CN111329544B - Digestive tract anastomotic stoma supporting and suturing aid device - Google Patents

Digestive tract anastomotic stoma supporting and suturing aid device Download PDF

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Publication number
CN111329544B
CN111329544B CN202010149347.8A CN202010149347A CN111329544B CN 111329544 B CN111329544 B CN 111329544B CN 202010149347 A CN202010149347 A CN 202010149347A CN 111329544 B CN111329544 B CN 111329544B
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CN
China
Prior art keywords
supporting
anastomotic stoma
cavity
rod
digestive tract
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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.)
Expired - Fee Related
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CN202010149347.8A
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Chinese (zh)
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CN111329544A (en
Inventor
沈健
陈文�
张建平
李�远
许利剑
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2nd Affiliated Hospital of Nanjing Medical University
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2nd Affiliated Hospital of Nanjing Medical University
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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
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • 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
    • A61B2017/1132End-to-end connections

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

Abstract

The invention discloses a supporting and suturing aid for an anastomotic stoma of a digestive tract, which comprises a connecting rod, a movable fixing rod, a first supporting ball body and a second supporting ball body. The connecting rod comprises a first rod body, a hole groove, an inclined groove, a first cavity and a second cavity; the movable fixing rod comprises a second rod body, a pulling block, a connecting piece and a supporting arm. The invention utilizes the two oval spheres to support the intestinal tubes at two sides of the anastomotic stoma, clearly exposes the anastomotic stoma and is beneficial to finishing the strengthening suture of the anastomotic stoma with high quality; the oval sphere can be disassembled and replaced with different sizes according to actual needs, and has strong practicability; low cost, easy production and wide application in various intestinal surgeries. The problems that in the prior art, risks such as bleeding and fistula of an anastomotic stoma can not be completely avoided in the digestive tract operation, and the anastomotic stoma is reduced or even closed due to the fact that the needle is inserted too deeply and the opposite side intestinal canal is sewn in the sewing process are solved.

Description

Digestive tract anastomotic stoma supporting and suturing aid device
Technical Field
The invention belongs to the field of digestive tract operations, and particularly relates to a supporting and suturing aid for an anastomotic stoma of a digestive tract.
Background
In the operation of the digestive tract, the reconstruction of the digestive tract is usually required after the excision of the lesion. The currently common method is mainly to perform the anastomosis by means of an instrument anastomosis (tubular stapler, cutting closer). Although the quality of the anastomat is continuously improved and the anastomosis quality is reliable through continuous improvement, the risks of bleeding, fistula and the like of the anastomotic orifice cannot be completely avoided, so that most surgeons perform manual suturing on the basis of completing instrument anastomosis in the current clinical work to strengthen the anastomotic orifice. Because the digestive tract is not a hard pipeline, the digestive tract is often inserted too deeply and sewed to the opposite intestinal canal in the sewing process, so that the anastomotic stoma is reduced and even closed.
Therefore, the device for supporting the intestinal canal at two sides of the anastomotic stoma, clearly exposing the anastomotic stoma and facilitating the completion of high-quality anastomotic stoma reinforced suture is in line with the actual requirement.
Aiming at the problems, the digestive tract anastomotic stoma supporting and suturing aid is designed.
Disclosure of Invention
Aiming at the defects of the prior art, the invention aims to provide a digestive tract anastomotic stoma supporting and suturing aid, which solves the problems that in the digestive tract operation in the prior art, the risks of anastomotic hemorrhage, fistula and the like cannot be completely avoided, and the anastomotic stoma is reduced or even closed because the needle is inserted too deep and is sewn to the opposite intestinal canal in the suturing process.
The purpose of the invention can be realized by the following technical scheme:
the utility model provides a digestive tract anastomotic stoma supports helps seam ware, includes the connecting rod, the connecting rod runs through first support spheroid and is connected with second support spheroid.
The connecting rod includes the first body of rod, be equipped with hole groove and chute on the first body of rod.
The first rod body is internally provided with a first cavity and a second cavity, the hole groove is communicated with the first cavity, and the chute is communicated with the first cavity and the second cavity.
The movable fixing rod is arranged in the connecting rod and comprises a second rod body, a pulling block is arranged at the side end of the second rod body, and the pulling block is communicated with the through hole groove.
And a connecting piece is fixedly arranged on the second rod body and is rotatably connected with the supporting arm.
And one end of the first rod body is provided with a thread.
The diameter of the first cavity is larger than that of the second cavity, and the diameter of the second rod body is equal to that of the second cavity.
The first supporting ball body comprises a first ball body, a through hole for the connecting rod to penetrate through and a triangular groove for supporting the supporting arm to limit are arranged in the first ball body, and the through hole is communicated with the triangular groove.
The second support ball body comprises a second ball body, a screw hole is formed in the second ball body, and the screw thread is matched with the screw hole.
The diameter of the first supporting sphere is larger than that of the second supporting sphere.
The invention has the beneficial effects that:
1. the invention utilizes the two oval spheres to support the intestinal tubes at two sides of the anastomotic stoma, clearly exposes the anastomotic stoma and is beneficial to finishing the strengthening suture of the anastomotic stoma with high quality;
2. the oval sphere can be disassembled and replaced in different sizes according to actual needs, and has strong practicability;
3. the invention has low cost and easy production, and can be widely applied to various intestinal surgeries.
Drawings
In order to more clearly illustrate the embodiments or technical solutions in the prior art of the present invention, the drawings used in the description of the embodiments or prior art will be briefly described below, and it is obvious for those skilled in the art that other drawings can be obtained based on these drawings without creative efforts.
FIG. 1 is a schematic diagram of the overall structure of an embodiment of the present invention;
FIG. 2 is a schematic structural view of a connecting rod according to an embodiment of the present invention;
FIG. 3 is a front view of a connecting rod of an embodiment of the present invention;
FIG. 4 is a sectional view taken along line A-A of FIG. 3;
FIG. 5 is a schematic diagram of a movable fixing rod according to an embodiment of the present invention;
FIG. 6 is a cross-sectional view of the interior of a first support sphere in accordance with an embodiment of the present invention;
fig. 7 is a structural diagram of a second supporting sphere according to an embodiment of the invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "opening," "upper," "lower," "thickness," "top," "middle," "length," "inner," "peripheral," and the like are used in an orientation or positional relationship that is merely for convenience in describing and simplifying the description, and do not indicate or imply that the referenced component or element must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be considered as limiting the present invention.
As shown in figure 1, the digestive tract anastomotic stoma supporting and suturing aid comprises a connecting rod 1, wherein the connecting rod 1 penetrates through a first supporting ball body 3 and is connected with a second supporting ball body 4.
As shown in fig. 2, the connecting rod 1 includes a first rod 11, a hole slot 12 and a chute 13 are disposed on the first rod 11, and a thread is disposed at one end of the first rod 11.
As shown in fig. 3 and 4, a first cavity 14 and a second cavity 15 are provided in the first rod 11, the hole 12 communicates with the first cavity 14, and the inclined groove 13 communicates with the first cavity 14 and the second cavity 15. The diameter of the first cavity 14 is larger than the diameter of the second cavity 15.
As shown in fig. 5, a movable fixing rod 2 is disposed in the connecting rod 1, the movable fixing rod 2 includes a second rod body 21, a pulling block 22 is disposed at a side end of the second rod body 21, and as can be seen from fig. 1 and 2, the pulling block 22 is connected to the hole slot 12. And a connecting piece 23 is fixedly arranged on the second rod body 21, and the connecting piece 23 is rotatably connected with a supporting arm 24. The diameter of the second rod 21 is equal to the diameter of the second cavity 15.
As shown in fig. 6, the first supporting sphere 3 includes a first sphere 31, a through hole 32 for the connection rod 1 to pass through and a triangular groove 33 for the supporting arm 24 to support and limit are provided in the first sphere 31, and the through hole 32 is communicated with the triangular groove 33.
As shown in fig. 7, the second supporting sphere 4 includes a second sphere 41, and a screw hole 42 is formed in the second sphere 41, and the screw thread is engaged with the screw hole 42.
It is noted that the diameter of the first support sphere 3 is larger than the diameter of the second support sphere 4.
When the connecting rod is used, the first supporting ball body 3 is firstly sleeved on the connecting rod 1, so that the triangular groove 33 is communicated with the inclined groove 13. Then the hand-held pulling block 22 is pulled downwards, so that the movable fixing rod 2 moves downwards, when the supporting arm 24 is in contact with the communication part of the chute 13, the first cavity 14 and the second cavity 15, because the distance between the two supporting arms 24 is greater than the diameter of the second cavity 15, the supporting arm 24 slides out along the chute 13, when the connecting piece 23 is in contact with the communication part of the first cavity 14 and the second cavity 15, the connecting piece cannot move continuously due to the limited width, and at the moment, the supporting arm 24 is placed in the triangular groove 33 to stably support the first supporting sphere 3 and cannot fall off. Finally, the screw thread is matched with the screw hole 42, so that the second supporting sphere 4 is fixedly connected with the connecting rod 1.
When the support ball body is disassembled, the second support ball body 4 is only required to be screwed out, the pulling block 22 is pulled upwards to the initial position, and then the first support ball body 3 is taken down.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed.

Claims (4)

1. A supporting and suturing aid for an anastomotic stoma of a digestive tract comprises a connecting rod (1), and is characterized in that the connecting rod (1) penetrates through a first supporting ball body (3) and is connected with a second supporting ball body (4);
the connecting rod (1) comprises a first rod body (11), and a hole groove (12) and a chute (13) are formed in the first rod body (11);
a first cavity (14) and a second cavity (15) are arranged in the first rod body (11), the hole groove (12) is communicated with the first cavity (14), and the inclined groove (13) is communicated with the first cavity (14) and the second cavity (15);
the diameter of the first cavity (14) is larger than that of the second cavity (15), the diameter of the second rod body (21) is equal to that of the second cavity (15), and the diameter of the first supporting sphere (3) is larger than that of the second supporting sphere (4);
a movable fixing rod (2) is arranged in the connecting rod (1), the movable fixing rod (2) comprises a second rod body (21), a pulling block (22) is arranged at the side end of the second rod body (21), and the pulling block (22) is communicated with the through hole groove (12);
and a connecting piece (23) is fixedly arranged on the second rod body (21), and the connecting piece (23) is rotatably connected with the supporting arm (24).
2. The digestive tract anastomotic stoma supporting and suturing aid device according to claim 1, wherein one end of the first rod body (11) is provided with a thread.
3. The digestive tract anastomotic stoma supporting and suturing aid device according to claim 1, wherein the first supporting ball body (3) comprises a first ball body (31), a through hole (32) for the connecting rod (1) to penetrate through and a triangular groove (33) for supporting and limiting the supporting arm (24) are arranged in the first ball body (31), and the through hole (32) is communicated with the triangular groove (33).
4. The digestive tract anastomotic stoma supporting and suturing aid device according to claim 2, wherein the second supporting sphere (4) comprises a second sphere (41), a screw hole (42) is formed in the second sphere (41), and the screw thread is matched with the screw hole (42).
CN202010149347.8A 2020-03-05 2020-03-05 Digestive tract anastomotic stoma supporting and suturing aid device Expired - Fee Related CN111329544B (en)

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CN202010149347.8A CN111329544B (en) 2020-03-05 2020-03-05 Digestive tract anastomotic stoma supporting and suturing aid device

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2304361Y (en) * 1997-01-31 1999-01-20 周立平 Assistant support for vascular anastomosis
WO2007131189A2 (en) * 2006-05-05 2007-11-15 Eidosmed Llc Stent device for anastomoses of tubular organs
WO2013066079A1 (en) * 2011-11-01 2013-05-10 재단법인 아산사회복지재단 Anastomotic structure for blood vessels using a self-expandable material or structure, and anastomosis method for blood vessels using same
CN204863557U (en) * 2015-06-15 2015-12-16 洪德飞 Print with 3D and exempt from to sew up identical support of courage intestines
CN105434054A (en) * 2015-12-17 2016-03-30 苏州天臣国际医疗科技有限公司 Intestinal-tract anastomotic stoma protection device
CN205964677U (en) * 2016-06-29 2017-02-22 康健乐 Balloon dilatation catheter
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

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2304361Y (en) * 1997-01-31 1999-01-20 周立平 Assistant support for vascular anastomosis
WO2007131189A2 (en) * 2006-05-05 2007-11-15 Eidosmed Llc Stent device for anastomoses of tubular organs
WO2013066079A1 (en) * 2011-11-01 2013-05-10 재단법인 아산사회복지재단 Anastomotic structure for blood vessels using a self-expandable material or structure, and anastomosis method for blood vessels using same
CN204863557U (en) * 2015-06-15 2015-12-16 洪德飞 Print with 3D and exempt from to sew up identical support of courage intestines
CN105434054A (en) * 2015-12-17 2016-03-30 苏州天臣国际医疗科技有限公司 Intestinal-tract anastomotic stoma protection device
CN205964677U (en) * 2016-06-29 2017-02-22 康健乐 Balloon dilatation catheter
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

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Granted publication date: 20210518