Medical anastomat nail bin and anastomat thereof
Technical Field
The invention relates to the technical field of medical suturing instruments, in particular to a nail bin of a medical anastomat and an anastomat thereof.
Background
The anastomat is equipment used for replacing traditional manual suturing in medicine, and due to the development of modern science and technology and the improvement of manufacturing technology, the anastomat used clinically has the advantages of reliable quality, convenience in use, tightness and proper tightness, particularly has the advantages of quick suturing, simplicity and convenience in operation, few side effects, few surgical complications and the like, so that the application range of the anastomat is wider and wider in the existing surgery.
Publication No. CN104997542A provides a cartridge for an intracavity cutting stapler, which can install staples and a staple abutting seat to cooperate to achieve stapling to tissue, but still has the following disadvantages: 1. the anastomotic nail is directly arranged in the anastomotic nail groove, and a fixing device is not arranged in the anastomotic nail groove, so that the placed anastomotic nail is easy to fall off when the anastomotic nail is inclined or inverted; 2. although the contact surface of the device and the tissue is arranged in a step shape, the fall of the step cannot be adjusted according to the actual condition of the tissue, and the applicability of the device is poor; 3. because the staple bin of the anastomat has a certain length, when the staple bin is actually used and the staple pushing seat is in contact with the staple bin, the extrusion force of the staple bin far away from the force application end, which is applied to the staple bin, is small, the stress conditions of staples at all positions of the staple bin are inconsistent, the suturing effect is inconsistent, and the wound anastomosis effect is poor.
Disclosure of Invention
The invention aims to provide a nail bin of a medical anastomat, and aims to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme:
the utility model provides a medical anastomat nail storehouse, is including ordering storehouse main part, connection handle, cutting groove and suture nail groove, the one end of ordering the storehouse main part is connected with the connection handle, the up end of ordering the storehouse main part is provided with cutting groove and suture nail groove, wherein:
the upper end surface of the bin ordering main body is provided with an adjusting groove, an adjusting attaching plate is installed in the adjusting groove, an adjusting assembly is installed at the bottom of the bin ordering main body, the upper end of the adjusting assembly is connected with the bottom of the adjusting attaching plate to drive the adjusting attaching plate to move up and down, a sewing nail groove is formed in the upper end surface of the adjusting attaching plate, and a staple bolt assembly is installed between every two adjacent sewing nail grooves;
the bail subassembly includes staple groove, dead lever, mounting hole, connecting rod, extrusion piece, presses compression leg, reset plate and reset spring, the bottom in staple groove is provided with the staple groove rather than the intercommunication, the internally mounted in staple groove has the dead lever, the dead lever evenly sets up in the both sides in staple groove, and is adjacent staple and be provided with the mounting hole on the storehouse main part of ordering between the groove and the regulation binding plate, the middle part of connecting rod is fixed with extrusion piece and reset plate, the dead lever card is between extrusion piece and reset plate, install reset spring between reset plate and the staple groove bottom surface, the extrusion piece is the cone, drive extrusion piece downstream through the connecting rod when pressing the compression leg to push down, press the upper end face of pressing the protrusion to order the storehouse main part and adjust binding plate.
Preferably, the distance between the two fixing rods is smaller than the width of the clamping nail groove.
Preferably, the bottom of adjusting the attaching plate is provided with an elastic supporting mechanism, and the elastic supporting mechanism is clamped between the adjusting attaching plate and the adjusting groove and provides support along with the movement of the adjusting attaching plate.
Preferably, the elastic support mechanism comprises an elastic plate and a positioning groove, the elastic plate is arched, the positioning groove is formed in the bottom of the adjusting groove, the upper end of the elastic plate is fixed at the lower end of the adjusting attaching plate, and the bottom of the elastic plate is clamped in the positioning groove.
Preferably, the adjusting part comprises screw thread seat, roating seat, screw rod and knob, the roating seat is installed to the bottom of adjusting the rigging board, the screw thread seat is installed to the bottom surface of adjustment tank, the screw rod passes the screw thread seat, the rotatable inside of installing at the roating seat in the upper end of screw rod, the lower extreme of screw rod is fixed with the knob.
Preferably, the connection handle includes activity handle, installation handle, fixed smooth button, connecting axle and screens pole, be provided with the connector in the installation handle, the activity handle is installed in the connector, the connecting axle is connected activity handle and installation handle, the lower extreme of activity handle and installation handle is provided with the shifting chute, fixed smooth button slip card is in the shifting chute, the inside in shifting chute is fixed with the screens pole in the activity handle, the lower extreme of fixed smooth button is provided with and screens pole shape assorted recess, fixed smooth button card is on the screens pole.
Preferably, the outer side of the movable handle and the mounting handles on the two sides of the connecting port are provided with torsion grooves, torsion springs are mounted in the torsion grooves, one ends of the torsion springs are fixed on the movable handle, and the other ends of the torsion springs are mounted on the mounting handles.
Preferably, a plurality of grooves are uniformly formed in the clamping position rod, and the height of each groove is inconsistent.
The invention also discloses a medical anastomat, which comprises an anastomat main body and a nail abutting seat, wherein the nail abutting seat is fixed on the anastomat main body, and the nail abutting seat comprises: the medical anastomat is provided with the anastomat nail bin, and the anastomat nail bin is arranged opposite to the nail abutting seat.
Compared with the prior art, the invention has the beneficial effects that:
1. the suturing nail is fixed through the fixing rod, when the suturing nail is not used, the suturing nail cannot fall off or incline if the nail bin of the anastomat inclines, when the suturing nail is used, the nail abutting seat drives the extrusion block to extrude the fixing rod, the fixing rod is opened, the suturing nail is separated from the fixing of the fixing rod, and therefore the normal use of the suturing nail is not influenced when the suturing nail is used;
2. the height of the attaching plate is controlled and adjusted through the adjusting assembly, so that a stepped structure with different fall is formed between the stapling main body and the adjusting attaching plate, the height of the adjusting attaching plate can be adjusted according to different tissue conditions, various clamped tissues can be prevented from falling off, various tissues can be well compressed, and each row of suturing nails can be formed consistently, safely and reliably;
3. through the different positions of fixed knob card at the screens pole to adjustment activity handle becomes different angles with the installation handle, can let the storehouse main part of ordering that is connected with the activity handle when using to supporting the nail seat slope to certain angle, can contact in advance to keeping away from the staple storehouse main part of application of force end when supporting the nail seat and ordering the storehouse and contacting, and the nail shaping atress that lets each department is even, guarantees that the effect of sewing up of each sewing nail is unanimous, has further improved anastomotic effect.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic structural view of the elastic support mechanism of the present invention;
FIG. 3 is a schematic view of a staple assembly of the present invention;
FIG. 4 is a schematic cross-sectional view of a staple assembly of the present invention;
FIG. 5 is a schematic cross-sectional view of an adjustment assembly of the present invention;
FIG. 6 is an exploded view of the stem of the present invention;
FIG. 7 is a cross-sectional view of the stem of the present invention;
fig. 8 is a schematic view of the overall structure of the stem of the present invention.
In the figure: 1 stapling cabin main body, 2 connecting handles, 201 movable handles, 202 installation handles, 203 fixed sliding buttons, 204 connecting shafts, 205 clamping rods, 206 torsion springs, 207 connecting ports, 208 moving grooves, 209 torsion grooves, 3 cutting grooves, 4 suture nail grooves, 5 adjusting grooves, 6 adjusting attaching plates, 7 adjusting components, 701 threaded seats, 702 rotating seats, 703 screw rods, 704 knobs, 8 clamping nail components, 801 clamping nail grooves, 802 fixed rods, 803 installation holes, 804 connecting rods, 805 extrusion blocks, 806 pressing columns, 807 resetting discs, 808 resetting springs, 9 elastic supporting mechanisms, 901 elastic plates and 902 positioning grooves.
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.
Example (b):
referring to fig. 1 to 8, the present invention provides a technical solution:
the utility model provides a medical anastomat nail storehouse, is including ordering storehouse main part 1, connecting handle 2, cutting groove 3, suture nail groove 4, adjustment tank 5, regulation rigging board 6, adjusting part 7, bail subassembly 8 and elastic support mechanism 9, wherein:
one end of the stapling chamber main body 1 is connected with a connecting handle 2, the upper end surface of the stapling chamber main body 1 is provided with a cutting groove 3 and a suture nail groove 4, an adjusting groove 5 is arranged on the upper end surface of the stapling chamber main body 1, an adjusting attaching plate 6 is arranged in the adjusting groove 5, the bottom of the adjusting attaching plate 6 is provided with an elastic supporting mechanism 9, the elastic supporting mechanism 9 comprises an elastic plate 901 and a positioning groove 902, the elastic plate 901 is in a bow shape, the bottom of the adjusting groove 5 is provided with a positioning groove 902, the upper end of the elastic plate 901 is fixed at the lower end of the adjusting attaching plate 6, the bottom of the elastic plate 901 is clamped in the positioning groove 902, the elastic plate 901 is an elastic metal plate and can always abut against between the adjusting attachment plate 6 and the adjusting groove 5 along with the movement of the adjusting attachment plate 6, thereby providing the support in the bottom of adjusting rigging board 6 all the time to prevent to adjust rigging board 6 and take place to rock when receiving to the nail seat extrusion.
The bottom of the stapling main body 1 is provided with an adjusting component 7, the adjusting component 7 is composed of a threaded seat 701, a rotating seat 702, a screw rod 703 and a knob 704, the bottom of the adjusting groove 5 is provided with the threaded seat 701, the screw rod 703 penetrates through the threaded seat 701, the surface of the screw rod 703 is provided with an external thread, the inner wall of the threaded seat 701 is provided with an internal thread matched with the surface of the screw rod 703, the bottom of the adjusting attaching plate 6 is provided with the rotating seat 702, the upper end of the screw rod 703 is arranged in the rotating seat 702 to connect the screw rod 703 and the adjusting attaching plate 6 together, the upper end of the screw rod 703 can rotate in the rotating seat 702, the knob 704 is fixed at the lower end of the screw rod 703, when the knob 704 is rotated, the screw rod 703 can move up and down in the rotating seat 702 to drive the adjusting attaching plate 6 to go up and down, so that the adjusting component 7 can control the height of the adjusting attaching plate 6, thereby let order the echelonment structure that presents different drops between storehouse main part 1 and the regulation attaching plate 6, can adjust the height of adjusting attaching plate 6 according to the tissue condition of difference, can prevent that all kinds of tissues of centre gripping from droing, guarantee that all kinds of tissues can both be compressed well, be favorable to every row to sew up the nail shaping unanimously, safe and reliable.
The upper end of the adjusting component 7 is connected with the bottom of the adjusting attaching plate 6, the adjusting attaching plate 6 is driven to move up and down, the upper end face of the adjusting attaching plate 6 is provided with a staple groove 4, staples are installed in the staple groove 4 in the stapling main body 1 and the adjusting attaching plate 6, a staple component 8 is installed between the staple grooves 4, the staple component 8 comprises a staple groove 801, a fixing rod 802, an installation hole 803, a connecting rod 804, an extrusion block 805, a pressing column 806, a reset disc 807 and a reset spring 808, the bottom of the staple groove 4 is provided with a staple groove 801 communicated with the staple groove, when the staples are installed in the staple groove 4, the bottom of the staples are located in the staple groove 801, the fixing rod 802 is installed inside the staple groove 801, the fixing rods 802 are evenly arranged on two sides of the staple groove 801, and the distance between the two fixing rods 802 is smaller than the width of the staple groove 801, the two fixing rods 802 clamp the bottoms of the staples, when the staple cartridge is not used, namely in a normal state, if the staple cartridge of the anastomat inclines, the staples cannot fall and incline, the staple cartridge main body 1 and the adjusting attaching plate 6 between the adjacent staple grooves 4 are provided with mounting holes 803, the middle part of each connecting rod 804 is fixed with a squeezing block 805 and a reset disc 807, the squeezing block 805 is a cone, the fixing rods 802 are clamped between the squeezing block 805 and the reset disc 807, the squeezing block 805 is driven to move downwards by the connecting rods 804 when the pressing columns 806 press downwards, so that the two fixing rods 802 are squeezed towards two sides, the distance between the two fixing blocks 802 is increased, the staples are separated from the fixing of the fixing rods 802, the normal use of the staples is not affected when the staples are used, the reset springs 808 are mounted between the reset discs 807 and the bottom surfaces of the staple grooves 801, and the reset springs 808 can drive the squeezing blocks 805 to reset after the squeezing blocks 805 are pressed downwards, the pressing column 806 protrudes out of the upper end face of the stapling main body 1 and the adjusting attaching plate 6, so that the nail pushing seat can extrude the pressing column 80 to drive the extruding block 805 to move downwards when in use.
The connecting handle 2 comprises a movable handle 201, a mounting handle 202, a fixed sliding button 203, a connecting shaft 204 and a clamping rod 205, a connecting port 207 is arranged in the mounting handle 202, the movable handle 201 is mounted in the connecting port 207, the connecting shaft 204 connects the movable handle 201 and the mounting handle 202, the movable handle 201 can rotate around the connecting shaft 204, torque grooves 209 are formed in the outer side of the movable handle 201 and the mounting handles 202 on the two sides of the connecting port 207, a torque spring 206 is mounted in each torque groove 209, one end of the torque spring 206 is fixed on the movable handle 201, the other end of the torque spring is mounted on the mounting handle 202, and under the action of the torque spring 206, after the movable handle 201 rotates, the movable handle 201 and the mounting handle 202 can be reset to a certain angle all the time.
The lower ends of the movable handle 201 and the mounting handle 202 are provided with a moving groove 208, the fixed slide button 203 is slidably clamped in the moving groove 208, the inside of the moving groove 208 in the movable handle 201 is fixed with a clamping rod 205, the lower end of the fixed slide button 203 is provided with a groove matched with the shape of the clamping rod 205, the fixed slide button 203 is clamped on the clamping rod 205, the grooves of the fixed slide button 203 clamped on the clamping rod 205 are uniformly provided with a plurality of grooves, and the height of each groove is different, when the fixed slide button 203 slides, different grooves at the bottom of the fixed slide button 203 can be clamped on the clamping rod 205, because the height of each groove is different, the fixed slide button 203 can support the movable handle 201 to rotate at different angles, so as to adjust different angles between the movable handle 201 and the mounting handle 202, when in use, the stapling main body 1 connected with the movable handle 201 can incline to a nail supporting seat to a certain angle, when the nail abutting seat is in contact with the stapling chamber, the nail chamber main body far away from the force application end can be contacted in advance, so that the stress of the formed nails at all positions is uniform, the sewing effect of each sewing nail is ensured to be consistent, and the anastomotic effect is further improved.
The invention also discloses a medical anastomat, which comprises an anastomat main body and a nail abutting seat, wherein the nail abutting seat is fixed on the anastomat main body, and the nail abutting seat comprises: the medical anastomat is provided with the anastomat nail bin, and the anastomat nail bin is arranged opposite to the nail abutting seat.
The use principle of the invention is as follows: the mounting handle 202 is mounted on a mounting opening of the anastomat, suturing nails are mounted in a nail clamping groove 801 on the stapling main body 1 and the adjusting attaching plate 6, the suturing nails are pressed downwards, the bottoms of the suturing nails are clamped between two fixing rods 802, then the rotating knob 704 adjusts the height of the adjusting attaching plate 6 according to the actual situation of the tissue, and a step-shaped structure with proper fall is formed between the stapling main body 1 and the adjusting attaching plate 6, so that the stapling main body 1, the adjusting attaching plate 6 and the nail abutting seat can well clamp the tissue, and the tissue can be well compressed between the stapling main body 1, the adjusting attaching plate 6 and the nail abutting seat;
then the fixed sliding button 203 is pressed to slide, a proper groove at the bottom of the fixed sliding button 203 is clamped on the clamping rod 205, the fixed sliding button 203 abuts against the movable handle 201 to rotate at different angles, so that a proper angle is formed between the movable handle 201 and the installation handle 202, the stapling chamber main body 1 connected with the movable handle 201 is inclined to the nail abutting seat to a proper angle, the nail abutting seat can be contacted with the stapling chamber before the nail chamber main body far away from a force application end, and the formed stress of nails at all positions is uniform;
finally, the stapler body is operated to enable the nail bin and the nail abutting seat to be mutually extruded, the suturing nail penetrates through tissues and then is blocked by the nail abutting seat on the opposite side, the suturing nail is inwards bent to form a B shape which is mutually staggered, the tissues are permanently nailed together, the nail abutting seat presses the pressing column 806 when the nail bin is pressed at low pressure, the extrusion block 805 is driven to move downwards, therefore, the two fixing rods 802 are extruded towards two sides, the distance between the two fixing rods 802 is increased, and the suturing nail is automatically separated from the fixing rods 802 when the nail bin is separated from the nail abutting seat.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.