CN112754564B - Minimally invasive endoscope anastomat convenient to adjust clamping angle - Google Patents

Minimally invasive endoscope anastomat convenient to adjust clamping angle Download PDF

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Publication number
CN112754564B
CN112754564B CN202110061173.4A CN202110061173A CN112754564B CN 112754564 B CN112754564 B CN 112754564B CN 202110061173 A CN202110061173 A CN 202110061173A CN 112754564 B CN112754564 B CN 112754564B
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China
Prior art keywords
groove
fixed
block
output motor
gear
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CN202110061173.4A
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Chinese (zh)
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CN112754564A (en
Inventor
王春华
李莹
李志伟
桑小林
张玲
薛辉
蒋易良
张佳锴
陈政
赵红
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Changzhou Ankang Medical Equipment Co ltd
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Changzhou Ankang Medical Equipment Co ltd
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Priority to CN202110061173.4A priority Critical patent/CN112754564B/en
Publication of CN112754564A publication Critical patent/CN112754564A/en
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    • 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
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02JCIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/0042Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries characterised by the mechanical construction
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02JCIRCUIT ARRANGEMENTS OR SYSTEMS FOR SUPPLYING OR DISTRIBUTING ELECTRIC POWER; SYSTEMS FOR STORING ELECTRIC ENERGY
    • H02J7/00Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
    • H02J7/0068Battery or charger load switching, e.g. concurrent charging and load supply
    • HELECTRICITY
    • H02GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02PCONTROL OR REGULATION OF ELECTRIC MOTORS, ELECTRIC GENERATORS OR DYNAMO-ELECTRIC CONVERTERS; CONTROLLING TRANSFORMERS, REACTORS OR CHOKE COILS
    • H02P5/00Arrangements specially adapted for regulating or controlling the speed or torque of two or more electric motors

Abstract

The invention discloses a minimally invasive endoscopic anastomat convenient for adjusting a clamping angle, which comprises a connecting block, an adjusting disc, an installation block, a thread block, a gear, a screw rod, a joint pipe, a first straight pipe, a conical body, a bearing, a second straight pipe, an installation body, a rotating motor and a fixed handle, a first clamping groove is arranged on the periphery of the connecting block, a first mounting groove is arranged on the periphery of the adjusting disc, the two sides of the wire block are fixed with connecting plate groups, the gear is movably arranged between the connecting plate groups through a fixing pin, the minimally invasive endoscopic anastomat convenient for adjusting the clamping angle is provided with an adjusting disc which is driven to move by different motors, thereby change the incline direction of festival pipe and make things convenient for the festival pipe to carry out the rotation of inclining in different directions, conveniently carry out the operation to the inside not organ of co-altitude of patient and handle, reduce whole operation cost time and avoid manual rotation anastomat's in-process to avoid the anastomat to touch mutually in patient's internal organ to make the secondary damage that is patient's internal organ simultaneously.

Description

Minimally invasive endoscope anastomat convenient to adjust clamping angle
Technical Field
The invention relates to the technical field of minimally invasive endoscopic staplers, in particular to a minimally invasive endoscopic stapler convenient for adjusting a clamping angle.
Background
The minimally invasive endoscope anastomat can only be subjected to left-right swing adjustment in the using process and cannot be adjusted up and down, so that muscle tissues with higher positions in the operation process need to be continuously rotated by an operator to adjust the adding and holding angle of the anastomat, the operation time is longer, the anastomat is also caused to be touched, damaged and influenced to other organs inside a human body through the internal rotation motion of the human body, the swing angle of the existing anastomat is adjusted through manual rotation, the anastomat is operated by one person in the inconvenient operation process, and the adding and holding angle can be adjusted only by stopping manually in the adjusting process, so that the operation time is prolonged, and the overall fatigue of the operator is also increased.
Disclosure of Invention
The invention aims to provide a minimally invasive endoscopic stapler convenient for adjusting a clamping angle aiming at the defects of the prior art, so as to solve the problems that the minimally invasive endoscopic stapler proposed in the background technology can only perform left-right swing adjustment and can not perform up-down adjustment in the using process, therefore, the muscle tissue with higher position needs the operator to continuously rotate the wrist to adjust the holding angle of the anastomat in the operation process, which not only takes longer operation time, but also causes the anastomat to rotate in the human body to touch and damage and influence other organs in the human body, moreover, the swing angle of the existing anastomat is adjusted through manual rotation, so that the operation of the anastomat by a single person in the operation process is inconvenient, and the clamping angle can be adjusted only by stopping manual operation in the adjusting process, so that the operation time is prolonged, and the overall fatigue of an operator is increased.
In order to achieve the purpose, the invention provides the following technical scheme: a minimally invasive endoscope anastomat convenient for adjusting a clamping angle comprises a connecting block, an adjusting disc, an installing block, a wire block, a gear, a screw rod, a joint pipe, a first straight pipe, a conical body, a bearing, a second straight pipe, an installing body, a rotating motor and a fixed handle, wherein a first clamping groove is formed in the periphery of the connecting block, first through grooves are formed in two sides of the connecting block in a penetrating mode, a first mounting groove is formed in the periphery of the adjusting disc, a second through groove is formed in the upper portion of the adjusting disc in a penetrating mode, racks are fixed on two sides inside the first mounting groove, the adjusting disc is fixed to the right side of the connecting block through the second through grooves and the first through grooves in a matching mode, a second mounting groove is formed in the periphery of the installing block, a movable groove is formed in the left side of the installing block, a third through groove is formed in the right side of the installing block in a penetrating mode, a connecting rod is fixed to the left side of the installing block, and a convex block is fixed to the bottom of the connecting rod, a first output motor, a second output motor, a third output motor and a fourth output motor are respectively fixed in the second mounting groove, connecting plate groups are fixed on two sides of the screw block, the gear is movably mounted between the connecting plate groups through a fixing pin, the bottom of the screw rod penetrates through the screw block and extends into the second mounting groove, the top end of the screw rod is respectively and fixedly connected with the output ends of the first output motor, the second output motor, the third output motor and the fourth output motor, the gear is meshed with the rack, the lug is movably connected with the connecting block through a first clamping groove, a nail gun clamping plate is fixedly connected below the left side of the joint pipe, a second clamping groove is formed at the top end of the nail gun clamping plate, a nail abutting seat is fixed above the left side of the joint pipe through a movable pin, a sliding groove is formed below the inner part of the nail abutting seat, an abutting block is slidably mounted in the sliding groove, the right side of the joint pipe is fixedly connected with the left side of the connecting block, a cutter is movably arranged in the first straight pipe, the left side of the cutter penetrates through the third through groove, the second through groove, the first through groove, the pipe joint and the sliding groove to be fixedly connected with the right side of the abutting block, the right side of the mounting block is fixedly connected with the left side of the first straight pipe, and a sliding hole is formed in the left side of the conical body;
the inner ring of the bearing is fixed with groove teeth, the bearing is fixed on the right side inside the conical body, the inside of the second straight pipe is movably provided with a connecting rod, a charging hole is formed below the right side of the installation body, the right side inside the installation body is fixed with a storage battery, the output end of the rotating motor is fixed with a driving gear, the rotating motor is fixed on the left side inside the installation body, the lower side of the left side of the installation body is movably provided with a firing handle, the right side of the firing handle is movably provided with a movable handle, the left side of the movable handle is fixedly embedded with a first control switch, the left side of the fixed handle is fixedly embedded with a second control switch, the fixed handle is fixed on the right side of the movable handle, a switching button is embedded above the surface of the installation body, the right side of the second straight pipe penetrates through a sliding hole to be fixedly connected with a driven gear, the driven gear is installed inside the groove teeth, and driven gear is connected with the meshing of groove tooth, the driving gear runs through the conical body right side and extends to be connected with the meshing of groove tooth inside the groove tooth, conical body right side and installation body left side fixed connection, the connecting rod right side runs through driven gear and is connected with the percussion handle, the battery passes through electric wire and charging hole electric connection, the rotating electrical machines all passes through electric wire and battery and first control switch electric connection, first output motor, second output motor, third output motor and fourth output motor all pass through electric wire and battery and second control switch electric connection.
Preferably, the number of the racks is 2, and the racks are symmetrically arranged about a center line of the first mounting groove.
Preferably, the difference between the installation distances of the movable groove and the adjusting disc is 1-1.5 mm.
Preferably, the connecting rod is shaped like an 'L'.
Preferably, the number of the convex blocks is 4, and the convex blocks are symmetrically arranged around the axis of the mounting block.
Preferably, the wire block, the gear, the connecting plate group and the rack form a moving mechanism, and the moving distance of the moving mechanism ranges from 0 cm to 5 cm.
Preferably, the number of the gears is 2, and the gears are symmetrically arranged around the central line of the wire block
Preferably, the connection shape of the bearing and the groove tooth is concentric circles
Preferably, the rotating motor, the driving gear, the groove gear, the bearing and the driven gear form a rotating mechanism, and the rotating mechanism has a rotating angle range of 0-360 degrees.
Compared with the prior art, the invention has the beneficial effects that: the minimally invasive endoscopic anastomat convenient for adjusting the clamping angle,
(1) the adjusting disc is arranged, the adjusting disc is driven to move by different motors, so that the inclined direction of the tube joint is changed, the tube joint can be inclined and rotated in different directions conveniently, the rotating directions of the whole nail gun clamping plate and the nail abutting seat are changed, the surgical treatment on organs with different heights in a patient is facilitated, the condition that an operator rotates a wrist to adjust the clamping angle of the anastomat when adjusting different directions is avoided, the whole operation time is reduced, and the condition that the anastomat is contacted with the internal organs of the patient to cause secondary damage to the internal organs of the patient in the process of manually rotating the anastomat is avoided;
(2) the second controller is respectively connected with the first output motor, the second output motor, the third output motor and the fourth output motor through the second controller, so that different output motors are started to work through changing the motion direction of the second controller in the operation process, the holding angle of the anastomat is changed, the holding angle of the anastomat can be changed through manual rotation in the operation process of an operator is avoided, the simple operation of the operator is facilitated, and meanwhile, the integral fatigue strength of the operator is also avoided being increased in the operation process;
(3) be provided with the battery, provide working power for whole equipment through the battery to store electric power inside the battery through the battery, make things convenient for the quick adjustment of whole equipment operation in-process to add the operation of holding the angle, thereby reach and shorten whole operation time and improve whole operation efficiency, avoid whole operation time overlength to increase operator's fatigue strength.
Drawings
FIG. 1 is a schematic front sectional view of the present invention;
FIG. 2 is a schematic right-view structural diagram of a connecting block according to the present invention;
FIG. 3 is a schematic cross-sectional view of an adjusting plate and a mounting block of the present invention;
FIG. 4 is a front view of the mounting block of the present invention;
FIG. 5 is a schematic view of a bearing and groove tooth configuration of the present invention;
FIG. 6 is a schematic view of the front cross-sectional structure of the cone of the present invention;
fig. 7 is a schematic view of the left side structure of the fixed handle of the present invention.
In the figure: 1. connecting block, 2, first clamping groove, 3, first through groove, 4, adjusting disc, 5, first mounting groove, 6, second through groove, 7, rack, 8, mounting block, 10, movable groove, 12, connecting rod, 13, bump, 14, first output motor, 15, second output motor, 16, third output motor, 17, fourth output motor, 18, wire block, 19, connecting plate group, 20, gear, 21, lead screw, 22, joint pipe, 23, nail gun clamping plate, 24, second clamping groove, 25, nail abutting seat, 26, sliding groove, 27, abutting block, 28, first straight pipe, 29, cutter, 30, conical body, 31, sliding hole, 32, bearing, 33, groove tooth, 34, second straight pipe, 36, mounting body, 37, charging hole, 38, storage battery, 39, rotating motor, 40, driving gear, 41, firing handle, 42, movable handle, 43, first control switch, 44, adjusting disc, 5, first mounting groove, 6, second through groove, 6, second output motor, 18, screw block, 19, screw rod, 19, connecting rod, screw rod, bearing, 33, groove, second straight pipe, 36, charging hole, 38, storage battery, rotating motor, and driving gear, Fixed handle, 45, second control switch, 46, switching button, 47, driven gear.
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.
Referring to fig. 1-7, the present invention provides a technical solution: the utility model provides a wicresoft's chamber mirror anastomat convenient to adjust centre gripping angle, as shown in fig. 2, fig. 3, fig. 4 and fig. 5, connecting block 1 has seted up first draw-in groove 2 all around, connecting block 1 both sides are run through and have seted up first logical groove 3, adjusting disk 4 has seted up first mounting groove 5 all around, adjusting disk 4 top is run through and has been seted up second through-groove 6, the inside both sides of first mounting groove 5 are fixed with rack 7, rack 7 is provided with 2, and rack 7 sets up about first mounting groove 5 central line symmetry, so conveniently keep perpendicular decurrent thrust with silk piece 18 in the inside motion process of first mounting groove 5 all the time, prevent that rack 7 from setting up singly just causing silk piece 18 to drive gear 20 and can't keep silk piece 18 perpendicular downward motion all the time in the rack 7 meshing process, thereby cause the great angular migration to cause to support to make to support nail seat 25 and nail rifle splint 23 to adjust inclination too big easily and cause the contact with human internal organs to cause human two internal organs The secondary damage, the adjusting disk 4 is fixed on the right side of the connecting block 1 through the matching of the second through groove 6 and the first through groove 3, the second mounting groove is arranged around the mounting block 8, the movable groove 10 is arranged on the left side of the mounting block 8, the mounting distances between the movable groove 10 and the adjusting disk 4 are 1-1.5mm, if the mounting distance between the movable groove 10 and the adjusting disk 4 is too close, the adjusting disk 4 is in contact friction motion with the top end inside the movable groove 10 in the motion process, thereby the flexible motion of the adjusting disk 4 inside the movable groove 10 can not be realized, the output power of an output motor is increased, the normal service life between the adjusting disk 4 and the movable groove 10 is easily shortened in the friction motion process for a long time, the integral anastomat can not adjust the angle, the replacement cost of the integral equipment is increased, and the problem that the mounting distance between the movable groove 10 and the adjusting disk 4 is 1.5mm is avoided in use, the right side of the mounting block 8 is provided with a third through groove in a penetrating way, the left side of the mounting block 8 is fixed with a connecting rod 12, the connecting rod 12 is in an L shape, so that the lug 13 is conveniently and flexibly connected with the first clamping groove 2, meanwhile, the connecting rod 12 provides certain supporting force and supporting point for the connecting block 1, the connecting block 1 is prevented from being supported without any supporting force between the connecting block 1 and the connecting rod 12 to easily cause the connecting block 1 to fall into the movable groove 10, the clamping angle of the anastomat cannot be adjusted in the process of meshing the gear 20 and the rack 7, the connecting rod 12 is in an L shape, the integral practicability and the integral simplicity and attractiveness are reflected, the lug 13 is fixed at the bottom of the connecting rod 12, the 4 lugs 13 are arranged, the lugs 13 are symmetrically arranged relative to the axis of the mounting block 8, the clamping angle of the integral anastomat can be conveniently adjusted by flexibly mounting the lug 13 and the movable groove 10, and 4 bumps 13 are arranged to adjust four different clamping angles according to requirements, and also avoid the problem that the whole anastomat cannot be adjusted to the corresponding clamping angle due to too many or too few bumps 13, and meanwhile, the bumps 13 are symmetrically arranged about the axis of the mounting block 8, so that the symmetry of the whole mounting block 8 and the appearance beauty of the whole mounting block 8 are reflected, a first output motor 14, a second output motor 15, a third output motor 16 and a fourth output motor 17 are respectively fixed in a second mounting groove, connecting plate groups 19 are fixed on two sides of the wire block 18, a gear 20 is movably arranged between the connecting plate groups 19 through fixing pins, the bottom of the screw rod 21 penetrates through the wire block 18 and extends into the second mounting groove, and the top end of the screw rod 21 is respectively fixedly connected with the output ends of the first output motor 14, the second output motor 15, the third output motor 16 and the fourth output motor 17, the gear 20 is engaged with the rack 7, the wire block 18, the gear 20, the connecting plate group 19 and the rack 7 form a moving mechanism, the moving distance range of the moving mechanism is 0-5cm, the inclination angle of the whole adjusting disc 4 is changed through the relative motion of the gear 20 and the rack 7, the maximum moving distance of the whole moving mechanism is 5cm, when the whole moving mechanism reaches the maximum moving distance, the bottom of the screw rod 21 is in friction contact with the bottom end inside the installation groove 5, so that the installation groove 5 is easily damaged by friction in the moving process of the screw rod 21, meanwhile, the whole moving mechanism is provided with 2 groups, so that the corresponding adjusting angle of the adjusting disc 4 is conveniently changed through different moving mechanisms, so that the clamping angle of the whole anastomat is changed, 2 gears 20 are arranged, and the gears 20 are symmetrically arranged about the central line of the wire block 18, so that the relative motion of the gear 20 and the rack 7 is convenient to keep the gear 20 and the rack 7 in an engaged state all the time, if the gear 20 is single, the gear 20 on one side is easily disengaged from the rack 7 when the adjusting disc 4 is inclined in different directions, so that the gear 20 cannot be engaged with the rack 7 and the inclination angle of the corresponding side of the adjusting disc 4 cannot be changed, which increases the difficulty of adjustment in the whole operation process, and the gear 20 is provided with two devices which perform corresponding operations according to the number of the racks 7, namely prevents the gear 20 and the rack 7 from being disengaged to increase the difficulty of adjustment of the holding angle in the operation process, the bump 13 is movably connected with the connecting block 1 through the first clamping groove 2, a nail gun clamping plate 23 is fixedly connected below the left side of the joint pipe 22, a second clamping groove 24 is formed at the top end of the nail gun clamping plate 23, a nail abutting seat 25 is fixed above the left side of the joint pipe 22 through a movable pin, a sliding groove 26 is formed below the inner part of the nail abutting seat 25, and an abutting block 27 is slidably installed inside the sliding groove 26, the right side of the pipe joint 22 is fixedly connected with the left side of the connecting block 1, the cutter 29 is movably mounted inside the first straight pipe 28, the left side of the cutter 29 penetrates through the third through groove, the second through groove 6, the first through groove 3, the pipe joint 22 and the sliding groove 26 and is fixedly connected with the right side of the abutting block 27, and the right side of the mounting block 8 is fixedly connected with the left side of the first straight pipe 28.
As shown in fig. 1, 6 and 7, a sliding hole 31 is formed on the left side of the cone 30, a groove tooth 33 is fixed on the inner ring of the bearing 32, the bearing 32 is fixed on the right side of the inner part of the cone 30, the connecting shape of the bearing 32 and the groove tooth 33 is concentric, so that the groove tooth 33 is fixedly connected with the inner ring of the bearing 32, and the groove tooth 33 is prevented from being separated from the bearing 32 when the groove tooth 33 drives the bearing 32 to move, if the connecting shape of the bearing 32 and the groove tooth 33 is different, the bearing 32 and the groove tooth 33 need to be connected through other auxiliary workpieces in the connecting process of the bearing 32 and the groove tooth 33, and the bearing 32 and the groove tooth 33 are inevitably separated from each other when the integral anastomat is used, the rotating angles of the first straight pipe 28 and the second straight pipe 34 cannot be adjusted, a connecting rod is movably installed in the second straight pipe 34, a charging hole 37 is formed below the right side of the installation body 36, the storage battery 38 is fixed on the right side inside the mounting body 36, the driving gear 40 is fixed at the output end of the rotating motor 39, the rotating motor 39 is fixed on the left side inside the mounting body 36, the firing handle 41 is movably mounted below the left side of the mounting body 36, the movable handle 42 is movably mounted on the right side of the firing handle 41, the first control switch 43 is fixedly embedded on the left side of the movable handle 42, the second control switch 45 is fixedly embedded on the left side of the fixed handle 44, the fixed handle 44 is fixed on the right side of the movable handle 42, the switching button 46 is embedded above the surface of the mounting body 36, the right side through sliding hole 31 of the second straight pipe 34 is fixedly connected with the driven gear 47, the driven gear 47 is mounted inside the groove teeth 33, the driven gear 47 is meshed with the groove teeth 33, the driving gear 40 penetrates through the conical body 30 and extends to be meshed with the groove teeth 33, the rotating motor 39, the driving gear 40, the groove teeth 33, The bearing 32 and the driven gear 47 form a rotating mechanism, the rotating angle range of the rotating mechanism is 0-360 degrees, the driving gear 40 is driven to move by the rotating motor 39, thereby changing the rotation angle of the first straight pipe 28 and the second straight pipe 34, and the connection between the parts of the integral rotation mechanism is simple and clear, meanwhile, the integral rotating mechanism is convenient to mount and dismount, the integral rotating mechanism is convenient to operate by one hand in sequence, trouble of operation by two hands is avoided, the right side of the conical body 30 is fixedly connected with the left side of the mounting body 36, the right side of the connecting rod 12 penetrates through the driven gear 47 to be connected with the trigger handle 41, the storage battery 38 is electrically connected with the charging hole 37 through an electric wire, the rotating motor 39 is electrically connected with the storage battery 38 and the first control switch 43 through electric wires, and the first output motor 14, the second output motor 15, the third output motor 16 and the fourth output motor 17 are electrically connected with the storage battery 38 and the second control switch 45 through electric wires.
The working principle is as follows: when the minimally invasive endoscope anastomat convenient for adjusting the clamping angle is used, firstly, a charging wire is manually connected with a charging hole 37, the charging wire charges a storage battery 38, when the charging wire is fully charged, the charging wire is manually separated from the charging hole 37 again, then, the whole anastomat is placed at a corresponding position, when the fixed handle 44 is manually held in the operation process, an upward pulling force is exerted, the fixed handle 44 drives the installation body 36, the second straight pipe 34 and the first straight pipe 28 to move in the same direction, when the nail abutting seat 25 and the nail gun clamping plate 23 are vertical to the through hole of the puncture outfit, a certain downward pushing force is exerted on the fixed handle 44, the fixed handle 44 drives the installation body 36, the second straight pipe 34 and the first straight pipe 28 to move in the same direction, when the joint pipe 22 enters the human body, a key above a second control switch 45 is manually held, at the moment, the second control switch 45 controls the second output motor 15 to be started, the second output motor 15 is started to drive the screw rod 21 to move, the screw rod 21 drives the screw block 18 to move downwards, the screw block 18 drives the connecting plate group 19 and the gear 20 to move in the same direction, the gear 20 moves relative to the rack 7 in the process of moving, the gear 20 drives the adjusting disc 4 to move upwards and obliquely in the movable groove 10 in the process of moving downwards, the adjusting disc 4 drives the connecting block 1 to move in the same direction in the process of moving, meanwhile, the connecting block 1 drives the first clamping groove 2 to move relative to the connecting rod 12 and the lug 13 in the process of moving, the joint pipe 22 is driven to move in the same direction in the process of moving the connecting block 1, the joint pipe 22 drives the nail gun clamping plate 23 and the nail abutting seat 25 to move in the same direction, when the adjusting angles of the nail gun clamping plate 23 and the nail abutting seat 25 are observed through corresponding equipment, the second control switch 45 is loosened manually, the movable handle 42 is held manually, the first control switch 43 is pressed manually, and the first control switch 43 starts the rotating motor 39, the rotating motor 39 drives the driving gear 40 to move, the driving gear 40 drives the groove teeth 33 to move, the groove teeth 33 drive the bearing 32 to move, the groove teeth 33 drive the driven gear 47 to move in the moving process, the driven gear 47 drives the second straight pipe 34, the first straight pipe 28 and the joint pipe 22 to move in a rotating mode, the joint pipe 22 drives the nail gun clamping plate 23 and the nail abutting seat 25 to move in the same direction, when the rotating direction of the nail gun clamping plate 23 and the rotating direction of the nail abutting seat 25 are observed through corresponding equipment, the first control switch 43 is loosened manually, the rotating motor 39 stops moving at the moment, then the switching button 46 is pressed manually, when the switching button 46 is pressed, the handle 41 is struck again manually, the firing handle 41 drives the connecting rod to move towards the left side of the conical body 30 and the sliding hole 31, the cutter 29 is driven to move towards the left side of the first straight pipe 28 in the moving process of the connecting rod, the cutter 29 drives the abutting block 27 to move towards the left side inside the sliding groove 26, the nail in the nail gun clamping plate 23 is extruded out of the nail gun clamping plate 23 to repair the internal organs of the patient in the moving process of the abutting block 27, the switching button 46 is manually pressed again after the nail gun clamping plate 23 and the abutting seat 25 are observed through corresponding equipment to repair the internal organs of the patient, the connecting rod moves towards the right side of the conical body 30 and the sliding hole 31, the cutter 29 is driven to move towards the right side of the first straight pipe 28 in the moving process of the connecting rod, the cutter 29 drives the abutting block 27 to move towards the right side in the sliding groove 26, the switching button 46 is loosened when the cutter 29 moves inside the first straight pipe 28, the cutter 29 stops moving at the moment, then the left button of the second control switch 45 is manually held again, the second control switch 45 controls the third output motor 16 to start, the third output motor 16 starts to drive the screw rod 21 to move, the screw rod 21 drives the screw block 18 to move downwards, the screw block 18 drives the connecting plate group 19 and the gear 20 to move in the same direction, and the gear 20 moves relative to the rack 7 during the movement process, and the gear 20 drives the adjusting disc 4 to tilt to the right side in the movable groove 10 during the downward movement process, the adjusting disc 4 drives the connecting block 1 to move in the same direction during the movement process, and simultaneously the connecting block 1 drives the first clamping groove 2 to move relative to the connecting rod 12 and the bump 13 during the movement process, the connecting block 1 drives the joint pipe 22 to move in the same direction during the movement process, the joint pipe 22 drives the nail gun clamping plate 23 and the nail abutting seat 25 to move in the same direction, when the nail gun clamping plate 23 and the nail abutting seat 25 are observed to be perpendicular to the first straight pipe 28 through corresponding equipment, the second control switch 45 is manually loosened, the third output motor 16 stops moving, the first output motor 14 and the fourth output motor 17 operate in the same direction, and when the fixed handle 44 is manually held to apply upward pulling force after the whole step is completed, the fixed handle 44 drives the mounting body 36, The second straight tube 34 and the first straight tube 28 move in the same direction, when the nail abutting seat 25 and the nail gun clamping plate 23 are disengaged from the puncture instrument through opening, the whole anastomat is disengaged from the human body, and the whole operation is completed, and the content which is not described in detail in the specification belongs to the prior art which is well known to a person skilled in the art.
The terms "central," "longitudinal," "lateral," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used in the orientation or positional relationship indicated in the drawings for simplicity of description only and are not intended to indicate or imply that the referenced devices or elements must be in a particular orientation, constructed and operative in a particular orientation, and are not to be considered limiting of the claimed invention.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.

Claims (9)

1. The utility model provides a wicresoft's chamber mirror anastomat convenient to adjust centre gripping angle, includes connecting block (1), adjusting disk (4), installation piece (8), silk piece (18), gear (20), lead screw (21), nodal pipe (22), first straight tube (28), conical body (30), bearing (32), second straight tube (34), installation body (36), rotating electrical machines (39) and fixed handle (44), its characterized in that:
connecting block (1), connecting block (1) has seted up first draw-in groove (2) all around, connecting block (1) both sides are run through and have been seted up first logical groove (3), first mounting groove (5) have been seted up all around in adjustment disk (4), adjustment disk (4) top is run through and has been seted up the second and lead to groove (6), the inside both sides of first mounting groove (5) are fixed with rack (7), adjustment disk (4) lead to groove (6) through the second and first logical groove (3) cooperation is fixed in connecting block (1) right side, the second mounting groove has been seted up all around in installation piece (8), movable groove (10) have been seted up in installation piece (8) left side, installation piece (8) right side is run through and has been seted up the third and has been led to the groove, installation piece (8) left side is fixed with connecting rod (12), connecting rod (12) bottom is fixed with lug (13), second mounting groove inside is fixed with first output motor (14) respectively, The screw driver is characterized in that a second output motor (15), a third output motor (16) and a fourth output motor (17) are arranged on two sides of the screw block (18), connecting plate groups (19) are fixed on two sides of the screw block (18), the gear (20) is movably installed between the connecting plate groups (19) through a fixing pin, the bottom of the screw rod (21) penetrates through the screw block (18) and extends into the second installation groove, the top end of the screw rod (21) is fixedly connected with the output ends of the first output motor (14), the second output motor (15), the third output motor (16) and the fourth output motor (17), the gear (20) is meshed with the rack (7), the lug (13) is movably connected with the connecting block (1) through a first clamping groove (2), a nail gun clamping plate (23) is fixedly connected to the lower portion of the left side of the joint pipe (22), a second clamping groove (24) is formed in the top end of the nail gun clamping plate (23), a nail abutting seat (25) is fixed to the upper portion of the left side of the joint pipe (22) through a movable pin, a sliding groove (26) is formed in the lower portion of the inner portion of the nail abutting seat (25), an abutting block (27) is slidably mounted in the sliding groove (26), the right side of the pipe joint (22) is fixedly connected with the left side of the connecting block (1), a cutter (29) is movably mounted in the first straight pipe (28), the left side of the cutter (29) penetrates through the third through groove, the second through groove (6), the first through groove (3), the pipe joint (22) and the sliding groove (26) and is fixedly connected with the right side of the abutting block (27), the right side of the mounting block (8) is fixedly connected with the left side of the first straight pipe (28), and a sliding hole (31) is formed in the left side of the conical body (30);
the utility model discloses a conical body, including bearing (32), installation body (36), charging hole (37) have been seted up to bearing (32) inner ring, bearing (32) are fixed in the inside right side of conical body (30), the inside movable mounting of second straight tube (34) has the connecting rod, installation body (36) right side below has seted up charging hole (37), the inside right side of installation body (36) is fixed with battery (38), rotating electrical machines (39) output end is fixed with driving gear (40), rotating electrical machines (39) are fixed in the inside left side of installation body (36), installation body (36) left side below movable mounting has percussion handle (41), percussion handle (41) right side movable mounting has movable handle (42), movable handle (42) left side is inlayed and is fixed with first control switch (43), fixed handle (44) left side is inlayed and is fixed with second control switch (45), fixed handle (44) are fixed in movable handle (42) right side, install switch button (46) above installation body (36) surface, slide opening (31) and driven gear (47) fixed connection are run through on second straight tube (34) right side, driven gear (47) are installed inside slot (33), and driven gear (47) are connected with slot (33) meshing, driving gear (40) run through conical body (30) right side and extend and be connected with slot (33) inside and slot (33) meshing in slot (33), conical body (30) right side and installation body (36) left side fixed connection, connecting rod (12) right side is run through driven gear (47) and is connected with percussion handle (41), battery (38) are through electric wire and charging hole (37) electric connection, rotating electrical machines (39) all through electric wire and battery (38) and first control switch (43) electric connection, first output motor (14), The second output motor (15), the third output motor (16) and the fourth output motor (17) are electrically connected with the storage battery (38) and the second control switch (45) through electric wires.
2. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the number of the racks (7) is 2, and the racks (7) are symmetrically arranged relative to the center line of the first mounting groove (5).
3. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the installation distances of the movable groove (10) and the adjusting disc (4) are different by 1-1.5 mm.
4. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the connecting rod (12) is L-shaped.
5. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the number of the convex blocks (13) is 4, and the convex blocks (13) are symmetrically arranged relative to the axis of the mounting block (8).
6. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the wire block (18), the gear (20), the connecting plate group (19) and the rack (7) form a moving mechanism, and the moving distance range of the moving mechanism is 0-5 cm.
7. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the number of the gears (20) is 2, and the gears (20) are symmetrically arranged around the central line of the wire block (18).
8. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the connecting shape of the bearing (32) and the groove teeth (33) is concentric circles.
9. The minimally invasive endoscopic stapler facilitating adjustment of a clamping angle according to claim 1, wherein: the rotating motor (39), the driving gear (40), the groove teeth (33), the bearing (32) and the driven gear (47) form a rotating mechanism, and the rotating angle range of the rotating mechanism is 0-360 degrees.
CN202110061173.4A 2021-01-18 2021-01-18 Minimally invasive endoscope anastomat convenient to adjust clamping angle Active CN112754564B (en)

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CN113288281A (en) * 2021-06-18 2021-08-24 常州安康医疗器械有限公司 Electric endoscope anastomat capable of being directly charged

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CN1827051A (en) * 2005-02-07 2006-09-06 伊西康内外科公司 Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
CN102579094A (en) * 2007-04-13 2012-07-18 Tyco医疗健康集团 Powered surgical instrument
CN103989497A (en) * 2007-04-13 2014-08-20 柯惠Lp公司 Powered surgical instrument
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