CN113367749B

CN113367749B - Vagina anastomat

Info

Publication number: CN113367749B
Application number: CN202110590482.0A
Authority: CN
Inventors: 王家建; 王伟; 潘敏
Original assignee: Huzhou Maternity and Child Care Hospital
Current assignee: Huzhou Maternity and Child Care Hospital
Priority date: 2021-05-28
Filing date: 2021-05-28
Publication date: 2022-09-16
Anticipated expiration: 2041-05-28
Also published as: CN113367749A

Abstract

The invention provides a vagina anastomat, which belongs to the field of medical equipment and comprises a transverse frame shaft, wherein an operation main shaft is arranged on the side surface of the transverse frame shaft, a first anastomosis table is arranged at the bottom of the operation main shaft, a second anastomosis table is connected to the bottom side of the front part of the operation main shaft, a threading seat is fixedly connected to the bottom of the transverse frame shaft through a lower frame shaft, a second sliding clamping groove is arranged at the front part of the lower side of the operation main shaft, and a first sliding clamping groove is arranged at the rear part of the lower side of the operation main shaft. The invention realizes the purpose of convenient operation by integrally combining various functions; the vagina is opened through the protective cover to facilitate suturing, and the protective cover covers the lower suturing structure to prevent the sharp structure from touching the patient to cause secondary injury, so that the safety is ensured; through the platform that coincide that can set up different quantity suture needles according to operation incision size, realize many needles and sew up the operation simultaneously, set up automatic clipper, convenient stylolite cuts, and the supplementary platform of knoing is supplementary automatic to this reaches the effect that improves operation suture efficiency.

Description

Vagina anastomat

Technical Field

The invention relates to the field of medical equipment, in particular to a vaginal anastomat.

Background

Staplers are devices used in medicine to replace manual suturing, the main working principle being the detachment or anastomosis of tissue by titanium staples, similar to staplers. According to different application ranges, the main components of the anastomat can be divided into a skin anastomat, a circular digestive tract anastomat, a rectal anastomat, a circular hemorrhoid anastomat, a circumcision anastomat, a blood vessel anastomat, a hernia anastomat, a lung cutting stapler and the like. Total hysterectomy and extensive total hysterectomy are common surgical procedures in gynecological tumor treatment, and vaginal anastomosis is required after vaginal ring-cutting in the surgical procedure.

Patent application No. CN201921131100.2 provides a vaginal stapler comprising a stapling mechanism; the anastomosis mechanism comprises a protective cylinder, a first rotating shaft is arranged inside the protective cylinder, an upper clamping rod is sleeved on the outer side of the first rotating shaft, a lower clamping rod is arranged on the front side face of the upper clamping rod, a nail bin is arranged at one end of the upper clamping rod, a placing bin is arranged inside the nail bin, a second rotating shaft is arranged inside the placing bin, a first spring is fixedly arranged inside the placing bin, a push plate is fixedly arranged on one side of the first spring, nails are arranged on one side of the push plate, a nail outlet is arranged at the bottom of the placing bin, a second spring is fixedly arranged at the top of the placing bin, a pressing plate is fixedly arranged at the top of the nail bin, a pressing plate is fixedly arranged at the bottom of the pressing plate and is arranged at the top of the nails, a bottom pressing plate is arranged at one end of the lower clamping rod, and a nail abutting block is arranged at the top of the bottom pressing plate.

According to the anastomat, the anastomosis mechanism is arranged, nails are used for replacing sutures to close the vagina and then the vaginal stump is separated, the vagina is anastomosed only through one-time occlusion, the contaminated area is prevented from being communicated with an abdominal cavity cleaning operation area, the operation time is shortened, the probability of postoperative infection and tumor field planting of the abdominal cavity is further reduced, meanwhile, the protection cylinder is arranged, the upper clamping rod and the lower clamping rod can be reduced, the vaginal opening is prevented from being damaged, and the protection effect in the operation process is improved; through setting up protection machanism, avoid going up clamping bar and clamping bar down to carry out the regional extrusion of minizone to the vaginal opening and expand and prop, reduce the injury to the vaginal opening, further promote the protective effect.

Although the technical scheme improves the safety of the suturing operation to a certain extent, the requirement for further improvement on how to prevent the sharp object from touching the patient to cause secondary injury when the device enters the vagina is needed; and the technical scheme does not relate to the treatment mode of the suture after the suture is finished, the equipment operation is not convenient enough, and the operation working efficiency is influenced.

Therefore, the invention of the vaginal anastomat is very necessary.

Disclosure of Invention

In order to fully solve the problems, in particular to overcome the defects in the prior art, the invention provides a vaginal stapler which can fully solve the problems.

In order to achieve the purpose, the invention adopts the following technical means:

the utility model provides a vagina anastomat, includes the crossbearer axle, crossbearer axle side-mounting has the operation main shaft, operation main shaft bottom is equipped with the first platform that coincide, the anterior bottom side of operation main shaft is connected with the platform that coincide of second, crossbearer axle bottom is through lower carriage axle fixedly connected with threading seat, threading seat upper portion is equipped with a plurality of through wires holes, operation main shaft downside front portion is equipped with second slip draw-in groove, first slip draw-in groove is installed at operation main shaft downside rear portion.

Preferably, the upper portion of the operation main shaft is provided with a connecting shaft, the upper portion of the connecting shaft is provided with a control switch, and the uppermost end of the connecting shaft is provided with a fixed handle.

Preferably, operation main shaft downside rear portion is through first sliding clamping groove and the first anastomotic platform sliding connection that coincide, the downside front portion is connected with the anastomotic platform of second through second sliding clamping groove, operation main shaft downside is through connecting rod fixedly connected with auxiliary table of knoing, the auxiliary table front side of knoing is equipped with the clipper.

Preferably, the connecting shaft is provided with slide rails on two sides, the connecting shaft is connected with the slide block in a sliding manner through the slide rails, the slide block is fixedly installed inside the slide shaft, and the slide shaft is fixedly connected with the protective cover.

Preferably, the upper portion of the cutting knife is provided with a cutting electric telescopic shaft, the upper portion of the cutting electric telescopic shaft is provided with a cutting station wireless data receiver, and the cutting station wireless data receiver is electrically connected with the control switch.

Preferably, a plurality of first pinholes are arranged at the bottom of the first anastomosis table, a first fixed sliding block is arranged inside the first anastomosis table, a first wireless data receiver is connected to the upper portion of the first anastomosis table, a first electric sliding rod is arranged on the upper portion of the first anastomosis table, and the first wireless data receiver is electrically connected with the control switch.

Preferably, a plurality of second needle holes are formed in the bottom of the second anastomosis table, a second fixed sliding block is mounted inside the second anastomosis table, a second wireless data receiver is connected to the upper portion of the second anastomosis table, a second electric sliding rod is arranged on the upper portion of the second anastomosis table, and the second wireless data receiver is electrically connected with the control switch.

Preferably, the knotting auxiliary table lower part is provided with a plurality of auxiliary frames, the auxiliary frame side-mounting has the micro motor, the micro motor side-connection has the pivot of knoing, the pivot front portion of knoing is equipped with the knot and presss from both sides.

Preferably, a plurality of suture needles are placed on the upper part of the second anastomosis table, suture lines are connected to the rear parts of the suture needles, and the suture lines pass through the operation incision through the suture needles.

Preferably, the notch clamp platform is installed to the supplementary platform both sides of knoing, notch clamp platform inside is equipped with the small-size electronic telescopic shaft of clamp, the small-size electronic telescopic shaft front portion of clamp is connected with L type splint.

Compared with the prior art, the invention has the beneficial effects that:

1. the integration sets up convenient operation, safety protection. The handheld integrated device for suturing, cutting, incision clamping and auxiliary knotting is convenient to operate, the handheld device is stably held by the fixing handle, the stability of the device in use is ensured, the protecting cover moves downwards to open the vagina to facilitate suturing when in use, the protecting cover covers the lower suturing structure, harm to a patient due to touching of other positions is prevented, and safety is ensured.

2. The multiple needles are operated simultaneously, and the surgical suture efficiency is improved. The invention is provided with an anastomosis table which can place different numbers of suture needles according to the size of an operation incision, a row of needles fixed at the upper part of the anastomosis table are pushed, and the row of needles carry suture threads to pass through the operation incision and then are knotted through the suture threads at the rear end.

3. The suture line is automatically cut off, knotting is assisted, and the suturing efficiency is improved. According to the invention, the automatic and convenient cutting of the suture line is realized through the cutting knife, and meanwhile, the knotting auxiliary table assists medical staff in automatic knotting, so that the suturing efficiency is improved.

Drawings

FIG. 1 is a schematic view of the unused structure of the present invention.

Fig. 2 is a front elevational view of the invention when not in use.

Fig. 3 is a schematic structural diagram and a partial enlarged view of the present invention.

Fig. 4 is a front view and a partially enlarged view of the internal structure of the present invention.

FIG. 5 is a schematic view of the suturing mechanism of the present invention.

FIG. 6 is a schematic view of the suture of the present invention in use and partially enlarged.

In the figure:

1. performing surgical incision; 2. fixing a handle; 3. a connecting shaft; 4. a control switch; 5. a shield; 6. a cross frame shaft; 7. operating the main shaft; 8. a connecting rod; 9. a cutting knife; 10. a first anastomosis station; 11. a second anastomosis station; 12. a knotting auxiliary table; 13. a notch clamp station; 14. a suture needle; 15. a suture; 31. a slide rail; 51. a slide shaft; 52. a slider; 61. a lower carriage shaft; 62. a threading seat; 621. threading holes; 71. a second sliding card slot; 72. a first sliding card slot; 91. cutting off the electric telescopic shaft; 92. a cut-off station wireless data receiver; 101. a first pinhole; 102. a first fixed slide block; 103. a first wireless data receiver; 104. a first electric slide bar; 111. a second pinhole; 112. a second fixed slide block; 113. a second wireless data receiver; 114. a second electric slide bar; 121. an auxiliary frame; 122. a small-sized motor; 123. knotting the rotating shaft; 124. a knotting clip; 131. a small clamping electric telescopic shaft; 132. an L-shaped splint.

Detailed Description

The invention is further described below with reference to the accompanying drawings:

example (b):

as shown in fig. 1 to 6, the invention provides a vaginal stapler, which comprises a transverse frame shaft 6, wherein an operation main shaft 7 is installed on the side surface of the transverse frame shaft 6, a first anastomosis table 10 is arranged at the bottom of the operation main shaft 7, a second anastomosis table 11 is connected to the bottom side of the front part of the operation main shaft 7, a threading seat 62 is fixedly connected to the bottom of the transverse frame shaft 6 through a lower frame shaft 61, a plurality of threading holes 621 are arranged at the upper part of the threading seat 62, a second sliding clamping groove 71 is arranged at the front part of the lower side of the operation main shaft 7, and a first sliding clamping groove 72 is installed at the rear part of the lower side of the operation main shaft 7.

As shown in fig. 1 to fig. 3, in the above embodiment, specifically, the upper portion of the operation spindle 7 is provided with the connecting shaft 3, the upper portion of the connecting shaft 3 is provided with the control switch 4, and the uppermost end of the connecting shaft 3 is provided with the fixed handle 2.

As shown in fig. 4 to 6, in the above embodiment, specifically, the rear portion of the lower side of the operation spindle 7 is slidably connected to the first anastomosis table 10 through a first sliding slot 72, the front portion of the lower side is connected to the second anastomosis table 11 through a second sliding slot 71, the lower side of the operation spindle 7 is fixedly connected to a knotting auxiliary table 12 through a connecting rod 8, and the front side of the knotting auxiliary table 12 is provided with a cutting knife 9.

As shown in fig. 1 to 4, in the above embodiment, specifically, the two sides of the connecting shaft 3 are provided with the sliding rails 31, the connecting shaft 3 is slidably connected with the sliding blocks 52 through the sliding rails 31, the sliding blocks 52 are fixedly installed inside the sliding shaft 51, and the sliding shaft 51 is fixedly connected to the shield 5.

As shown in fig. 4 to fig. 6, in the above embodiment, specifically, the cutting knife 9 is provided with a cutting electric telescopic shaft 91 at an upper portion thereof, the cutting table wireless data receiver 92 is provided at an upper portion of the cutting electric telescopic shaft 91, and the cutting table wireless data receiver 92 is electrically connected to the control switch 4.

As shown in fig. 4 to 5, in the above embodiment, specifically, the bottom of the first anastomosis table 10 is provided with a plurality of first needle holes 101, a first fixed slide block 102 is installed inside the first anastomosis table 10, the upper portion of the first anastomosis table 10 is connected to a first wireless data receiver 103, the upper portion of the first anastomosis table 10 is provided with a first electric slide bar 104, and the first wireless data receiver 103 is electrically connected to the control switch 4.

In the above embodiment, specifically, the bottom of the second anastomosis table 11 is provided with a plurality of second pinholes 111, a second fixed slider 112 is installed inside the second anastomosis table 11, the upper portion of the second anastomosis table 11 is connected with a second wireless data receiver 113, the upper portion of the second anastomosis table 11 is provided with a second electric slide bar 114, and the second wireless data receiver 113 is electrically connected with the control switch 4.

As shown in fig. 5 to 6, in the above embodiment, specifically, a plurality of auxiliary frames 121 are disposed at the lower portion of the knotting auxiliary table 12, a small-sized motor 122 is installed at a side surface of each auxiliary frame 121, a knotting rotating shaft 123 is connected to a side surface of each small-sized motor 122, and a knotting clip 124 is disposed at a front portion of each knotting rotating shaft 123.

In the above embodiment, as shown in fig. 3 to fig. 6, specifically, a plurality of suture needles 14 are placed on the upper portion of the second anastomosis table 11, a suture thread 15 is connected to the rear portion of the suture needle 14, and the suture thread 15 passes through the surgical incision 1 through the suture needle 14.

In the above embodiment, specifically, the notching clamp table 13 is installed on two sides of the knotting auxiliary table 12, a small clamping electric telescopic shaft 131 is arranged inside the notching clamp table 13, and an L-shaped clamp plate 132 is connected to the front part of the small clamping electric telescopic shaft 131.

Principle of operation

Before an operation, a doctor holds the fixed handle 2 by hand and controls the operation of the whole device through a control switch 4 arranged on the upper part of the connecting shaft 3.

Then, an appropriate number of needles 14 are selected according to the size of the surgical incision 1, a suture 15 is connected to the needles 14, the suture 15 is carried by the needles 14 through the threading holes 621, the needles 14 are placed on the upper portion of the first needle hole 101 at the bottom of the first anastomosis table 10, the shield 5 is moved down by the slide rail 31 and the slider 52 to cover the suturing device, the device is then extended into the vaginal opening, the shield 5 covers the entire structure of the lower portion of the stapler to prevent the sharp object from touching the patient, the surgical incision 1 is clamped by the small clamping electric telescopic shaft 131 of the incision clamping table 13 and the L-shaped clamp plate 132, and the needles 14 are fixed on the first anastomosis table 10 by the first fixing slider 102. Then, the first electric sliding rod 104 is controlled to move forward, the suture needle 14 passes through the surgical incision 1 and then enters the second needle hole 111 at the bottom of the second anastomosis table 11, the second fixed sliding block 112 is controlled to move downward to fix the suture needle 14, the first fixed sliding block 102 is opened, the second electric sliding rod 114 is slid forward, the suture is completed, the cut-off electric telescopic shaft 91 is controlled to move downward, the cut-off knife 9 cuts off redundant threads, finally, the suture thread 15 is moved to the knotting auxiliary table 12, the small motor 122 is started to drive the knotting rotating shaft 123, and automatic knotting is carried out through the knotting clamp 124 connected to the front portion.

During the operation of the whole device, the operation of the device is controlled by intercepting the data transmission between the wireless data receiver 92, the first wireless data receiver 103 and the second wireless data receiver 113 and the control switch 4.

In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.

Finally, it should be noted that: 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 changes may be made in the embodiments and/or equivalents thereof without departing from the spirit and scope of the invention. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. The vagina anastomat is characterized by comprising a transverse frame shaft (6), wherein an operation main shaft (7) is installed on the side surface of the transverse frame shaft (6), a first anastomosis table (10) is arranged at the bottom of the operation main shaft (7), and a second anastomosis table (11) is connected to the bottom side of the front part of the operation main shaft (7);

the bottom of the transverse frame shaft (6) is fixedly connected with a threading seat (62) through a lower frame shaft (61), a plurality of threading holes (621) are formed in the upper portion of the threading seat (62), a second sliding clamping groove (71) is formed in the front portion of the lower side of the operation main shaft (7), and a first sliding clamping groove (72) is formed in the rear portion of the lower side of the operation main shaft (7);

the rear part of the lower side of the operation main shaft (7) is connected with the first anastomosis table (10) in a sliding mode through a first sliding clamping groove (72), the front part of the lower side of the operation main shaft is connected with a second anastomosis table (11) through a second sliding clamping groove (71), the lower side of the operation main shaft (7) is fixedly connected with a knotting auxiliary table (12) through a connecting rod (8), and a cut-off knife (9) is arranged on the front side of the knotting auxiliary table (12);

the bottom of the first anastomosis table (10) is provided with a plurality of first needle holes (101), a first fixed sliding block (102) is installed inside the first anastomosis table (10), the upper part of the first anastomosis table (10) is connected with a first wireless data receiver (103), the upper part of the first anastomosis table (10) is provided with a first electric sliding rod (104), and the first wireless data receiver (103) is electrically connected with a control switch (4);

the bottom of the second anastomosis table (11) is provided with a plurality of second needle holes (111), a second fixed sliding block (112) is installed inside the second anastomosis table (11), the upper part of the second anastomosis table (11) is connected with a second wireless data receiver (113), the upper part of the second anastomosis table (11) is provided with a second electric sliding rod (114), and the second wireless data receiver (113) is electrically connected with the control switch (4);

a plurality of auxiliary frames (121) are arranged at the lower part of the knotting auxiliary table (12), a small motor (122) is arranged on the side surface of each auxiliary frame (121), a knotting rotating shaft (123) is connected to the side surface of each small motor (122), and a knotting clamp (124) is arranged at the front part of each knotting rotating shaft (123);

a plurality of suture needles (14) are placed at the upper part of the second anastomosis table (11), the rear parts of the suture needles (14) are connected with suture lines (15), and the suture lines (15) penetrate through the operation incision (1) through the suture needles (14);

knotting auxiliary table (12) both sides are installed the incision and are pressed from both sides platform (13), incision presss from both sides the inside small-size electronic telescopic shaft (131) that press from both sides that are equipped with of platform (13), small-size electronic telescopic shaft (131) front portion that press from both sides is connected with L type splint (132).

2. The vaginal stapler as claimed in claim 1, characterized in that the upper part of the operation main shaft (7) is provided with a connecting shaft (3), the upper part of the connecting shaft (3) is provided with a control switch (4), and the uppermost end of the connecting shaft (3) is provided with a fixed handle (2);

the sliding device is characterized in that sliding rails (31) are arranged on two sides of the connecting shaft (3), the connecting shaft (3) is connected with a sliding block (52) in a sliding mode through the sliding rails (31), the sliding block (52) is fixedly installed inside a sliding shaft (51), and the sliding shaft (51) is fixedly connected to the protective cover (5);

the cutting knife (9) upper portion is equipped with cuts electronic telescopic shaft (91), cut electronic telescopic shaft (91) upper portion and be provided with and cut off a wireless data receiver (92), wireless data receiver (92) and control switch (4) electric connection.