CN111407346A - Intestinal closure device - Google Patents

Intestinal closure device Download PDF

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Publication number
CN111407346A
CN111407346A CN202010256628.3A CN202010256628A CN111407346A CN 111407346 A CN111407346 A CN 111407346A CN 202010256628 A CN202010256628 A CN 202010256628A CN 111407346 A CN111407346 A CN 111407346A
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wall
main body
support
spring
sets
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Granted
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CN202010256628.3A
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CN111407346B (en
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王建龙
李涛
刘彬
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Second Hospital of Hebei Medical University
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Individual
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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • 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)
  • 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)
  • Physiology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the technical field of medical equipment, in particular to an intestinal canal closer, which can observe the closing force of intestinal canals at two ends, avoid the tissues of the intestinal canals from being damaged and improve the use reliability; the medical instrument comprises a main body, a fixing frame, a screw rod, a conical head, a handle and a connecting pipe, wherein a cavity is arranged in the main body, a left port is formed in the left end of the main body, a right port is formed in the right end of the main body, the left port and the right port are communicated with the cavity, the outer wall of the fixing frame is connected with the inner wall of the cavity of the main body, the middle of the fixing frame is in threaded connection with the outer wall of the screw rod, the left end of the screw rod is connected with the right end of the conical head, the right end of the screw rod is connected with the left end of the; the screw rod sliding device is characterized by further comprising a nut, a sliding column and an arrow, wherein the inner wall of the nut is in threaded connection with the outer wall of the screw rod, the bottom end of the sliding column is connected with the top end of the nut, a sliding groove is formed in the top end of the main body, and the outer wall of the sliding column is in sliding connection with the inner wall of the.

Description

Intestinal closure device
Technical Field
The invention relates to the technical field of medical equipment, in particular to an intestinal closure device.
Background
As is well known, an intestinal closure device is an auxiliary device for intestinal closure, which is widely used in the field of medical equipment; the existing intestinal closure device comprises a main body, a fixing frame, a screw rod, a conical head, a handle and a connecting pipe, wherein a cavity is arranged in the main body, a left opening is formed in the left end of the main body, a right opening is formed in the right end of the main body, the left opening and the right opening are communicated with the cavity, the outer wall of the fixing frame is connected with the inner wall of the cavity of the main body, the middle of the fixing frame is in threaded connection with the outer wall of the screw rod, the left end of the screw rod is connected with the right end of the conical head, the right end of the screw rod is connected with the left end of the handle, a tube cavity; when the existing intestinal closure device is used, firstly, an intestinal tube is sleeved on a hemispherical head and a connecting tube, an intestinal tube opening is tied tightly at the right end of the hemispherical head, a handle is rotated anticlockwise to drive a screw rod to rotate, the screw rod rotates to drive a conical head to retract into a main body cavity, then, the intestinal tube at the other end is sleeved at the left end of the main body, the handle is rotated clockwise to drive the screw rod and the conical head to rotate, the conical head rotates to extend out of the main body cavity and poke the intestinal tube, the conical head is inserted into a connecting tube cavity, and the handle is rotated anticlockwise to drive the screw rod and the conical head to rotate to retract into the main body cavity, so that the intestinal tube sleeved on the hemispherical head and; the existing intestinal canal closer is found to have uncontrollable closing force of intestinal canals at two ends, so that the intestinal canal tissues are easily damaged, and the use reliability is poor.
Improvement of the invention
In order to solve the technical problems, the invention provides the intestinal canal closer which can observe the closing force of intestinal canals at two ends, prevent intestinal canal tissues from being damaged and improve the use reliability.
The invention discloses an intestinal closure device, which comprises a main body, a fixing frame, a screw rod, a conical head, a handle and a connecting pipe, wherein a cavity is arranged in the main body, a left opening is formed in the left end of the main body, a right opening is formed in the right end of the main body, the left opening and the right opening are communicated with the cavity, the outer wall of the fixing frame is connected with the inner wall of the cavity of the main body, the middle part of the fixing frame is in threaded connection with the outer wall of the screw rod, the left end of the screw rod is connected with the right end of the conical head, the right end of the screw rod is connected with the left end of the handle; still include nut, traveller and arrow point, nut inner wall and screw rod outer wall threaded connection traveller bottom and nut top are connected, and the main part top is provided with the spout, traveller outer wall and spout inner wall sliding connection, and the traveller top is connected with the arrow point bottom, and the spout top is provided with the scale to the bottom of main part is provided with cutting device.
The invention relates to an intestinal closure device, which comprises an upper clamping bracket, a lower clamping bracket, two groups of pin shafts, an upper supporting bracket, a lower supporting bracket, a first spring, a cutter connecting column, a bottom bracket, a spring stop block and a second spring, wherein the top end of the upper clamping bracket is connected with the bottom end of a main body, the top end of the lower clamping bracket is rotatably connected with the bottom end of the upper clamping bracket through the two groups of pin shafts, the outer wall of the upper clamping bracket is connected with the outer wall of the upper clamping bracket, the bottom end of the lower clamping bracket is connected with the top end of the lower clamping bracket, the top end of the first spring is connected with the bottom end of the upper supporting bracket, the bottom end of the first spring is connected with the top end of the lower supporting bracket, two groups of slideways are arranged on the outer wall of the upper clamping bracket, two ends of the outer wall of, the top end of the bottom support is connected with the bottom end of the main body, the left end of the spring stop block is connected with the right end of the cutter connecting column, the second spring is sleeved on the outer wall of the cutter connecting column, the left end of the second spring is in contact with the right end of the bottom support, and the right end of the second spring is in contact with the left end of the spring stop block.
The intestinal closure device also comprises two groups of third spring supports, two groups of third springs and two groups of clamping pins, wherein the inner walls of the two groups of third spring supports are connected with the outer wall of the connecting pipe, one ends of the two groups of third springs are connected with the inner wall of the third spring support, the other ends of the two groups of third springs are connected with the input ends of the clamping pins, and the two groups of clamping pins are respectively in sliding connection with two groups of small holes formed in the connecting pipe.
The invention relates to an intestinal closure device, wherein a plurality of groups of anti-skid lines are arranged on the outer wall of a handle.
The intestinal closure device further comprises a fine adjustment handle, and the left end of the fine adjustment handle and the right end of the handle are connected with the intestinal closure device.
The intestinal tract closer also comprises an upper protecting sleeve and a lower protecting sleeve, wherein the right end of the upper protecting sleeve is connected with the left end of the upper clamping support, and the right end of the lower protecting sleeve is connected with the left end of the lower clamping support.
According to the intestinal closure device, the strip-shaped grains are arranged at the bottom end of the upper clamping support.
The invention relates to an intestinal closure device.
Compared with the prior art, the invention has the beneficial effects that: the portable intestine and the portable intestine clamping device are characterized in that the hemispherical head is placed inside an intestine on one side and tightly fastens the intestine, then the main body stretches into the intestine on the other side through an anus, then the screw rod drives the nut, the sliding column and the arrow to move when rotating, the conical head is inserted into the hemispherical head and fixed, then the screw rod is rotated reversely and closes two sections of intestines, the closing force of the intestines at two ends can be observed through the position of the arrow pointing to the scale, the hemispherical head is moved to be taken out from the anus through the main body and the conical head after the two sections of intestines are closed, the tissues of the intestines are prevented from being damaged, and the use reliability is improved.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic cross-sectional structural view of the present invention;
FIG. 3 is a schematic front view of the present invention;
FIG. 4 is an enlarged partial structural view of the invention A;
in the drawings, the reference numbers: 1. a main body; 2. a fixed mount; 3. a screw; 4. a conical head; 5. a grip; 6. a connecting pipe; 7. a hemispherical head; 8. a nut; 9. a traveler; 10. an arrow; 11. a chute; 12. calibration; 13. an upper clamping bracket; 14. a lower clamping bracket; 15. a pin shaft; 16. an upper support frame; 17. a lower support frame; 18. a first spring; 19. a slideway; 20. a guide post; 21. a cutter; 22. a cutter connecting column; 23. a bottom bracket; 24. a spring stop; 25. a second spring; 26. a third spring support; 27. a third spring; 28. clamping the pin; 29. anti-skid lines; 30. a fine adjustment handle; 31. an upper protective sleeve; 32. a lower protective sleeve; 33. stripe-shaped lines; 34. a viewing port.
Detailed Description
The following detailed description of embodiments of the present invention is provided in connection with the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
As shown in fig. 1 to 4, the intestinal closure device of the present invention comprises a main body 1, a fixing frame 2, a screw rod 3, a conical head 4, a handle 5 and a connecting pipe 6, wherein a cavity is arranged inside the main body 1, a left port is arranged at the left end of the main body 1, a right port is arranged at the right end of the main body 1, the left port and the right port are both communicated with the cavity, the outer wall of the fixing frame 2 is connected with the inner wall of the cavity of the main body 1, the middle part of the fixing frame 2 is in threaded connection with the outer wall of the screw rod 3, the left end of the screw rod 3 is connected with the right end of the conical head 4, the right end of the screw rod 3 is connected with the left end of the handle 5, a pipe cavity; the nut 8, the sliding column 9 and the arrow 10 are further included, the inner wall of the nut 8 is in threaded connection with the outer wall of the screw rod 3, the bottom end of the sliding column 9 is connected with the top end of the nut 8, the top end of the main body 1 is provided with a sliding groove 11, the outer wall of the sliding column 9 is in sliding connection with the inner wall of the sliding groove 11, the top end of the sliding column 9 is connected with the bottom end of the arrow 10, the top end of the sliding groove 11 is provided with scales 12; the portable intestine and the portable intestine clamping device are characterized in that the hemispherical head is placed inside an intestine on one side and tightly fastens the intestine, then the main body stretches into the intestine on the other side through an anus, then the screw rod drives the nut, the sliding column and the arrow to move when rotating, the conical head is inserted into the hemispherical head and fixed, then the screw rod is rotated reversely and closes two sections of intestines, the closing force of the intestines at two ends can be observed through the position of the arrow pointing to the scale, the hemispherical head is moved to be taken out from the anus through the main body and the conical head after the two sections of intestines are closed, the tissues of the intestines are prevented from being damaged, and the use reliability is improved.
The length and the bending curvature of the main body 1 can be adjusted according to actual conditions, the main body 1 and the hemispherical head 7 can be made of stainless steel or titanium alloy, and meanwhile, the main body 1 and the hemispherical head 7 can be made of polyurethane or hard plastic and other materials meeting the standard in sanitation for reducing the production cost without creative labor of technicians in the field.
The invention relates to an intestinal closure device, which comprises an upper clamping support 13, a lower clamping support 14, two groups of pin shafts 15, an upper support 16, a lower support 17, a first spring 18, a cutter 21, a cutter connecting post 22, a bottom support 23, a spring stop block 24 and a second spring 25, wherein the top end of the upper clamping support 13 is connected with the bottom end of a main body 1, the top end of the lower clamping support 14 is rotatably connected with the bottom end of the upper clamping support 13 through the two groups of pin shafts 15, the outer wall of the upper support 16 is connected with the outer wall of the upper clamping support 13, the bottom end of the lower support 17 is connected with the top end of the lower clamping support 14, the top end of the first spring 18 is connected with the bottom end of the upper support 16, the bottom end of the first spring 18 is connected with the top end of the lower support 17, two groups of slideways 19 are arranged on the outer wall of the, the right end of the cutter 21 is connected with the left end of the cutter connecting column 22, the outer wall of the cutter connecting column 22 is in sliding connection with the middle of the bottom bracket 23, the top end of the bottom bracket 23 is connected with the bottom end of the main body 1, the left end of the spring stop block 24 is connected with the right end of the cutter connecting column 22, the second spring 25 is sleeved on the outer wall of the cutter connecting column 22, the left end of the second spring 25 is in contact with the right end of the bottom bracket 23, and the right end of the second spring 25 is in; the lower clamping support is rotated to overcome the elasticity of the upper supporting frame, so that the upper clamping support and the lower clamping support are opened, the intestinal canal to be cut off is placed between the upper clamping support and the lower clamping support, then the lower clamping support is loosened to enable the lower clamping support and the upper clamping support to clamp the intestinal canal, the spring stop block is moved leftwards to drive the cutter connecting column and the cutter to move leftwards, and the cutter cuts off the intestinal canal, so that the device has a cutting function, and the use limitation is reduced.
The intestinal closure device further comprises two groups of third spring supports 26, two groups of third springs 27 and two groups of clamping pins 28, wherein the inner walls of the two groups of third spring supports 26 are connected with the outer wall of the connecting pipe 6, one ends of the two groups of third springs 27 are connected with the inner wall of the third spring supports 26, the other ends of the two groups of third springs 27 are connected with the input ends of the clamping pins 28, and the two groups of clamping pins 28 are respectively in sliding connection with two groups of small holes formed in the connecting pipe 6; through setting up two sets of third spring bracket, two sets of third springs and two sets of chucking round pin posts, make the conical head insert in the connecting pipe and can block, improved the use reliability.
The intestinal closure device comprises a handle 5, wherein the outer wall of the handle is provided with a plurality of groups of anti-skid grains 29; through the arrangement of the plurality of groups of anti-slip lines, the grip can be held by hands to avoid sliding, and the use reliability is improved.
The intestinal closure device further comprises a fine adjustment handle 30, wherein the left end of the fine adjustment handle 30 and the right end of the handle 5 are connected with the left end of the handle; the rotary fine adjustment handle can drive the handle and the screw rod to rotate, the force arm of the rotary screw rod is small, so that the force when the two sections of intestinal canals are closed can be finely adjusted, and the intestinal canal tissue is prevented from being damaged.
The intestinal closure device further comprises an upper protection sleeve 31 and a lower protection sleeve 32, wherein the right end of the upper protection sleeve 31 is connected with the left end of the upper clamping support 13, and the right end of the lower protection sleeve 32 is connected with the left end of the lower clamping support 14; through setting up lag and lag down, make down press from both sides tight support and last press from both sides tight support and avoid fish tail intestines tube surface when pressing from both sides tight intestines tube operation, improved the use reliability.
According to the intestinal closure device, the bottom end of the upper clamping support 13 is provided with the strip-shaped lines 33; through setting up the bar line, make the cutter avoid the intestines tube to slide when cutting the intestines tube, further improved the reliability of using.
The intestinal closure device comprises a main body 1, wherein an observation port 34 is arranged on the outer wall of the main body; through setting up the viewing aperture, can observe the inside behavior of main part, if have unusually can in time maintain, reduce the limitation of using.
In addition, in order to reduce the harm of the apparatus to the patient, the closer of the invention smoothly processes the convex part.
When the intestinal closure device works, the lower clamping support is rotated to overcome the elasticity of the upper support frame to open the upper clamping support and the lower clamping support, an intestinal tube to be cut is placed between the upper clamping support and the lower clamping support, then the lower clamping support is loosened to enable the lower clamping support and the upper clamping support to clamp the intestinal tube, the spring stop block is moved leftwards to drive the cutter connecting column and the cutter to move leftwards, and the cutter cuts off the intestinal tube; the hemisphere head is placed inside the intestinal canal of one side and is tightened up the intestinal canal, then stretch into the main part inside the intestinal canal of opposite side through the anus, then drive nut, traveller and arrow head removal when the screw rod is rotatory, the cone head inserts to the hemisphere head inside and fixed, then the reverse rotation screw rod is close to and is closed with two sections intestinal canals, make the closed dynamics of both ends intestinal canal can observe through the position of the directional scale of arrow head, two sections intestinal canals are closed after then move the hemisphere head through main part and cone head and take out from the anus, avoid intestinal canal tissue to be destroyed, use reliability is improved.
The intestinal closure device disclosed by the invention is mounted, connected or arranged in a common mechanical mode, and can be implemented as long as the beneficial effects of the intestinal closure device are achieved.
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and variations can be made without departing from the technical principle of the present invention, and these modifications and variations should also be regarded as the protection scope of the present invention.

Claims (8)

1. An intestinal tract closer comprises a main body (1), a fixing frame (2), a screw rod (3), a conical head (4), a handle (5) and a connecting pipe (6), wherein a cavity is arranged inside the main body (1), a left opening is formed in the left end of the main body (1), a right opening is formed in the right end of the main body (1), the left opening and the right opening are communicated with the cavity, the outer wall of the fixing frame (2) is connected with the inner wall of the cavity of the main body (1), the middle part of the fixing frame (2) is in threaded connection with the outer wall of the screw rod (3), the left end of the screw rod (3) is connected with the right end of the conical head (4), the right end of the screw rod (3) is connected with the left end of the handle (5), a pipe cavity is arranged inside the connecting pipe (6), the right end of the connecting pipe (; the novel screw rod cutting device is characterized by further comprising a nut (8), a sliding column (9) and an arrow (10), the inner wall of the nut (8) is connected with the outer wall of the screw rod (3) in a threaded mode, the bottom end of the sliding column (9) is connected with the top end of the nut (8), a sliding groove (11) is formed in the top end of the main body (1), the outer wall of the sliding column (9) is connected with the inner wall of the sliding groove (11) in a sliding mode, the top end of the sliding column (9) is connected with the bottom end of the arrow (10), scales (12) are arranged on the top end of the.
2. The intestinal closure device according to claim 1, wherein the cutting device comprises an upper clamping support (13), a lower clamping support (14), two sets of pins (15), an upper support (16), a lower support (17), a first spring (18), a cutter (21), a cutter connecting post (22), a bottom support (23), a spring stop (24) and a second spring (25), the top end of the upper clamping support (13) is connected with the bottom end of the main body (1), the top end of the lower clamping support (14) is rotatably connected with the bottom end of the upper clamping support (13) through the two sets of pins (15), the outer wall of the upper support (16) is connected with the outer wall of the upper clamping support (13), the bottom end of the lower clamping support (17) is connected with the top end of the lower clamping support (14), the top end of the first spring (18) is connected with the bottom end of the upper support (16), the bottom end of the first spring (18) is connected with the top end of, go up and press from both sides and be provided with two sets of slides (19) on tight support (13) outer wall, cutter (21) outer wall both ends are provided with guide post (20) respectively, two sets of guide post (20) and two sets of slide (19) sliding connection, cutter (21) right-hand member is connected with cutter spliced pole (22) left end, cutter spliced pole (22) outer wall and end support (23) middle part sliding connection, end support (23) top is connected with main part (1) bottom, spring dog (24) left end is connected with cutter spliced pole (22) right-hand member, second spring (25) suit is on cutter spliced pole (22) outer wall, second spring (25) left end and end support (23) right-hand member contact, second spring (25) right-hand member and spring dog (24) left end contact.
3. The intestinal closure device according to claim 1, further comprising two sets of third spring supports (26), two sets of third springs (27) and two sets of locking pins (28), wherein the inner walls of the two sets of third spring supports (26) are connected with the outer wall of the connecting pipe (6), one ends of the two sets of third springs (27) are connected with the inner wall of the third spring supports (26), the other ends of the two sets of third springs are connected with the input ends of the locking pins (28), and the two sets of locking pins (28) are slidably connected with the two sets of small holes formed in the connecting pipe (6), respectively.
4. An intestinal closure device as claimed in claim 1, characterized in that the outer wall of the handle (5) is provided with a plurality of sets of anti-slip threads (29).
5. The intestinal closure device according to claim 1, further comprising a fine adjustment handle (30), wherein the left end of the fine adjustment handle (30) is connected with the right end of the handle (5).
6. An intestinal closure device according to claim 2, further comprising an upper protective sleeve (31) and a lower protective sleeve (32), wherein the right end of the upper protective sleeve (31) is connected to the left end of the upper clamping bracket (13), and the right end of the lower protective sleeve (32) is connected to the left end of the lower clamping bracket (14).
7. An intestinal closure device according to claim 2, characterized in that the lower end of the upper clamping bracket (13) is provided with a strip (33).
8. An intestinal closure device according to claim 1, wherein the outer wall of the body (1) is provided with a viewing port (34).
CN202010256628.3A 2020-04-02 2020-04-02 Intestinal closure device Active CN111407346B (en)

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CN112674843A (en) * 2021-02-02 2021-04-20 山东省千佛山医院 Partial arc cutting anastomat
CN112674843B (en) * 2021-02-02 2021-10-26 山东省千佛山医院 Partial arc cutting anastomat

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