.
Further, the height of the anastomosis staple from inside to outside be arranged as it is high-low-in, it is low-high-in, it is medium-low-high, in- It is high-low.
Preferably, it is carried out using the method for rolling merging body lumen identical.The nail anvil and the inclination target seeker are suitable Lesser lumen is placed in after matching, the nail bin is then placed in biggish lumen.
Compared with prior art, the invention has the following beneficial effects: by with nail anvil head roll merging human body compared with In lumen, then the stapler main body with nail bin is placed in biggish body lumen, two lumens are coincide. So not only can more stitching tissues, but also can be to avoid the generation of anastomotic leakage.Meanwhile by changing nail anvil concordant profipole, nail bin kiss The height in section and anastomosis staple is closed, the blood fortune organized at previous anastomotic is improved.
Detailed description of the invention
Fig. 1 is to roll the stapler overall schematic after head is adapted to nail anvil.
It is low inside and high outside inclination section that Fig. 2, which is nail bin, and nail anvil is that planar cross-sectional and the equal section of staple height show It is intended to.
Fig. 3 is that nail bin is low inside and high outside inclination section, and nail anvil is planar cross-sectional and the unequal section of staple height Schematic diagram.
It is low inside and high outside inclination section that Fig. 4, which is nail anvil, and nail bin is that planar cross-sectional and the equal section of staple height show It is intended to.
Fig. 5 is that nail anvil is low inside and high outside inclination section, and nail bin is planar cross-sectional and the unequal section of staple height Schematic diagram.
Fig. 6 be nail anvil be low inside and high outside inclination section, nail bin be it is low inside and high outside inclination section and staple height it is equal cut Face schematic diagram.
Fig. 7 is that nail anvil is low inside and high outside inclination section, and nail bin is that low inside and high outside inclination section and staple height are unequal Schematic cross-section.
Fig. 8 is nail anvil and nail bin is planar cross-sectional, the equal schematic cross-section of staple height.
Fig. 9 is nail anvil and nail bin is planar cross-sectional, the unequal schematic cross-section of staple height.
It is planar cross-sectional that Figure 10, which is nail anvil, and nail bin is low inside and high outside inclination section and anastomosis staple is the section of two rows of height not etc. Schematic diagram.
Figure 11 is that nail anvil is planar cross-sectional, and nail bin is low inside and high outside inclination section and anastomosis staple is the equal section of two rows of height Schematic diagram.
Appended drawing reference
10--- anastomotic part 20--- operation portion 30--- rolls target seeker 40--- instrument central axis
110--- ejector pin portion 120--- anastomosis staple 130--- nail bin 140--- nail anvil
The most interior row's pushing slice of nail 112--- intermediate row pushing slice of nail 113--- most outlet pushing slice of nail of 111---
The most outermost nail storehouse the interior nail storehouse hole 132--- intermediate row nail bin hole 133---- hole 131---
The 141--- most outermost nail anvil perforations of interior nail anvil perforations 142--- intermediate row nail anvil hole 143---
151--- is most interior to be lined up the molding of type 152--- intermediate row 153--- is outermost lines up type
Specific embodiment
The present invention is further illustrated With reference to embodiment.Wherein, attached drawing is simplified schematic diagram, Only for illustration, therefore only composition related to the present invention is shown, rather than pictorial diagram, it should not be understood as to this patent Limitation;Embodiment in order to better illustrate the present invention, the certain components of attached drawing have omission, zoom in or out, do not represent The size of actual product;To those skilled in the art, in attached drawing certain known features and its explanation may omit be can With understanding.
Refer in described in the invention close to instrument central axis 40 (as shown in Fig. 2), it is therefore, described outer, with It is interior on the contrary, referring to far from instrument central axis.
Anastomosis procedure refers to: after inclination target seeker is adapted to nail anvil, will set with the nail anvil for rolling target seeker with nail bin Enter lumen and connect, operator operates operation portion, fires ejector pin portion, makes pushing slice of nail to one end far from operator It is mobile, to push anastomosis staple mobile, into tissue to be anastomosed, finally formed in nail anvil.
A kind of Medical stapler (as shown in Fig. 1) of the invention, including anastomotic part 10 and operation portion 20, wherein anastomotic part End, which is provided with, rolls target seeker 30.
Embodiment 1
In this embodiment, as shown in Fig. 2, anastomotic part includes nail bin 130, nail anvil 140, anastomosis staple 120 and ejector pin portion 110.Nail bin 130, nail anvil 140, anastomosis staple 120 and ejector pin portion 110 are set as three circularly shaped rows.The most interior nail storehouse hole of nail bin 130 131, intermediate row nail bin hole 132,133 height of outermost nail storehouse hole successively reduce, and section is low inside and high outside inclination section.Nail Most interior nail anvil perforations 141, intermediate row nail anvil hole 142,143 height of outermost nail anvil perforations of anvil 140 are equal.Ejector pin portion 110 is most Interior row's pushing slice of nail 111, intermediate row pushing slice of nail 112, most 113 height of outlet pushing slice of nail successively reduce, and section is low inside and high outside side Incline section.Each row height of anastomosis staple 120 is equal.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, in Between row anastomosis staple become intermediate row molding 152, most outlet anastomosis staple becomes outermost and lines up type 153.
Embodiment 2
In this embodiment, as shown in Fig. 3, unlike the first embodiment, each row height of anastomosis staple 120 is unequal, Height successively reduces from inside to outside.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, intermediate row anastomosis staple Become intermediate row molding 152, most outlet anastomosis staple becomes outermost and lines up type 153.
Embodiment 3
In this embodiment, as shown in Fig. 4, the most interior nail storehouse hole 131, intermediate row nail bin hole 132 of nail bin 130, most 133 height of outlet nail bin hole is equal, and section is plane.It is the most interior nail anvil perforations 141 of nail anvil, intermediate row nail anvil hole 142, outermost 143 height of nail anvil perforations successively reduces, and section is low inside and high outside inclination section.Most interior row's pushing slice of nail 111 in ejector pin portion 110, Intermediate row pushing slice of nail 112, most 113 height of outlet pushing slice of nail are equal.Each row height of anastomosis staple 120 is equal.Pass through the behaviour that coincide Make, most interior row's anastomosis staple becomes most interior and lines up type 151, and intermediate row anastomosis staple becomes intermediate row molding 152, most outlet anastomosis staple Become outermost and lines up type 153.
Embodiment 4
In this embodiment, as shown in Fig. 5, as different from Example 3, each row height of anastomosis staple 120 is unequal, Height successively increases from inside to outside.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, intermediate row anastomosis staple Become intermediate row molding 152, most outlet anastomosis staple becomes outermost and lines up type 153.
Embodiment 5
In this embodiment, as shown in Fig. 6, height successively reduces each nail anvil perforations of nail anvil 140 from inside to outside, section For low inside and high outside inclination section.Height successively reduces from inside to outside in each nail storehouse hole of nail bin 130, and section is low inside and high outside Inclination section.The height of each row's pushing slice of nail in ejector pin portion 110 from inside to outside successively reduces, and section is low inside and high outside inclination Section.Each row height of anastomosis staple 120 is equal.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, centre Row's anastomosis staple becomes intermediate row molding 152, and most outlet anastomosis staple becomes outermost and lines up type 153.
Embodiment 6
In this embodiment, as shown in Fig. 7, as different from Example 5, each row height of anastomosis staple 120 is unequal, Height successively increases from inside to outside.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, intermediate row anastomosis staple Become intermediate row molding 152, most outlet anastomosis staple becomes outermost and lines up type 153.
Embodiment 7
In this embodiment, as shown in Fig. 8, each nail anvil perforations height of nail anvil 140 is equal.Each nail of nail bin 130 Storehouse hole height is equal, and section is plane.Each row's pushing slice of nail height in ejector pin portion 110 is equal.Each row's height phase of anastomosis staple 120 Deng.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, and intermediate row anastomosis staple becomes intermediate row molding 152, Most outlet anastomosis staple becomes outermost and lines up type 153.
Embodiment 8
In this embodiment, as shown in Fig. 9, as different from Example 7, each row height of anastomosis staple 120 is unequal, Height successively increases from inside to outside.The height of each row's pushing slice of nail in ejector pin portion 110 from inside to outside successively reduces, and section is interior height Outer low inclination section.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, during intermediate row anastomosis staple becomes Between line up type 152, most outlet anastomosis staple becomes outermost and lines up type 153.
Embodiment 9
In this embodiment, as shown in Fig. 10, anastomotic part includes nail bin 130, nail anvil 140, anastomosis staple 120 and ejector pin portion 110.Nail bin 130, nail anvil 140, anastomosis staple 120 and ejector pin portion 110 are set as two rows of round.Two rows of nail bin holes of nail bin 130 by Height successively reduces from inside to outside, and section is low inside and high outside inclination section.Two rows of pushing slice of nail in ejector pin portion 110 are from inside to outside Height successively reduces, and section is low inside and high outside inclination section.Two rows of height of anastomosis staple 120 are unequal, and height is from inside to outside Successively increase.By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, and most outlet anastomosis staple becomes outermost and lines up Type 153.
Embodiment 10
In this embodiment, as shown in Fig. 11, as different from Example 9, two rows of height of anastomosis staple 120 are equal. By anastomosis procedure, most interior row's anastomosis staple becomes most interior and lines up type 151, and most outlet anastomosis staple becomes outermost and lines up type 153.
The embodiments described above only express several embodiments of the present invention, describes with simplified schematic table It reaches, but cannot be therefore understands that for the limitation to this patent range.It should be pointed out that for those of ordinary skill in the art For, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to of the invention Therefore, the scope of protection shall be subject to the appended claims for this patent for protection scope.

Claims (10)

1. a kind of Medical stapler, including anastomotic part and operation portion, anastomotic part includes nail bin, nail anvil, ejector pin portion and anastomosis staple, institute Stating ejector pin portion includes pushing slice of nail, and the pushing slice of nail supports the anastomosis staple, and the nail bin is provided with nail bin hole, and the nail bin hole holds Receive the anastomosis staple, the nail anvil is provided with nail anvil hole, and the anastomosis staple is under the promotion of the pushing slice of nail in the nail anvil hole Molding, it is characterised in that: the nail anvil end be provided with it is dismountable roll target seeker, and the nail bin, the nail anvil and The ejector pin portion is provided in round two nails or round three nails.
2. a kind of Medical stapler as described in claim 1, it is characterised in that: the nail bin section is low inside and high outside inclination Section, the nail anvil are that section is plane.
3. a kind of Medical stapler as described in claim 1, it is characterised in that: the nail anvil section is low inside and high outside inclination Section, described be nail bin section is plane.
4. a kind of Medical stapler as described in claim 1, it is characterised in that: the nail bin section is low inside and high outside inclination Section, the nail anvil are that section is low inside and high outside inclination section.
5. a kind of Medical stapler as described in claim 1, it is characterised in that: the nail bin section is plane, the nail anvil It is plane for section.
6. such as a kind of described in any item Medical staplers of claim 2-5, it is characterised in that: three row's height phase of anastomosis staple Deng.
7. such as a kind of described in any item Medical staplers of claim 2-5, it is characterised in that: three row's height of anastomosis staple by It successively increases from inside to outside.
8. such as a kind of described in any item Medical staplers of claim 2-5, it is characterised in that: three row's height of anastomosis staple by It successively reduces from inside to outside.
9. such as a kind of described in any item Medical staplers of claim 2-5, it is characterised in that: the anastomosis staple is from inside to outside Height be arranged as it is high-low-in, it is low-high-in, it is medium-low-high, in-it is high-low.
10. a kind of application method of Medical stapler as described in claim 1, it is characterised in that: be placed in human body using rolling The method of lumen carries out identical.
CN201810392019.3A 2018-04-17 2018-04-17 A kind of Medical stapler and its application method Pending CN109350156A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810392019.3A CN109350156A (en) 2018-04-17 2018-04-17 A kind of Medical stapler and its application method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810392019.3A CN109350156A (en) 2018-04-17 2018-04-17 A kind of Medical stapler and its application method

Publications (1)

Publication Number Publication Date
CN109350156A true CN109350156A (en) 2019-02-19

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Country Status (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110575216A (en) * 2019-09-09 2019-12-17 广州愈大夫团队医疗科技有限公司 Medical anastomat

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110575216A (en) * 2019-09-09 2019-12-17 广州愈大夫团队医疗科技有限公司 Medical anastomat

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Application publication date: 20190219