CN113288268A - Endoscope anastomat capable of being sewn in staggered mode - Google Patents

Endoscope anastomat capable of being sewn in staggered mode Download PDF

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Publication number
CN113288268A
CN113288268A CN202110569022.XA CN202110569022A CN113288268A CN 113288268 A CN113288268 A CN 113288268A CN 202110569022 A CN202110569022 A CN 202110569022A CN 113288268 A CN113288268 A CN 113288268A
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CN
China
Prior art keywords
nail
sliding
chuck
groove
interior
Prior art date
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Granted
Application number
CN202110569022.XA
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Chinese (zh)
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CN113288268B (en
Inventor
蒋易良
桑小林
王春华
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Changzhou Ankang Medical Equipment Co ltd
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Changzhou Ankang Medical Equipment Co ltd
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Priority to CN202110569022.XA priority Critical patent/CN113288268B/en
Publication of CN113288268A publication Critical patent/CN113288268A/en
Application granted granted Critical
Publication of CN113288268B publication Critical patent/CN113288268B/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
    • 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
    • A61B2017/07214Stapler heads
    • A61B2017/07228Arrangement of the staples
    • 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
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge

Abstract

The invention discloses a cavity mirror anastomat capable of being sewn in a staggered mode, which comprises a shell, a swinging head, an upper chuck and a nail groove, wherein a first sliding groove is formed in the back side of the interior of the shell, a screw rod is connected to the interior of the first sliding groove in a rotating mode, the right end of the screw rod penetrates through the shell and is connected with a driving motor, the driving motor is fixedly installed on the right side of the shell, a second sliding groove communicated with the first sliding groove is formed in the front side of the interior of the shell, and a first sliding block is connected to the interior of the first sliding groove in a. This chamber mirror anastomat that can stagger and sew up is provided with the chuck, lower chuck and nail casket, goes up the chuck and has a nail casket with the inside equal joint of lower chuck, goes up the inside nail position of nail casket of chuck and the nail position that sews up of the inside nail casket of lower chuck and is the setting of staggering simultaneously for when going up the inside nail that sews up of chuck and the inside nail cooperation of sewing up of lower chuck and accomplishing the sewing up, sew up and sew up in patient's health tissue's the crisscross sewing up in upper and lower both sides, improved to the sewing effect, use more to.

Description

Endoscope anastomat capable of being sewn in staggered mode
Technical Field
The invention relates to the technical field of endoscopic staplers, in particular to an endoscopic stapler capable of being sewn in a staggered mode.
Background
The endoscope anastomat is one of important instruments for the endoscope operation, replaces the traditional manual suture, utilizes titanium nails to separate or inosculate tissues, is simple and rapid to operate, and greatly shortens the operation time.
The existing endoscope anastomat is only provided with the one-way nail box, the existing endoscope anastomat can only perform one-way suture when suturing, the suturing force of suturing nails is small, even the suturing failure and other problems are caused, the using effect is poor, the existing endoscope anastomat cannot be fired under the condition that the swinging head is inclined, the body tissue needs to be clamped and then fired, the body tissue of a patient is easily pulled in the swinging head correcting process, certain potential safety hazards exist in the using process, the existing endoscope anastomat usually adopts three sets of independent connecting mechanisms to control the swinging head, the firing of the suturing nails and the opening and closing of an upper chuck and a lower endoscope chuck, the existing endoscope anastomat is complex in structure, the manufacturing difficulty is increased, the production cost is improved, and aiming at the problems, the existing endoscope anastomat needs to be improved.
Disclosure of Invention
The invention aims to provide a cavity mirror anastomat capable of being sewn in a staggered mode, and the cavity mirror anastomat is used for solving the problems that an existing cavity mirror anastomat only is provided with a one-way nail box, so that the existing cavity mirror anastomat can only carry out one-way sewing when sewing is carried out, the sewing force of sewing nails is small, even the sewing fails, the existing cavity mirror anastomat is poor in using effect, the existing cavity mirror anastomat cannot be fired under the condition that a swing head is inclined, the body tissue needs to be clamped and then fired, the body tissue of a patient is easily injured in the swing head return process, and certain potential safety hazards exist in using.
In order to achieve the purpose, the invention provides the following technical scheme: an endoscope anastomat capable of being sewn in a staggered mode comprises a machine shell, a swinging head, an upper chuck and a nail groove,
the rear side of the interior of the shell is provided with a first chute, the interior of the first chute is rotatably connected with a screw rod, the right end of the screw rod penetrates through the shell and is connected with a driving motor, the driving motor is fixedly arranged on the right side of the shell, the front side of the interior of the shell is provided with a second chute communicated with the first chute, the interior of the first chute is slidably connected with a first slide block, the interior of the second chute is slidably connected with a first slide rod fixedly connected with the first slide block, the first slide block is in threaded connection with the screw rod, the left side of the shell is inserted with a sleeve, the outer side of the right end of the sleeve is fixedly provided with a lug, the interior of the left side of the shell is provided with a limiting groove, the rear side of the left end of the shell is in threaded connection with a limiting pin, the front end of the limiting pin is inserted in a limiting hole formed in the surface of the sleeve, the interior of the right side of the sleeve is rotatably connected with a connecting pipe, and the interior of the connecting pipe is slidably connected with a second slide rod, the right end of the second sliding rod is clamped with the left end of the first sliding rod, a first gear is fixed at the right end of the connecting pipe, the first gear is meshed with the knob through the second gear, and meanwhile, the knob is rotatably connected to the outer side of the left end of the shell;
the right end of the swing head is rotatably connected with the left end of the sleeve, a third gear is arranged at the rotating connection position of the swing head and the sleeve, a worm is rotatably connected inside the sleeve in an up-and-down connection mode, the right end of the worm is meshed with the left end of the connecting pipe, the left end of the worm is meshed with the third gear, a first groove is formed in the left side of the swing head, sliding tables are slidably mounted on the upper side and the lower side of the inside of the first groove, a blade is mounted between the two sliding tables, a pressing strip is fixed on one side, close to the center of the first groove, of each sliding table, third sliding grooves communicated with the first groove are formed in the right side of the swing head and the left side of the sleeve, a top plate is slidably connected inside each third sliding groove, the right end of the top plate is fixedly connected with the left end of the second sliding rod, and the left end of the top plate is fixedly connected with the right end of the blade;
the improved nail box comprises a top plate, a nail box, a nail anvil, a nail slot, a nail box and a nail driving device, and is characterized in that a lower chuck is arranged below the upper chuck, the right end of the upper chuck and the right end of the lower chuck are both rotationally connected with a swing head left end, a first rotating shaft is arranged at the joint of the upper chuck, the lower chuck and the swing head, and the first rotating shaft and the swing head are rotationally connected, the second rotating shaft is rotationally connected with the swing head in the left side of the swing head, racks are arranged on the upper side and the lower side of the top plate, a second groove is arranged on the lower side of the upper chuck and the inner side of the lower chuck, the nail box is clamped inside the second groove, the nail slot is formed in the middle of the nail box, the nail anvil is fixed on one side of the nail box close to the central line of the sleeve, the nail slot penetrates through the nail box and the nail anvil and is arranged on the front side and the back side of the nail slot, and the nail slot is internally provided with the nail slot, and the nail is fixed with the nail slot at the top of the nail.
Preferably, the sliding distance of the first sliding block in the first sliding chute is greater than the length dimension of the upper clamping head.
Preferably, the diameter of the first slide bar is the same as the diameter of the second slide bar.
Preferably, the number of the worms is two, and the two worms are arranged in a rotational symmetry manner by taking the second slide bar as a center.
Preferably, the top sheet is made of a high tenacity material and the length dimension of the top sheet is greater than the length dimension of the upper jaw.
Preferably, the upper chuck and the lower chuck are symmetrically arranged, and a certain gap is reserved between the upper chuck and the lower chuck.
Preferably, the nail strips on the upper chuck and the nail strips on the lower chuck are arranged in a staggered mode, and the nail nails on the upper chuck and the nail nails on the lower chuck are arranged in a staggered mode.
Preferably, the outer side of the first rotating shaft and the outer side of the second rotating shaft are both wrapped with flexible rubber materials.
Preferably, the knife slot and the blade are positioned on the same vertical plane, the nail slot and the pressing strip are correspondingly arranged, and the height of the left end of the pressing strip is lower than that of the right end of the pressing strip.
Compared with the prior art, the invention has the beneficial effects that: the cavity mirror anastomat which can be sewed in a staggered way,
(1) the upper chuck and the lower chuck are respectively clamped with the nail box, and meanwhile, the suturing nail position of the nail box in the upper chuck and the suturing nail position of the nail box in the lower chuck are arranged in a staggered manner, so that when the suturing nail in the upper chuck and the suturing nail in the lower chuck are matched to complete suturing, the suturing nail in the upper chuck and the suturing nail in the lower chuck are sewn in a staggered manner on the upper side and the lower side of the body tissue of a patient, the suturing effect is improved, and the use is more practical;
(2) the top plate, the first connecting shaft and the second connecting shaft are arranged, when the top plate is pushed by the second sliding rod to slide in the third sliding groove, racks on the upper side and the lower side of the top plate push the second connecting shaft to rotate, the second connecting shaft drives the upper chuck and the lower chuck to rotate through the first connecting shaft, so that the opening and closing operation of the upper chuck and the lower chuck is completed, when the top plate is continuously pushed by the second sliding rod to move, the upper chuck and the lower chuck are clamped, so that the second connecting shaft and the first connecting shaft are connected and slide until the sliding table slides into the second groove, the racks are separated from being connected with the second rotating shaft, the opening and closing of the upper chuck and the lower chuck and the triggering of the suturing nails can be controlled by controlling the second sliding rod, the structure of a transmission part in the endoscope anastomat is simplified, and the production cost is greatly reduced;
(3) be provided with the top plate, blade and second slide bar, after the yaw swing, the second slide bar promotes the top plate, because the top plate belongs to high tenacity material and makes, the third spout has restricted the moving direction of top plate simultaneously, make the second slide bar promote the top plate and slide along the third spout, and promote inside blade and the slip table slided into the second recess through the top plate, make this chamber mirror anastomat can accomplish the percussion under the condition that the yaw deflects, the problem of patient's health tissue is dragged easily in the time of having avoided the yaw to return, it is safer to use.
Drawings
FIG. 1 is a schematic cross-sectional front view of the present invention;
FIG. 2 is a schematic diagram of a right side cross-sectional view of the upper chuck according to the present invention;
FIG. 3 is a schematic top view of the housing of the present invention;
FIG. 4 is an enlarged view of the structure at A in FIG. 1 according to the present invention;
FIG. 5 is an enlarged view of the structure at B in FIG. 1 according to the present invention;
FIG. 6 is a schematic top view of the lower chuck of the present invention;
FIG. 7 is a bottom view of the upper clamp of the present invention;
FIG. 8 is a schematic diagram of a left side sectional view of the housing of the present invention;
FIG. 9 is a schematic left side sectional view of the knob of the present invention;
FIG. 10 is a schematic left side sectional view of the cannula of the present invention;
fig. 11 is a schematic view of a connection structure between the slide table and the blade of the present invention.
In the figure: 1. the nail box comprises a machine shell, 2, a first sliding groove, 3, a screw rod, 4, a driving motor, 5, a second sliding groove, 6, a first sliding block, 7, a first sliding rod, 8, a sleeve, 9, a bump, 10, a limiting groove, 11, a limiting pin, 12, a limiting hole, 13, a connecting pipe, 14, a second sliding rod, 15, a first gear, 16, a second gear, 17, a knob, 18, a swinging head, 19, a third gear, 20, a worm, 21, a first groove, 22, a sliding table, 23, a blade, 24, a pressing strip, 25, a third sliding groove, 26, a top plate, 27, an upper clamp, 28, a lower clamp, 29, a first rotating shaft, 30, a second rotating shaft, 31, a rack, 32, a second groove, 33, a nail box, 34, a cutter groove, 35, a nail anvil, 36, a nail groove, 37, a nail strip, 38 and a sewing nail.
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. 1-11, the present invention provides a technical solution: a cavity mirror anastomat capable of being sewn in a staggered mode is as shown in figures 1, 3, 8, 9 and 10, a first sliding groove 2 is formed in the rear side of the interior of a machine shell 1, a screw rod 3 is connected to the interior of the first sliding groove 2 in a rotating mode, the right end of the screw rod 3 penetrates through the machine shell 1 to be connected with a driving motor 4, the driving motor 4 is fixedly installed on the right side of the machine shell 1, a second sliding groove 5 communicated with the first sliding groove 2 is formed in the front side of the interior of the machine shell 1, a first sliding block 6 is connected to the interior of the first sliding groove 2 in a sliding mode, a first sliding rod 7 fixedly connected with the first sliding block 6 is connected to the interior of the second sliding groove 5 in a sliding mode, the sliding distance of the first sliding block 6 in the first sliding groove 2 is larger than the length size of an upper clamping head 27, when the first sliding block 6 slides to the leftmost side of the first sliding groove 2, a blade 23 slides to the leftmost side of a second groove 32, the diameter size of the first sliding rod 7 is identical to the diameter size of a second sliding rod 14, be convenient for inside first slide bar 7 left end slips into connecting pipe 13, first slider 6 and 3 threaded connection of screw rod, 1 left side of casing is pegged graft there is sleeve pipe 8, and the sleeve pipe 8 right-hand member outside is fixed with lug 9, 1 left side of casing is inside to have seted up spacing groove 10, and 1 left end rear side threaded connection of casing has spacer pin 11, spacer pin 11 front end is pegged graft inside spacing hole 12 that the sleeve pipe 8 surface was seted up simultaneously, 8 right sides of casing are inside to be rotated and are connected with connecting pipe 13, and the inside sliding connection of connecting pipe 13 has second slide bar 14, 14 right-hand members of second slide bar and 7 left end joint of first slide bar, connecting pipe 13 right-hand member is fixed with first gear 15, and first gear 15 passes through second gear 16 and is connected with knob 17 meshing, knob 17 rotates simultaneously and connects in the 1 left end outside of casing.
As shown in fig. 1, 5 and 10, the right end of the swing head 18 is rotatably connected with the left end of the sleeve 8, a third gear 19 is installed at the rotary connection position of the swing head 18 and the sleeve 8, a worm 20 is rotatably connected with the inside of the sleeve 8 in an up-and-down connection manner, the right end of the worm 20 is engaged with the left end of the connecting pipe 13, the left end of the worm 20 is engaged with the third gear 19, two worms 20 are provided, the two worms 20 are rotationally symmetrical around the second sliding rod 14, the swing head 18 is pushed to rotate by the third gear 19 when the two worms 20 rotate, so that the swing head 18 rotates more stably, a first groove 21 is formed on the left side of the swing head 18, sliding tables 22 are slidably installed on the upper and lower sides inside the first groove 21, a blade 23 is installed between the two sliding tables 22, a pressing strip 24 is fixed on one side of the sliding tables 22 close to the center of the first groove 21, third sliding grooves 25 communicated with the first groove 21 are formed on the right side of the swing head 18 and the left side of the sleeve 8, and the top plate 26 is connected in the third chute 25 in a sliding manner, the top plate 26 is made of high-toughness material, and the length dimension of the top plate 26 is larger than that of the upper clamping head 27, so that the top plate 26 can still slide along the third chute 25 under the bending condition, the right end of the top plate 26 is fixedly connected with the left end of the second sliding rod 14, and the left end of the top plate 26 is fixedly connected with the right end of the blade 23.
As shown in fig. 1, 2, 4, 6, 7 and 11, a lower chuck 28 is disposed below the upper chuck 27, and the right end of the upper chuck 27 and the right end of the lower chuck 28 are both rotatably connected to the left end of the swing head 18, the upper chuck 27 and the lower chuck 28 are symmetrically disposed, and a gap is left between the upper chuck 27 and the lower chuck 28, so that the upper chuck 27 and the lower chuck 28 cooperate to clamp the body tissue of the patient, the strip 37 on the upper chuck 27 and the strip 37 on the lower chuck 28 are alternately disposed, and the staple 38 on the upper chuck 27 and the staple 38 on the lower chuck 28 are alternately disposed, the staple 38 in the lower chuck 28 and the staple 38 in the upper chuck 27 cooperate to complete the suturing, the alternately sutured staple 38 improves the suturing effect, the upper chuck 27 and the rotary connection between the lower chuck 28 and the swing head 18 are both provided with a first rotating shaft 29, and the first rotating shaft 29 and a second rotating shaft 30 rotatably connected to the left side of the swing head 18 are disposed, the outer side of the first rotating shaft 29 and the outer side of the second rotating shaft 30 are both wrapped with flexible rubber materials, so that a rack 31 drives the second rotating shaft 30 to rotate through friction force, the second rotating shaft 30 drives the first rotating shaft 29 to rotate through friction force, racks 31 are arranged on the upper side and the lower side of the top plate 26, the racks 31 are attached to the second rotating shaft 30, second grooves 32 are formed in the lower side of the upper chuck 27 and the inner side of the lower chuck 28, a magazine 33 is clamped in the second grooves 32, a knife slot 34 is formed in the middle of the magazine 33, a nail anvil 35 is fixed on one side of the magazine 33 close to the central line of the sleeve 8, the knife slot 34 and the blade 23 are located on the same vertical plane, a nail slot 36 is arranged corresponding to the bead 24, the left end of the bead 24 is lower than the right end of the bead 24, so that the blade 23 can conveniently slide into the knife slot 34, the bead 24 can slide into the nail slot 36, the nail slot 36 penetrates through the magazine 33 and the nail anvil 35 and is arranged on the front and back sides of the knife slot 34, and a nail strip 37 is arranged in the nail groove 36, and a sewing nail 38 is fixed at the top of the nail strip 37.
The working principle is as follows: when the endoscope anastomat capable of being sewn in a staggered mode is used, firstly, corresponding nail boxes 33 are respectively installed inside an upper chuck 27 and a lower chuck 28, a sleeve 8 is inserted into the left side of a machine shell 1, a protruding block 9 is matched with a limiting groove 10 to limit the insertion angle of the sleeve 8, then the sleeve 8 is rotated by 90 degrees, a first slide bar 7 is clamped with a second slide bar 14, a limiting pin 11 is rotated, the limiting pin 11 is inserted into a limiting hole 12 to lock the sleeve 8, the sleeve 8 is inserted into a puncture tube, a knob 17 is rotated, the knob 17 drives a first gear 15 to rotate through a second gear 16, the first gear 15 drives a worm 20 to rotate through a connecting pipe 13, the worm 20 drives a swinging head 18 to rotate through a third gear 19 to complete deflection of the swinging head 18, a built-in power supply is switched on, a driving motor 4 is started, the driving motor 4 drives a screw 3 to rotate, the screw 3 pushes a first sliding block 6 to move rightwards along a first sliding groove 2, the first slide bar 7 moves right along the second slide groove 5, the first slide bar 7 pulls the top plate 26 to move right through the second slide bar 14, the rack 31 at the top of the top plate 26 drives the second rotating shaft 30 to rotate under the action of friction force, the second rotating shaft 30 drives the first rotating shaft 29 to rotate under the action of friction force, so that the upper chuck 27 and the lower chuck 28 rotate to open, similarly, the driving motor 4 rotates reversely, the upper chuck 27 and the lower chuck 28 cooperate to clamp the body tissue of the patient, the driving motor 4 continues to operate, as the upper chuck 27 and the lower chuck 28 are closed, the first rotating shaft 29 and the second rotating shaft 30 slide until the rack 31 and the second rotating shaft 30 are disconnected, the structure of the internal transmission part of the endoscope anastomat is simplified, the production cost is greatly reduced, because the top plate 26 is made of high-toughness material, and the third slide groove 25 limits the moving direction of the top plate 26, the top plate 26 can still slide along the third sliding groove 25 when the swing head 18 deflects, the top plate 26 pushes the sliding table 22 and the blade 23 in the first groove 21 to move leftwards, then the blade 23 slides into the knife groove 34, the cutting of the body tissue of the patient is completed in the sliding process of the blade 23, the press strip 24 slides into the nail groove 36 and ejects the nail strip 37, the nail strip 37 ascends along the nail groove 36, the stitching nail 38 fixed on the nail strip 37 penetrates through the body tissue of the patient and is extruded and deformed with the nail anvil 35, the stitching of the body tissue of the patient is completed, as the stitching nail 38 in the upper chuck 27 and the stitching nail 38 in the lower chuck 28 are arranged in a staggered manner, the stitching of the body tissue of the patient is completed in a staggered manner on the upper side and the lower side, the stitching effect is improved, the endoscope stapler is more practical in use, the endoscope stapler can be fired when the swing head 18 deflects, the body tissue of the patient is prevented from being pulled when the swing, all this is done in a more secure manner, and nothing in this specification should be interpreted as belonging to the state of the art that is well known to those 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 can crisscross sutural chamber mirror anastomat, includes casing (1), yaw (18), goes up chuck (27) and nail groove (36), its characterized in that:
a first sliding groove (2) is formed in the rear side of the interior of the casing (1), a screw rod (3) is rotatably connected to the interior of the first sliding groove (2), the right end of the screw rod (3) penetrates through the casing (1) and is connected with a driving motor (4), the driving motor (4) is fixedly installed on the right side of the casing (1), a second sliding groove (5) communicated with the first sliding groove (2) is formed in the front side of the interior of the casing (1), a first sliding block (6) is slidably connected to the interior of the first sliding groove (2), a first sliding rod (7) fixedly connected with the first sliding block (6) is slidably connected to the interior of the second sliding groove (5), the first sliding block (6) is in threaded connection with the screw rod (3), a sleeve (8) is inserted into the left side of the casing (1), a convex block (9) is fixed to the outer side of the right end of the sleeve (8), a limiting groove (10) is formed in the interior of the left side of the casing (1), a limiting pin (11) is connected to the rear side of the left end of the machine shell (1) in a threaded manner, the front end of the limiting pin (11) is inserted into a limiting hole (12) formed in the surface of the sleeve (8), a connecting pipe (13) is connected to the inside of the right side of the sleeve (8) in a rotating manner, a second sliding rod (14) is connected to the inside of the connecting pipe (13) in a sliding manner, the right end of the second sliding rod (14) is connected with the left end of the first sliding rod (7) in a clamping manner, a first gear (15) is fixed to the right end of the connecting pipe (13), the first gear (15) is connected with a knob (17) in a meshing manner through a second gear (16), and the knob (17) is connected to the outer side of the left end of the machine shell (1) in a rotating manner;
the swing head (18) right end is connected with the sleeve (8) left end in a rotating mode, a third gear (19) is installed at the rotating connection position of the swing head (18) and the sleeve (8), the sleeve (8) is connected with a worm (20) in an up-and-down connecting mode in the interior, the worm (20) right end is connected with the connecting pipe (13) left end in a meshing mode, the worm (20) left end is connected with the third gear (19) in a meshing mode, a first groove (21) is formed in the swing head (18) left side, sliding tables (22) are installed on the upper portion and the lower portion of the first groove (21) in an upper-and-lower portion in the interior in a sliding mode, a blade (23) is installed between the two sliding tables (22), a pressing strip (24) is fixed on one side, close to the center of the first groove (21), of the swing head (18) right side and the sleeve (8) left side are provided with third sliding grooves (25) communicated with the first groove (21), and top sheets (26) are connected in the third sliding grooves (25) in the interior, the right end of the top plate (26) is fixedly connected with the left end of the second sliding rod (14), and the left end of the top plate (26) is fixedly connected with the right end of the blade (23);
a lower chuck (28) is arranged below the upper chuck (27), the right end of the upper chuck (27) and the right end of the lower chuck (28) are rotatably connected with the left end of the swing head (18), a first rotating shaft (29) is arranged at the rotary connection position of the upper chuck (27), the lower chuck (28) and the swing head (18), the first rotating shaft (29) is attached to a second rotating shaft (30) rotatably connected to the left side of the swing head (18), racks (31) are arranged on the upper side and the lower side of the top plate (26), the racks (31) are attached to the second rotating shaft (30), second grooves (32) are formed in the lower side of the upper chuck (27) and the inner side of the lower chuck (28), nail boxes (33) are clamped in the second grooves (32), a cutter groove (34) is formed in the middle of each nail box (33), and a nail anvil (35) is fixed on one side of each nail box (33) close to the central line of the sleeve (8), the nail groove (36) penetrates through the nail box (33) and the nail anvil (35) and is formed in the front side and the rear side of the knife groove (34), a nail strip (37) is installed inside the nail groove (36), and meanwhile, sewing nails (38) are fixed to the top of the nail strip (37).
2. The laparoscopic stapler of claim 1, wherein said stapler comprises: the sliding distance of the first sliding block (6) in the first sliding chute (2) is larger than the length dimension of the upper clamping head (27).
3. The laparoscopic stapler of claim 1, wherein said stapler comprises: the diameter of the first slide bar (7) is the same as the diameter of the second slide bar (14).
4. The laparoscopic stapler of claim 1, wherein said stapler comprises: the number of the worms (20) is two, and the two worms (20) are arranged in a rotational symmetry manner by taking the second sliding rod (14) as a center.
5. The laparoscopic stapler of claim 1, wherein said stapler comprises: the top sheet (26) is made of a high tenacity material, and the length dimension of the top sheet (26) is greater than the length dimension of the upper clip (27).
6. The laparoscopic stapler of claim 1, wherein said stapler comprises: the upper chuck (27) and the lower chuck (28) are symmetrically arranged, and a certain gap is reserved between the upper chuck (27) and the lower chuck (28).
7. The laparoscopic stapler of claim 1, wherein said stapler comprises: the nail strips (37) on the upper chuck (27) and the nail strips (37) on the lower chuck (28) are arranged in a staggered mode, and the sewing nails (38) on the upper chuck (27) and the sewing nails (38) on the lower chuck (28) are arranged in a staggered mode.
8. The laparoscopic stapler of claim 1, wherein said stapler comprises: the outer sides of the first rotating shaft (29) and the second rotating shaft (30) are wrapped with flexible rubber materials.
9. The laparoscopic stapler of claim 1, wherein said stapler comprises: the knife groove (34) and the blade (23) are located on the same vertical plane, the nail groove (36) and the pressing strip (24) are correspondingly arranged, and the height of the left end of the pressing strip (24) is lower than that of the right end of the pressing strip (24).
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CN1843302A (en) * 2005-04-07 2006-10-11 伊西康内外科公司 Surgical instrument with guided laterally moving articulation member
CN101310680A (en) * 2007-05-25 2008-11-26 Tyco医疗健康集团 Staple buttress retention system
US20130256372A1 (en) * 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
CN106999183A (en) * 2014-09-26 2017-08-01 伊西康有限责任公司 Surgical staples and driver for nail bin are arranged

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1636522A (en) * 2003-07-09 2005-07-13 伊西康内外科公司 Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
CN1843302A (en) * 2005-04-07 2006-10-11 伊西康内外科公司 Surgical instrument with guided laterally moving articulation member
CN101310680A (en) * 2007-05-25 2008-11-26 Tyco医疗健康集团 Staple buttress retention system
US20130256372A1 (en) * 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
CN106999183A (en) * 2014-09-26 2017-08-01 伊西康有限责任公司 Surgical staples and driver for nail bin are arranged

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