CN113116437B - Endoscope cutting anastomat - Google Patents

Endoscope cutting anastomat Download PDF

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Publication number
CN113116437B
CN113116437B CN202110361900.9A CN202110361900A CN113116437B CN 113116437 B CN113116437 B CN 113116437B CN 202110361900 A CN202110361900 A CN 202110361900A CN 113116437 B CN113116437 B CN 113116437B
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Prior art keywords
nail
bin
sector gear
execution
close
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CN113116437A (en
Inventor
尤晓锦
曹锐
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Suzhou Frankenman Medical Equipment Co Ltd
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Suzhou Frankenman Medical Equipment Co Ltd
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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

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

Abstract

The invention relates to the technical field of anastomats and discloses an endoscope cutting anastomat which comprises an execution end and a manual part, wherein the execution end is connected with the manual part through an extension pipe, a nail bin and a nail abutting seat are arranged at the front end of the execution end, a nail groove is formed in the upper surface of the nail abutting seat, a pressing connecting rod is arranged at the top of the nail bin, a driving bin is arranged at one end, close to the extension pipe, of the execution end, and a guide groove is formed in one side, close to the driving bin, of the nail abutting seat. This chamber mirror cutting anastomat, when nail storehouse downwardly rotating through the guide way, turn to the horizontality after, the guide block of nail storehouse tail end gets into inside the guide way, the nail storehouse with support the nail seat and be in parallel state, when further amalgamation, the nail storehouse receives guide way and guide block restriction, can only carry out perpendicularly all the time to supporting the nail seat direction and remove, and then reach the nail storehouse and support the nail seat and clip tight top clamp untight phenomenon of execution end afterbody can not appear when cliping the intestinal wall, it is unqualified to lead to the operation to appear the centre gripping untight when avoiding performing the operation.

Description

Endoscope cutting anastomat
Technical Field
The invention relates to the technical field of anastomats, in particular to an endoscope cutting anastomat.
Background
The anastomat is the first stapler in the world, generally comprises a disposable or reusable anastomat, an imported or domestic anastomat and is equipment for replacing the traditional manual suturing, 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 and few operation complications and the like, and can be used for excising the focus of a tumor operation which cannot be excised in the past.
The endoscope cutting anastomat is an anastomat for clamping diseased tissues and then cutting the diseased tissues, the executing end of the endoscope cutting anastomat widely used in hospitals at present is a fixed nail-resisting seat and a nail bin which can rotate relative to the nail-resisting seat to clamp the diseased tissues, the nail bin and the nail-resisting seat are in a certain angle before being clamped, and then the nail bin and the nail-resisting seat are in a parallel state when being closed, so the diseased tissues are completely clamped, but the physical conditions of each person are different, for example, the intestinal tract of some patients is thicker and some patients are thinner, when the anastomat is used, the executing ends with different specifications are needed, most doctors roughly estimate the thickness of the diseased tissues according to experience and color Doppler ultrasound, then the proper executing end is selected, but estimation errors can be encountered, or the doctor who has low seniority difficultly selects the proper executing end, thus when the patient is operated, the clamping device causes accidental injury, and when the clamping device is used, the clamping device is firstly in a certain angle when the execution end is clamped, so that the pathological tissue is extruded between the nail bin and the nail abutting seat to generate a sliding phenomenon when being clamped, and great inconvenience is brought to an operation.
An effective solution to the problems in the related art has not been proposed yet.
Disclosure of Invention
Technical problem to be solved
Aiming at the defects of the prior art, the invention provides the endoscope cutting anastomat which has the advantages that the nail bin and the nail abutting seat can be clamped in parallel, the head end and the tail end of the nail bin are stressed uniformly, and the like, and the problem that the diseased tissue cannot slide down when an execution end is selected and clamped for the diseased tissue with different thicknesses is solved.
(II) technical scheme
In order to solve the technical problem that the diseased tissue cannot slide when an execution end is selected and clamped aiming at the diseased tissue with different thicknesses, the invention provides the following technical scheme: an endoscope cutting anastomat comprises an execution end and a manual part, wherein the execution end is connected with the manual part through an extension pipe, a nail bin and a nail abutting seat are arranged at the front end of the execution end, a nail groove is formed in the upper surface of the nail abutting seat, a compression connecting rod is arranged at the top of the nail bin, a driving bin is arranged at one end, close to the extension pipe, of the execution end, a guide groove is formed in one side, close to the driving bin, of the nail abutting seat, a guide block is arranged at one side, close to the driving bin, of the nail bin, bar-shaped teeth are arranged at the other side of the guide block, a sector gear is arranged inside the driving bin, a limiting cylinder is arranged at one side of the sector gear, a rotating shaft is arranged at the other side of the sector gear, a torsion spring is sleeved outside the rotating shaft, a limiting rod is arranged at the position, right opposite to the limiting cylinder, and a connecting lug is arranged at one side of the bottom of the sector gear, the connecting lug is connected with a steel wire rope, one side of the driving bin, which is close to the extension pipe, is provided with an execution head, the bottom of the manual part is provided with an execution handle, and the surface of the execution handle is provided with an anti-skid layer.
Preferably, a joint knob is arranged at the top of one end, close to the extension pipe, of the manual component, and a reset key is arranged at the top of one side of the manual component.
Preferably, the compressing connecting rod is fixedly connected with one end of the torsion spring, a cross rod is arranged at the other end of the compressing connecting rod and positioned at the top end of the nail bin, and the cross rod is tightly attached to the upper surface of the nail bin.
Preferably, a slot is arranged above the driving bin and close to the compression connecting rod, the width of the slot is the same as that of the nail bin, a bearing is arranged on one side of the inner wall of the driving bin, and the rotating shaft is rotatably connected with the side wall of the driving bin through the bearing.
Preferably, the guide way both sides all are provided with the riser, the guide way with the guide block cooperation is used, the guide block is "worker" font structure, the riser is kept away from one side top in driving storehouse with the guide block laminating a side of riser just is close to driving storehouse one end top all is provided with the fillet.
Preferably, the bar-shaped teeth are fixed in the middle of the side face of the guide block, the bar-shaped teeth are matched with the sector gear for use, and the rotating shaft and the sector gear are in axial symmetry and are fixedly arranged.
Preferably, the limiting cylinder is respectively used for supporting a limiting column and a guiding limiting column, the supporting limiting column is located at the bottom of the limiting rod, a limiting sliding groove is formed in one side, close to the driving bin, of the limiting rod, and the guiding limiting column is located inside the limiting sliding groove.
Preferably, the torsional spring cover establish with the pivot surface, the torsional spring is kept away from compress tightly the one end of connecting rod with sector gear fixed connection, when the torsional spring does not receive external force, the execution end is in the state of opening.
Preferably, the connecting convex block is fixedly connected with the side face of the bottom of the sector gear, the other end of the connecting convex block is fixedly connected with the steel wire rope, the other end of the steel wire rope is connected with a transmission rod, the transmission rod is positioned in the extension pipe, and a steering joint is arranged at the top of the extension pipe and connected with the execution head.
Preferably, the execution handle includes handheld end, centre gripping movable handle and percussion movable handle, handheld end is the stiff end, is located execution handle afterbody bottom, percussion movable handle is located execution handle head bottom, centre gripping movable handle is located handheld end with between the percussion movable handle, handheld end centre gripping movable handle with percussion movable handle all is provided with human hand contact surface the skid resistant course, the skid resistant course is top-down's triangle column type stripe structure.
(III) advantageous effects
Compared with the prior art, the invention provides an endoscope cutting anastomat, which has the following beneficial effects:
1. this chamber mirror cutting anastomat through the transfer line under the drive of centre gripping movable handle, can realize taut and relax wire rope, and then rotates under the effect of torsional spring through connecting lug pulling sector gear, adopts wire rope for the link between connecting lug and the transfer line, has utilized wire rope's pliability, and it can be crooked often along with sector gear rotates inside the drive bin, has avoided the transfer line directly to be connected with connecting the lug, can't rotate the phenomenon.
2. This chamber mirror cutting anastomat through utilizing the torsional spring under the condition that does not receive other external forces, because the torsional spring has great recovery tension, the nail storehouse is in the state of opening with propping the nail seat, when execution end changes to open mode by closed state, only needs to make centre gripping movable handle reset, makes wire rope be in the state of relaxing, under the effect of the recovery tension of torsional spring, drives sector gear antiport.
3. This chamber mirror cutting anastomat supports the gag lever post bottom through supporting spacing post under the tension effect of torsional spring, and the spacing post of direction makes the gag lever post carry out restriction moving range at the spacing post of direction all the time inside spacing spout, and then when making sector gear revolve, drives the gag lever post and rotates together, then makes the gag lever post drive the nail storehouse and open, realizes the separation of nail storehouse and nail seat.
4. This chamber mirror cutting anastomat, when nail storehouse downwardly rotating through the guide way, turn to the horizontality after, the guide block of nail storehouse tail end gets into inside the guide way, the nail storehouse with support the nail seat and be in parallel state, when further amalgamation, the nail storehouse receives guide way and guide block restriction, can only carry out perpendicularly all the time to supporting the nail seat direction and remove, and then reach the nail storehouse and support the nail seat and clip tight top clamp untight phenomenon of execution end afterbody can not appear when cliping the intestinal wall, it is unqualified to lead to the operation to appear the centre gripping untight when avoiding performing the operation.
5. This chamber mirror cutting anastomat, the non-slip layer subsides through triangle columnar order stripe structure attach in the one side of holding end, centre gripping movable handle and percussion movable handle and human hand contact, triangle columnar order stripe structure, the surface interval is great, has the effect of water conservancy diversion, and stripe structure surface roughness has certain anti-skidding effect simultaneously, the hand slip phenomenon appears when preventing to tightly hold the execution handle.
Drawings
FIG. 1 is a schematic overall perspective view of the present invention;
FIG. 2 is a schematic view of a closed three-dimensional structure of an actuating end of the present invention;
FIG. 3 is a schematic view of an expanded three-dimensional structure of the actuating end of the present invention;
FIG. 4 is an enlarged view of the part A of the present invention;
FIG. 5 is a schematic diagram of an explosion structure of an actuating end of the present invention;
FIG. 6 is a second schematic diagram of the explosion structure of the actuating end of the present invention;
fig. 7 is a schematic view of the structure of the actuating handle of the present invention.
In the figure: 1. an execution end; 2. a manual component; 201. a joint knob; 202. a reset key; 3. an extension pipe; 301. a steering knuckle; 4. a staple cartridge; 5. a nail abutting seat; 6. a nail groove; 7. a compression connecting rod; 701. a cross bar; 8. a driving bin; grooving; 802. a bearing; 9. a guide groove; 901. a vertical plate; 902. round corners; 10. a guide block; 11. a bar-shaped tooth; 12. a sector gear; 13. a limiting cylinder; 1301. supporting the limiting column; 1302. a guide limit column; 14. a rotating shaft; 15. a torsion spring; 16. a limiting rod; 1601. a limiting chute; 17. a connection bump; 18. a wire rope; 1801. a transmission rod; 19. an execution head; 20. an actuating handle; 2001. a handheld end; 2002. clamping the movable handle; 2003. triggering the movable handle; 21. and an anti-slip layer.
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, an endoscope cutting anastomat comprises an execution end 1 and a manual component 2, wherein the execution end 1 is connected with the manual component 2 through an extension tube 3, a nail bin 4 and a nail abutting seat 5 are arranged at the front end of the execution end 1, a nail groove 6 is arranged on the upper surface of the nail abutting seat 5, a pressing connecting rod 7 is arranged at the top of the nail bin 4, a driving bin 8 is arranged at one end of the execution end 1 close to the extension tube 3, a guide groove 9 is arranged at one side of the nail abutting seat 5 close to the driving bin 8, a guide block 10 is arranged at one side of the nail bin 4 close to the driving bin 8, a strip tooth 11 is arranged at the other side of the guide block 10, a sector gear 12 is arranged inside the driving bin 8, a limiting cylinder 13 is arranged at one side of the sector gear 12, a rotating shaft 14 is arranged at the other side of the sector gear 12, a torsion spring 15 is sleeved outside the rotating shaft 14, a limiting rod 16 is arranged at a position of the upper surface of the nail bin 4, a connecting lug 17 is arranged at a position right opposite to the limiting cylinder 13, the connecting convex block 17 is connected with a steel wire rope 18, one side of the driving bin 8 close to the extension pipe 3 is provided with an execution head 19, the bottom of the manual part 2 is provided with an execution handle 20, and the surface of the execution handle 20 is provided with an anti-skid layer 21.
Further, a joint knob 201 is arranged at the top of one end of the manual part 2 close to the extension tube 3, a reset key 202 is arranged at the top of one side of the manual part 2, and the joint knob 201 and the reset key 202 are the same as those of the existing endoscope cutting anastomat and are not described in detail herein.
Further, the compressing connecting rod 7 is fixedly connected with one end of the torsion spring 15, the other end of the compressing connecting rod 7 is located at the top end of the nail bin 4, and a cross rod 701 is arranged at the top end of the nail bin 4, and the cross rod 701 is tightly attached to the upper surface of the nail bin 701, so that the compressing connecting rod 7 arranged above the nail bin 4 is utilized under the contraction pressure of the torsion spring 15, and pressure is applied to the top end of the nail bin 4 through the cross rod 701 located at the top end of the nail bin 4, so that the top end of the nail bin 4 and the top end of the nail abutting seat 5 can be completely in a closed state, the situation that the top end of the executing end 1 cannot be completely closed is avoided, and the situation that clamping is not tight during the operation, so that the operation is unqualified is caused, wherein the cross rod 701 and the upper surface of the nail bin 4 are in a sliding state, and when the nail bin 4 is opened, the cross rod 701 can be always in a tightly attached state with the upper surface of the nail bin 4.
Further, a notch 801 is formed in the position, close to the compression connecting rod 7, above the driving bin 8, the width of the notch 801 is the same as that of the nail bin 4, a bearing 802 is arranged on one side of the inner wall of the driving bin 8, the rotating shaft 14 is rotatably connected with the side wall of the driving bin 8 through the bearing 802, so that the notch 801 above the driving bin 8 is used for facilitating opening and closing of the nail bin 4, the bearing 802 on the side wall of the driving bin 8 enables the rotating shaft 14 to be relatively fixed and rotate inside the driving bin 8 through the bearing 802, in addition, the tail portion of the notch 801 can limit the maximum opening degree of the nail bin 4 in specific application, and the nail bin 4 is prevented from being excessively opened under the action of the torsion spring 15.
Furthermore, the two sides of the guide groove 9 are both provided with vertical plates 901, the guide groove 9 is used in cooperation with a guide block 10, the guide block 10 is in an I-shaped structure, the top of one side of the vertical plate 901, which is far away from the driving bin 8, and the top of one end of the guide block 10, which is close to the vertical plate 901, are both provided with rounded corners 902, so that when the nail bin 4 rotates downwards by utilizing the guide groove 9 and is in a horizontal state, the guide block 10 at the tail end of the nail bin 4 enters the guide groove 9, the nail bin 4 and the nail abutting seat 5 are in a parallel state, when the nail bin 4 is further combined, the nail bin 4 is limited by the guide groove 9 and the guide block 10, and can only move towards the nail abutting seat 5 vertically all the time, and further, when the nail bin 4 and the nail abutting seat 5 clamp the intestinal wall, the phenomenon that the tail of the execution end 1 clamps the top is not tightly can be generated, wherein the top of the vertical plate 901 and the rounded corners 902 at the bottom of the guide block 10 enable the bottom of the guide block 10 to rotate to the top of the guide block 9 along with the sector gear 12, the vertical plate 901 can enter the inner part of two sides of the I-shaped guide block 10, so that the guide block 10 is matched with the guide groove 9.
Further, the bar tooth 11 is fixed in guide block 10 side middle part, bar tooth 11 uses with the cooperation of sector gear 12, pivot 14 is the fixed setting of axial symmetry with sector gear 12, thereby when utilizing guide block 10 bottom at 11 backs of bar tooth to rotate to guide way 9 top, the tooth of 12 lower halves of sector gear and the tooth meshing of 11 first halves of bar tooth, under sector gear 12's continuation downwardly rotating, drive nail storehouse 4 downwards at the guide of guide way 9 and guide block 10 through bar tooth 11, to supporting 5 horizontal migration of nail seat, carry out the centre gripping to the intestines wall.
Further, spacing cylinder 13 is for supporting spacing post 1301 and the spacing post 1302 of direction respectively, it is located the gag lever post 16 bottom to support spacing post 1301, spacing spout 1601 has been seted up to gag lever post 16 near one side of drive storehouse 8, the spacing post 1302 of direction is located inside spacing spout 1601, thereby utilize and support spacing post 1301 under the tension effect of torsional spring 15, support the gag lever post 16 bottom, the spacing post 1302 of direction is inside at spacing spout 1601, make gag lever post 16 carry out the restriction moving range at the spacing post 1302 of direction all the time, and then when making sector gear 12 revolve, drive gag lever post 16 and rotate together, make gag lever post 16 drive nail storehouse 4 and open, wherein this process is after guide way 9 and guide block 10 separate, nail storehouse 4 is not being restricted by guide way 9 and guide block 10, can carry out after the activity of rotation.
Further, the torsion spring 15 is sleeved on the surface of the rotating shaft 14, one end of the torsion spring 15, which is far away from the pressing connecting rod 7, is fixedly connected with the sector gear 12, and when the torsion spring 15 is not subjected to external force, the execution end 1 is in an opening state, so that by means of the torsion spring 15, under the condition that other external force is not applied, the torsion spring 15 has large restoring tension, and the nail bin 4 and the nail abutting seat 5 are in the opening state.
Furthermore, the connecting bump 17 is fixedly connected with the bottom side of the sector gear 12, the other end of the connecting bump 17 is fixedly connected with the wire rope 18, the other end of the wire rope 18 is connected with the transmission rod 1801, the transmission rod 1801 is located inside the extension pipe 3, the top of the extension pipe 3 is provided with the steering joint 301 connected with the execution head 19, so that the transmission rod 1801 is utilized to pull the wire rope 18 under the driving of the clamping movable handle 2002, the sector gear 12 is further pulled to rotate through the connecting bump 17, the sector gear 12 is matched with the limit rod 16 through the limit cylinder 13 to drive the nail bin 4 to move, the execution end is in a closed state to clamp the intestinal wall, after the clamping movable handle 2002 is reset, the transmission rod 1801 moves forwards to loosen the wire rope 18, and further, under the restoring tension of the torsion spring 15, the sector gear 12 rotates reversely, namely, the nail bin 4 is separated from the nail abutting seat 5, the actuating end 1 is in an open state.
Furthermore, the execution handle 20 comprises a holding end 2001, a clamping movable handle 2002 and a triggering movable handle 2003, the holding end 2001 is a fixed end and is located at the bottom end of the tail part of the execution handle 20, the triggering movable handle 2003 is located at the bottom end of the head part of the execution handle 20, the clamping movable handle 2002 is located between the holding end 2001 and the triggering movable handle 2003, the contact surfaces of the holding end 2001, the clamping movable handle 2002 and the triggering movable handle 2003 with the human hand are all provided with an anti-slip layer 21, the anti-slip layer 21 is in a triangular column stripe structure from top to bottom, so that the anti-slip layer 21 in the triangular column stripe structure is attached to the contact surfaces of the holding end 2001, the clamping movable handle 2002 and the triggering movable handle 2003 with the human hand, and liquid attached to a surgical glove flows downwards along the stripe structure when a doctor performs surgery, wherein the triangular column stripe structure has a larger surface space and has a flow guiding function, meanwhile, the surface of the stripe structure is rough, so that the stripe structure has a certain anti-slip effect, and the phenomenon of hand slip when the execution handle 20 is tightly held is prevented, and the hand-holding end 2001, the clamping movable handle 2002 and the triggering movable handle 2003 are the same as those of the existing endoscope cutting anastomat, and are not described herein again.
The working principle is as follows: when the anastomat is used, whether the anastomat is intact is firstly checked, after the check, matched accessories are installed on the nail abutting seat, then a doctor holds the clamping movable handle 2002, the transmission rod 1801 is utilized to pull the steel wire rope 18 under the driving of the clamping movable handle 2002, the sector gear 12 is further pulled to rotate through the connecting lug 17, the sector gear 12 drives the nail bin 4 to rotate through the limiting cylinder 13 and the limiting rod 16, the execution end is in a closed state, then the execution end 1 is matched with the matched puncture outfit sleeve to penetrate into an wound of a human body, the execution end 1 extends into the human body through the puncture outfit sleeve until reaching the position of a lesion, and the execution end 1 must completely extend into the abdominal cavity of the human body.
Then the reset key 202 is pressed to reset the clamping movable handle 2002, that is, the transmission rod 1801 moves forward to loosen the steel wire rope 18, so that the sector gear 12 is turned over under the action of the recovered tension of the torsion spring 15, that is, the nail bin 4 is separated from the nail abutting seat 5, the actuating end 1 is in an open state and is aligned with the intestinal wall with pathological changes, so that the intestinal wall is completely positioned between the nail bin 4 and the nail abutting seat 5, then the clamping movable handle 2002 is gripped again, the transmission rod 1801 is driven by the clamping movable handle 2002 to tighten the steel wire rope 18, so that the sector gear 12 is pulled by the connecting bump 17 to rotate, so that the sector gear 12 cooperates with the limiting rod 16 through the limiting cylinder 13 to drive the nail bin 4 to rotate, and the actuating end is in a closed state to clamp the intestinal wall.
When nail storehouse 4 and support nail seat 5 separation wherein, utilize torsional spring 15's recovery tension, make sector gear 12 reverse, spacing post 1301 is supported in the mistake on the sector gear 12 of rethread, supports the gag lever post 16 bottom, and spacing post 1302 that leads is inside spacing spout 1601, makes gag lever post 16 restrict the migration range at spacing post 1302 that leads all the time, then gag lever post 16 drives nail storehouse 4 rebound, and the execution end is opened promptly.
When the nail bin 4 and the nail abutting seat 5 are closed, the transmission rod 1801 is driven by the clamping movable handle 2002 to tighten the steel wire rope 18, the sector gear 12 is further pulled to rotate through the connecting lug 17, then the torsion spring 15 is in an over-stretching state, at the moment, the torsion spring has larger recovery contraction force, the compression connecting rod 7 arranged above the nail bin 4 is utilized to apply pressure to the top end of the nail bin 4 through the cross rod 701 positioned at the top end of the nail bin 4 under the contraction pressure of the torsion spring 15, so that the top end of the nail bin 4 and the top end of the nail abutting seat 5 can be completely in a closed state, then the sector gear 12 drives the nail bin 4 to rotate downwards through the limiting rod 16, after the sector gear rotates to a horizontal state, the guide block 10 at the tail end of the nail bin 4 enters the guide groove 9, the nail bin 4 and the nail abutting seat 5 are in a parallel state, when the nail bin 4 is further combined, the nail bin 4 is limited by the guide groove 9 and the guide block 10, and can only move towards the nail abutting seat 5 vertically all the time, and clamps the diseased intestinal wall.
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.

Claims (5)

1. An endoscope cutting anastomat comprises an execution end (1) and a manual component (2), and is characterized in that: the actuating end (1) is connected with the manual component (2) through an extension pipe (3), a nail bin (4) and a nail abutting seat (5) are arranged at the front end of the actuating end (1), a nail groove (6) is formed in the upper surface of the nail abutting seat (5), a compression connecting rod (7) is arranged at the top of the nail bin (4), a driving bin (8) is arranged at one end, close to the extension pipe (3), of the actuating end (1), a sector gear (12) is arranged inside the driving bin (8), a limiting cylinder (13) is arranged on one side of the sector gear (12), a rotating shaft (14) is arranged on the other side of the sector gear (12), a torsion spring (15) is sleeved on the outer side of the rotating shaft (14), a limiting rod (16) is arranged at a position, right opposite to the limiting cylinder (13), on the upper surface of the nail bin (4), and a connecting lug (17) is arranged on one side of the bottom of the sector gear (12), the connecting lug (17) is connected with a steel wire rope (18); one end, far away from the compression connecting rod (7), of the torsion spring (15) is fixedly connected with the sector gear (12), the compression connecting rod (7) is fixedly connected with one end of the torsion spring (15), a cross rod (701) is arranged at the position, located at the top end of the nail bin (4), of the other end of the compression connecting rod (7), and the cross rod (701) is tightly attached to the upper surface of the nail bin (4); a slot (801) is formed in the position, close to the compression connecting rod (7), above the driving bin (8), the width of the slot (801) is the same as that of the nail bin (4), a bearing (802) is arranged on one side of the inner wall of the driving bin (8), and the rotating shaft (14) is rotatably connected with the side wall of the driving bin (8) through the bearing (802); a guide groove (9) is formed in one side, close to the driving bin (8), of the nail abutting seat (5), a guide block (10) is arranged on one side, close to the driving bin (8), of the nail bin (4), strip-shaped teeth (11) are arranged on the other side of the guide block (10), vertical plates (901) are arranged on two sides of the guide groove (9), the guide groove (9) is matched with the guide block (10) for use, the top of one side, away from the driving bin (8), of each vertical plate (901) is attached to one side face of each vertical plate (901) through the top of the corresponding guide block (10), and fillets (902) are arranged on the top of one end, close to the driving bin (8), of each vertical plate (901); the bar-shaped teeth (11) are fixed in the middle of the side face of the guide block (10), the bar-shaped teeth (11) are matched with the sector gear (12) for use, and the rotating shaft (14) and the sector gear (12) are fixedly arranged in an axisymmetric manner; spacing cylinder (13) are for supporting spacing post (1301) and direction spacing post (1302) respectively, support spacing post (1301) and be located gag lever post (16) bottom, gag lever post (16) are close to spacing spout (1601) have been seted up to one side of drive storehouse (8), direction spacing post (1302) are located inside spacing spout (1601).
2. The endoscopic cutting stapler according to claim 1, wherein: torsional spring (15) cover establish with pivot (14) surface, when torsional spring (15) do not receive external force, execution end (1) is in the state of opening.
3. The endoscopic cutting stapler according to claim 2, wherein: drive storehouse (8) are close to one side of extension pipe (3) is provided with carries out head (19), connect lug (17) with sector gear (12) bottom side fixed connection, connect lug (17) other end with wire rope (18) fixed connection, the wire rope (18) other end is connected with transfer line (1801), transfer line (1801) are located inside extension pipe (3), extension pipe (3) top be provided with turn to joint (301) with carry out head (19) and connect.
4. The endoscopic cutting stapler according to claim 3, wherein: the anti-skidding type pipe drawing machine is characterized in that an execution handle (20) is arranged at the bottom of the manual component (2), an anti-skidding layer (21) is arranged on the surface of the execution handle (20), a joint knob (201) is arranged at the top of one end, close to the extension pipe (3), of the manual component (2), and a reset key (202) is arranged at the top of one side of the manual component (2).
5. The endoscopic cutting stapler according to claim 4, wherein: the execution handle (20) comprises a hand-held end (2001), a clamping movable handle (2002) and a firing movable handle (2003), wherein the hand-held end (2001) is a fixed end and is located at the bottom end of the tail of the execution handle (20), the firing movable handle (2003) is located at the bottom end of the head of the execution handle (20), the clamping movable handle (2002) is located between the hand-held end (2001) and the firing movable handle (2003), the anti-skid layers (21) are arranged on the contact surfaces of the hand-held end (2001), the clamping movable handle (2002) and the firing movable handle (2003) and a hand of a human body, and the anti-skid layers (21) are in a triangular column stripe structure from top to bottom.
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Publication number Priority date Publication date Assignee Title
CN114041842B (en) * 2021-11-17 2023-08-22 吉林大学 Anastomat for plastic surgery

Citations (4)

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CN103829987A (en) * 2014-03-26 2014-06-04 中国人民解放军第三军医大学第二附属医院 Under-endoscope one-time intestinal canal closing linear cutting closing device
WO2016107450A1 (en) * 2014-12-31 2016-07-07 苏州天臣国际医疗科技有限公司 Staple cartridge assembly and medical anastomat using same
CN207898502U (en) * 2017-09-22 2018-09-25 江苏孜航精密五金有限公司 The clamping stapling apparatus of disposable hysteroscope internal cutting stapler
CN211633432U (en) * 2019-09-11 2020-10-09 舒拓 Briquetting takes off and closes mechanism suitable for anastomat

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103829987A (en) * 2014-03-26 2014-06-04 中国人民解放军第三军医大学第二附属医院 Under-endoscope one-time intestinal canal closing linear cutting closing device
WO2016107450A1 (en) * 2014-12-31 2016-07-07 苏州天臣国际医疗科技有限公司 Staple cartridge assembly and medical anastomat using same
CN207898502U (en) * 2017-09-22 2018-09-25 江苏孜航精密五金有限公司 The clamping stapling apparatus of disposable hysteroscope internal cutting stapler
CN211633432U (en) * 2019-09-11 2020-10-09 舒拓 Briquetting takes off and closes mechanism suitable for anastomat

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