CN113951956A - Controllable localized suture electric intracavity cutting anastomat - Google Patents
Controllable localized suture electric intracavity cutting anastomat Download PDFInfo
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- CN113951956A CN113951956A CN202111229892.9A CN202111229892A CN113951956A CN 113951956 A CN113951956 A CN 113951956A CN 202111229892 A CN202111229892 A CN 202111229892A CN 113951956 A CN113951956 A CN 113951956A
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- nail
- cutting
- fixedly connected
- suturing
- board
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
- A61B2017/07214—Stapler heads
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
Abstract
The invention relates to the field of anastomats, and discloses an electric intracavity cutting anastomat capable of controlling localized suturing, which achieves the purpose of conveniently disassembling and assembling a nail storage plate through arrangement of a limiting ball and the like, and improves the use efficiency of the anastomat during operation; the high-frequency suturing cylinder moves to the corresponding percussion coordinate, so that the adaptation seat presses the anastomosis nails at the corresponding positions downwards and is matched with the corresponding forming grooves to finish the anastomosis effect on the tissues, further, the adaptive selection of local suturing can be realized, the traditional 'unified' suturing mode is not needed, and the wound to a patient during the operation is reduced; through the operation of cutting cylinder for cutting blade and the local tissue contact that needs the excision, and control cutting motor operation, make cutting blade "initiative" formula cutting correspond the part tissue on the position, and then compare in prior art, make the cutting position more nimble, cooperate the selectivity to sew up the use, further reduce the wound influence that causes in to the patient.
Description
Technical Field
The invention relates to the field of anastomats, in particular to an electric intracavity cutting anastomat capable of controlling localized suturing.
Background
Intraluminal cutting staplers, as a device used medically to replace manual cutting, are widely used in a variety of open and minimally invasive general surgery, gynecology, urology, thoracic surgery and pediatric surgery. The endocutter generally includes a stapler body and a cutting assembly, wherein different cutting assemblies have different cutting strokes, and the cutting assemblies with different cutting strokes are selected according to the type and the part of the cut tissue during the operation.
In the prior art, chinese patent publication No. CN111317527B discloses an electric intraluminal cutting stapler, in which a controller of a stapler body can automatically recognize a cutting stroke of a cutting assembly only by mounting the cutting assembly into the stapler body during a surgical procedure, and the controller controls a power device to operate to complete a cutting process corresponding to the stroke. When different cutting strokes are needed according to human tissues, only different cutting assemblies need to be switched. Although the cutting assemblies with different strokes are switched, the actual operation still has more disadvantages, for example, the anastomat in the prior art cannot selectively perform local 'point-to-point' suturing, peripheral tissues in a larger range need to be uniformly sutured, namely, the anastomosis nails are completely taken out of a bin, and if the tail end of the anastomat is adopted to fire partial anastomosis nails to perform regional suturing, the front end of the anastomat is required to be deeply inserted into the body, and suturing wounds or other accidental injuries can be caused; meanwhile, although a side stitching and side cutting mode exists, in the actual cutting process, the cutting stroke is often inconvenient to control according to the actual stitching position, selective cutting cannot be conducted according to the stitching range, then the wound caused in the body of a patient is large, and the operation risk is increased.
Disclosure of Invention
Technical problem to be solved
Aiming at the defects of the prior art, the invention provides the controllable localized suture electric intracavity cutting anastomat which has the advantages of selective suture cutting and the like and solves the series problems that the selective suture cutting and the like cannot be realized in the prior art.
(II) technical scheme
In order to achieve the purpose, the invention provides the following technical scheme: the controllable localized suture electric intracavity cutting anastomat comprises an operation shell and a driving rod which are connected, wherein one end of the driving rod is connected with a nail abutting seat and a nail bin which are matched, a control unit is arranged in the operation shell, a driving unit which is electrically connected with the control unit is arranged in the driving rod, an infrared instrument which is electrically connected with the control unit is also arranged on the nail bin, and the infrared instrument is used for assisting in flaw detection;
still be equipped with a plurality of anastomotic nails that are used for suturing in the nail storehouse and bear a plurality of the storage nail board of anastomotic nails, still be equipped with on the nail storehouse and independently fire each the percussion assembly of anastomotic nails, percussion assembly contains with a plurality of the corresponding and all reciprocating motion's of anastomotic nails position high frequency suture cylinder, just still install the cutting subassembly that is used for carrying out the cutting to the tissue after sewing up in the nail storehouse, cutting subassembly include height and position can with the cutting blade of percussion assembly looks adaptation.
Preferably, the control unit can control the driving unit to operate, the driving unit can be used for driving the nail abutting seat to synchronously rotate the nail bin and independently rotate one end of the nail bin, a camera electrically connected with the control unit is further arranged at one end of the nail abutting seat, and the infrared instrument can transmit the temperature information of the focus and the peripheral tissues of the focus in the patient to the control unit;
the nail storage plate is connected with the nail storage plate in a clamping mode, a plurality of uniformly distributed anastomotic nails are arranged on the nail storage plate, and a plurality of forming grooves which are uniformly distributed and correspond to the positions of the anastomotic nails respectively are formed in one side of the nail abutting seat.
Preferably, still be equipped with on the nail storehouse and be used for fixing store up the spacing subassembly of nail board, spacing subassembly contain with store up the unanimous mounting groove of nail board one end width, set up on one side inner wall of nail storehouse with store up nail board one end looks adaptation the mounting groove, just a plurality of rubber columns that distribute evenly of fixedly connected with on one side inner wall of mounting groove, it is a plurality of the rubber column is the elasticity material, and is a plurality of the other end fixedly connected with of rubber column is same with the expansion plate of mounting groove looks adaptation, the expansion plate slides and cup joints in the mounting groove and with the one end of storing up the nail board contacts.
Preferably, the limiting assembly further comprises a limiting ball matched with the other end of the nail storage plate, one side of the nail bin is further provided with a sliding hole communicated with the inside of the nail bin, a control rod is sleeved in the sliding hole in a sliding mode, two ends of the control rod are respectively and fixedly connected with an inclined top cap and the limiting ball, the inclined top cap is arranged in an inclined mode and matched with the side wall of the nail bin, an arc-shaped limiting groove matched with one end of the nail storage plate is formed in the limiting ball, and one end of the nail storage plate can be clamped in the arc-shaped limiting groove;
the one end of storing up the nail board still is seted up and is conveniently installed store up the mounting hole of nail board.
Preferably, a cylindrical groove communicated with the sliding hole is further formed in the nail bin, the cylindrical groove is coaxial with the sliding hole and has a diameter larger than that of the sliding hole, a fixing ring with a diameter consistent with that of the cylindrical groove is fixedly sleeved on the control rod, a limiting spring is further sleeved on the control rod, and two ends of the limiting spring are respectively and fixedly connected to the fixing ring and the inner wall of one side of the cylindrical groove;
the limiting assembly further comprises a guide assembly for preventing the control rod from rotating, the guide assembly comprises a guide block and a guide groove which are matched, the two positions of the fixed ring are corresponding to each other, the guide block is fixedly connected to the column groove, the two positions of the column groove are corresponding to each other, and the guide block is sleeved in the corresponding guide groove in a sliding manner.
Preferably, the firing assembly further comprises an adaptation seat adapted to the plurality of staples, two high-frequency suturing cylinders corresponding to the positions of the staples are arranged in the staple cartridge, the output ends of the high-frequency suturing cylinders are fixedly connected with operation plates through first telescopic rods, the bottom ends of the two operation plates are fixedly provided with the adaptation seat corresponding to the positions of the staples on the corresponding side, and the bottom ends of the adaptation seat are provided with pressing grooves adapted to the staples.
Preferably, the inner walls of the two sides of the nail bin are fixedly connected with two common electric sliding rails corresponding in position, the two electric sliding rails are sleeved with electric sliding blocks matched with the corresponding electric sliding rails in a sliding mode, one sides, close to each other, of the two electric sliding blocks are fixedly provided with the same mobile platform, and the two high-frequency sewing cylinders are fixedly sleeved on the mobile platform.
Preferably, still seted up the cutting extension hole on the storage nail board, just still fixed mounting has the cutting cylinder on the mobile station, the output of cutting cylinder passes through second telescopic link fixedly connected with installing frame, the installing frame internal fixation has cup jointed the cutting motor, just the one end fixedly connected with of the output shaft of cutting motor cutting blade, cutting blade is located the cutting extension is downthehole.
(III) advantageous effects
Compared with the prior art, the invention provides the controllable localized suture electric intracavity cutting anastomat which has the following beneficial effects:
1. this electronic intracavity cutting anastomat of sutural controllable localization, upwards lift certain angle through the one end of the control unit control nail storehouse, the one end of the storage nail board that will place the anastomotic nail supports the expansion plate and applys the extrusion force to one side, then make the rubber column take place deformation and drive the expansion plate and remove to one side, thereby conveniently upwards lift the other end of storing up the nail board until the joint is in the arc spacing inslot on spacing ball, accomplish convenient installation and store up a plurality of nails on the nail board and, equally, need remove when storing up the spacing of nail board after the anastomotic nail actuating lever uses, only need to put the hood to one side pulling slant, make spacing ball remove the fixed action to storing up the nail board, then realized making things convenient for the purpose that the dismouting stored up the nail board, the availability factor of anastomat when the operation has been improved.
2. This electronic intracavity cutting anastomat that controllable localized was sewed up, through camera and infrared appearance, make things convenient for medical personnel to judge the internal focus concrete position of patient, then compress tightly the tissue and judge the position that needs carry out the anastomotic nail of percussion through the control unit control nail storehouse and support the nail seat, thereby control electronic slider operation, it removes to drive the high frequency and sew up the cylinder, until removing the percussion coordinate that corresponds, the cylinder operation is sewed up to control high frequency, make the adaptation seat with the nail that corresponds on the position push down and cooperate the shaping groove that corresponds to accomplish the identical effect to the tissue, and then can realize that adaptability selects the part to sew up, need not to adopt traditional "unified" sutural mode, the wound to the patient when having alleviateed the operation.
3. This electronic intracavity cutting anastomat of controllable localized sewing, in the local sewing process of selectivity, the mobile station drives the cutting cylinder and removes to corresponding position department, can control the operation of cutting cylinder after sewing up, then make cutting blade and the local tissue contact that needs the excision, and control cutting motor operation, make cutting blade "initiative" formula cutting correspond the part tissue on the position, and then compare in prior art, make the cutting position more nimble, cooperate the selective sewing use, further reduce the wound influence that causes in to the patient.
Drawings
FIG. 1 is a perspective view of a first embodiment of the present invention;
FIG. 2 is a perspective view of a second embodiment of the present invention;
FIG. 3 is a schematic perspective view of a portion of the present invention;
FIG. 4 is a perspective view of another embodiment of the present invention;
FIG. 5 is a schematic view of a sectioned staple cartridge according to the present invention;
FIG. 6 is a schematic perspective view of a spacing assembly according to the present invention;
FIG. 7 is a perspective view of another view angle in FIG. 5 according to the present invention;
FIG. 8 is a perspective view of a firing assembly and a cutting assembly in accordance with the present invention.
In the figure: 1. an operating housing; 2. a drive rod; 3. a nail abutting seat; 4. a staple cartridge; 5. a camera; 6. forming a groove; 7. an infrared instrument; 8. mounting grooves; 9. a rubber column; 10. a retractable plate; 11. a nail storage plate; 12. a control lever; 13. a top cap is obliquely arranged; 14. a limiting ball; 15. a stationary ring; 16. a limiting spring; 17. a guide groove; 18. an electric slide rail; 19. an electric slider; 20. a mobile station; 21. anastomosis nails; 22. a high-frequency sewing cylinder; 23. an operation panel; 24. an adapter base; 25. cutting an extension hole; 26. cutting the air cylinder; 27. cutting the motor; 28. and (4) cutting the blade.
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.
In order to solve the above technical problems, the present application proposes a motor-driven intraluminal cutting stapler with controlled localized suturing.
In a typical embodiment of the present application, as shown in fig. 1 to 8, the controllable localized suture electric intracavity cutting anastomat includes an operation housing 1 and a driving rod 2 connected to each other, one end of the driving rod 2 is connected to a nail abutting seat 3 and a nail bin 4 which are matched with each other, a control unit is arranged in the operation housing 1, a driving unit electrically connected to the control unit is arranged in the driving rod 2, an infrared instrument 7 electrically connected to the control unit is further arranged on the nail bin 4, and the infrared instrument 7 is used for assisting flaw detection;
the nail cabin 4 is also internally provided with a plurality of anastomotic nails 21 for suturing and a nail storage plate 11 for bearing the anastomotic nails 21, the nail cabin 4 is also provided with a firing assembly capable of independently firing each anastomotic nail 21, the firing assembly comprises a high-frequency suturing cylinder 22 which corresponds to the positions of the anastomotic nails 21 and can move in a reciprocating manner, the nail cabin 4 is also internally provided with a cutting assembly for cutting the sutured tissue, and the cutting assembly comprises a cutting blade 28 with the height and the position capable of being matched with the firing assembly;
the positions of the staples 21 are provided with coordinate information in the control unit.
Furthermore, in the above scheme, the control unit can control the operation of the driving unit, the driving unit can be used for driving the nail pushing seat 3 and the nail bin 4 to synchronously rotate and driving one end of the nail bin 4 to independently rotate, one end of the nail pushing seat 3 is also provided with the camera 5 electrically connected with the control unit, the infrared instrument 7 can transmit the temperature information of the focus and the peripheral tissues in the body of the patient to the control unit, and the focus position is more obvious by adopting an infrared thermal imaging scanning mode and matching with the traditional visual observation, so that the specific position of the tissues needing to be sutured is easy to judge;
in this embodiment, the interior joint of nail storehouse 4 has stored up nail board 11, and stores up and be equipped with a plurality of evenly distributed anastomotic nails 21 on nail board 11, supports one side of nail seat 3 and still is equipped with a plurality of evenly distributed and respectively with the corresponding shaping groove 6 in anastomotic nails 21 position that corresponds for rapid prototyping is identical the tissue when anastomotic nails 21 pushes down through setting up shaping groove 6.
As an implementation manner in this embodiment, still be equipped with the spacing subassembly that is used for fixed nail storage plate 11 on nail storehouse 4, spacing subassembly contains the mounting groove 8 unanimous with nail storage plate 11 one end width, set up the mounting groove 8 with nail storage plate 11 one end looks adaptation on one side inner wall of nail storehouse 4, and fixedly connected with a plurality of rubber columns 9 that distribute evenly on one side inner wall of mounting groove 8, a plurality of rubber columns 9 are elastic material, and the same expansion plate 10 with 8 looks adaptations of mounting groove of other end fixedly connected with of a plurality of rubber columns 9, expansion plate 10 slides and cup joints in mounting groove 8 and contacts with the one end of nail storage plate 11, through setting up rubber column 9, be convenient for carry on spacingly in mounting groove 8 with the one end of nail storage plate 11 when the installation, and equally, rubber column 9 still can be replaced by other elastic component such as spring.
Further, in the above scheme, the limiting assembly further comprises a limiting ball 14 matched with the other end of the nail storage plate 11, one side of the nail bin 4 is further provided with a sliding hole communicated with the inside of the nail bin 4, a control rod 12 is sleeved in the sliding hole in a sliding mode, two ends of the control rod 12 are respectively fixedly connected with an inclined top cap 13 and the limiting ball 14, the inclined top cap 13 is arranged in an inclined mode and matched with the side wall of the nail bin 4, the limiting ball 14 is provided with an arc-shaped limiting groove matched with one end of the nail storage plate 11, one end of the nail storage plate 11 can be clamped in the arc-shaped limiting groove, and when the nail storage plate 11 is installed, one end of the nail storage plate 11 can conveniently enter the arc-shaped limiting groove to be fixed through the arrangement of the arc-shaped limiting groove;
in this embodiment, a mounting hole for conveniently mounting the nail storage plate 11 is further formed in one end of the nail storage plate 11, and the nail storage plate 11 is conveniently handled by an operator to be mounted and dismounted by the installation hole.
As an implementation manner in this embodiment, a cylindrical groove communicated with the sliding hole is further formed in the nail bin 4, the cylindrical groove is coaxial with the sliding hole and has a diameter larger than that of the sliding hole, a fixing ring 15 having a diameter identical to that of the cylindrical groove is fixedly sleeved on the control rod 12, a limiting spring 16 is further sleeved on the control rod 12, two ends of the limiting spring 16 are respectively and fixedly connected to the fixing ring 15 and an inner wall of one side of the cylindrical groove, and the control rod 12 is controlled to keep a clamping state of one end of the nail storage plate 11 by the limiting spring 16;
in this embodiment, spacing subassembly is still including preventing 12 pivoted guide assemblies of control lever, and the guide assemblies contains the guide block and the guide way 17 of looks adaptation, two corresponding guide blocks in position of fixedly connected with on the retainer plate 15, and seted up two corresponding guide ways 17 in position on the post groove, and the guide block slides and cup joints in the guide way 17 that corresponds, through the guide assemblies for avoid taking place unexpected rotation phenomenon when control lever 12 removes.
As an implementation manner in this embodiment, the firing assembly further includes an adaptation seat 24 adapted to the plurality of staples 21, a high-frequency suture cylinder 22 corresponding to two positions is provided in the nail bin 4, an output end of the high-frequency suture cylinder 22 is fixedly connected to the operation plate 23 through the first telescopic rod, an adaptation seat 24 corresponding to the staple 21 corresponding to the corresponding side is fixedly mounted at a bottom end of the two operation plates 23, a pressing groove adapted to the staples 21 is provided at a bottom end of the adaptation seat 24, the high-frequency suture cylinder 22 is provided, and the pressing and forming of each staple 21 can be realized.
Further, in the above scheme, two common electric sliding rails 18 corresponding to each other in position are fixedly connected to inner walls of two sides of the nail bin 4, electric sliding blocks 19 matched with the corresponding electric sliding rails 18 are sleeved on the two electric sliding rails 18 in a sliding manner, one side, close to each other, of each of the two electric sliding blocks 19 is fixedly provided with the same mobile platform 20, two high-frequency sewing cylinders 22 are fixedly sleeved on the mobile platform 20, selective triggering of the anastomosis nails 21 on the corresponding positions is achieved by the arrangement of the electric sliding blocks 19, and meanwhile, the matching of the sliding blocks and the sliding rails can be replaced by other linear driving mechanisms such as a gear rack and a cylinder.
As an embodiment in this embodiment, still seted up cutting extension hole 25 on the nail storage plate 11, and still fixed mounting has cutting cylinder 26 on the mobile station 20, the output of cutting cylinder 26 passes through second telescopic link fixedly connected with installing frame, fixed the cup jointing has cutting motor 27 in the installing frame, and the one end fixedly connected with cutting blade 28 of cutting motor 27's output shaft, cutting blade 28 is located cutting extension hole 25, through setting up rotatable cutting blade 28, avoid adopting traditional "static" cutting, after finishing pressing down fixedly to the tissue, use initiative pivoted cutting blade 28 to organize the cutting, can effectively avoid because of the unsatisfactory phenomenons such as cutting effect that reasons such as blade angle deflected cause.
The working principle of the invention is as follows: when using, upwards lift certain angle through the one end of control unit control nail storehouse 4, the one end that will place the storage nail board 11 of anastomotic nail 21 supports expansion plate 10 and applys the extrusion force to one side, then make rubber column 9 take place deformation and drive expansion plate 10 and remove to one side, thereby conveniently upwards lift the other end that stores up nail board 11 until the joint is in the arc spacing inslot on spacing ball 14, accomplish convenient installation and store up a plurality of anastomotic nails 21 on nail board 11 and, equally, need remove when the spacing of storage nail board 11 after anastomotic nail 21 actuating lever 2 uses, only need to pull oblique hood 13 to one side, make spacing ball 14 remove the fixed action to storage nail board 11, then realized the purpose that makes things convenient for dismouting storage nail board 11, the availability factor of anastomat when the operation has been improved.
Through camera 5 and infrared appearance 7, make things convenient for medical personnel to judge the concrete position of focus in the patient body, then compress tightly the tissue and judge the position that needs carry out the anastomotic nail 21 of percussion through control unit control nail storehouse 4 and support nail seat 3, thereby control the operation of electronic slider 19, it removes to drive high frequency suture cylinder 22, until removing the percussion coordinate that corresponds, control high frequency suture cylinder 22 operation, make adaptation seat 24 will correspond anastomotic nail 21 on the position and press down and cooperate the shaping groove 6 that corresponds to accomplish the identical effect to the tissue, and then can realize that adaptability selects local sewing up, need not to adopt traditional "unified" sutural mode, the wound to the patient when having alleviateed the operation.
Similarly, in the above selective local suturing process, the moving table 20 drives the cutting cylinder 26 to move to the corresponding position, and the cutting cylinder 26 can be controlled to operate after suturing, so that the cutting blade 28 contacts with the local tissue to be cut off, and the cutting motor 27 is controlled to operate, so that the cutting blade 28 cuts part of the tissue at the corresponding position in an active manner, and further compared with the prior art, the cutting position is more flexible, and the selective suturing device is matched with the selective suturing device to further reduce the wound influence on the patient.
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 (8)
1. Controllable local sutured electronic intracavity cutting anastomat, including operation casing (1) and actuating lever (2) that are connected, the one end of actuating lever (2) is connected with the nail seat (3) and the nail storehouse (4) of supporting of looks adaptation, its characterized in that:
a control unit is arranged in the operation shell (1), a driving unit electrically connected with the control unit is arranged in the driving rod (2), an infrared instrument (7) electrically connected with the control unit is arranged on the nail bin (4), and the infrared instrument (7) is used for assisting flaw detection; be equipped with a plurality of anastomotic nails (21) that are used for sewing up in nail storehouse (4) and bear a plurality of nail storage plate (11) of anastomotic nails (21), still be equipped with on nail storehouse (4) and independently fire each the percussion assembly of anastomotic nails (21), still install in nail storehouse (4) and be used for carrying out the cutting assembly of cutting to the tissue after sewing up, cutting assembly contains cutting blade (28).
2. The controlled localized stapled motorized endoluminal cutting stapler of claim 1, wherein: the control unit can control the driving unit to operate, the driving unit can be used for driving the nail bin (4) of the nail abutting seat (3) to synchronously rotate and one end of the nail bin (4) to independently rotate, a camera (5) electrically connected with the control unit is further arranged at one end of the nail abutting seat (3), and the infrared instrument (7) can transmit the temperature information of a focus and surrounding tissues of the focus in a patient to the control unit;
the nail storage plate (11) is connected with the nail storage plate (11) in the nail bin (4) in a clamping mode, a plurality of uniformly distributed anastomotic nails (21) are arranged on the nail storage plate (11), and a plurality of forming grooves (6) which are uniformly distributed and correspond to the positions of the anastomotic nails (21) respectively are further formed in one side of the nail abutting seat (3).
3. The controlled localized stapled motorized endoluminal cutting stapler of claim 2, wherein: still be equipped with on nail storehouse (4) and be used for fixing store up the spacing subassembly of nail board (11), spacing subassembly contain with store up the unanimous mounting groove (8) of nail board (11) one end width, seted up on one side inner wall of nail storehouse (4) with store up nail board (11) one end looks adaptation mounting groove (8), just a plurality of even rubber post (9) of distribution of fixedly connected with on one side inner wall of mounting groove (8), it is a plurality of rubber post (9) are the elasticity material, and a plurality of the other end fixedly connected with of rubber post (9) is same with expansion plate (10) of mounting groove (8) looks adaptation, expansion plate (10) slip cup joint in mounting groove (8) and with the one end of storing up nail board (11) contacts.
4. The controlled localized stapled motorized endoluminal cutting stapler of claim 3, wherein: spacing subassembly still include with spacing ball (14) of the other end looks adaptation of storing up nail board (11), the slide opening that is linked together rather than inside is still seted up to one side of nail storehouse (4), control lever (12) have been cup jointed in the slide opening, the both ends of control lever (12) respectively fixedly connected with put hood (13) to one side with spacing ball (14), just put hood (13) slope to one side set up and with the lateral wall looks adaptation of nail storehouse (4), set up on spacing ball (14) with the arc spacing groove of the one end looks adaptation of storing up nail board (11), the one end of storing up nail board (11) has still been seted up and has been made things convenient for storing up nail board (11) joint and be in the mounting hole of arc spacing inslot.
5. The controlled localized stapled motorized endoluminal cutting stapler of claim 4, wherein: a cylindrical groove communicated with the sliding hole is further formed in the nail bin (4), the cylindrical groove is coaxial with the sliding hole and has a diameter larger than that of the sliding hole, a fixing ring (15) consistent with the cylindrical groove in diameter is fixedly sleeved on the control rod (12), a limiting spring (16) is further sleeved on the control rod (12), and two ends of the limiting spring (16) are fixedly connected to the fixing ring (15) and the inner wall of one side of the cylindrical groove respectively;
spacing subassembly still includes and prevents control lever (12) pivoted direction subassembly, the direction subassembly contains the guide block and guide way (17) of looks adaptation, two relative positions of fixedly connected with on retainer plate (15) the guide block, just two relative positions have been seted up on the post groove guide way (17), the guide block slides and cup joints and is being corresponded in guide way (17).
6. The controlled localized stapled motorized endoluminal cutting stapler of claim 1, wherein: the percussion assembly comprises two high-frequency suturing cylinders (22) which are arranged at opposite positions and can move in a reciprocating mode, the high-frequency suturing cylinders (22) are arranged in the nail bin (4), the output ends of the high-frequency suturing cylinders (22) are fixedly connected with an operation plate (23) through first telescopic rods, the bottom ends of the operation plate (23) are fixedly provided with adaptation seats (24), and the bottom ends of the adaptation seats (24) are provided with pressing grooves matched with the anastomosis nails (21).
7. The controlled localized stapled motorized endoluminal cutting stapler of claim 6, wherein: fixedly connected with two relative electronic slide rails (18) in position on the both sides inner wall of nail storehouse (4), two all slide on electronic slide rail (18) and cup jointed electronic slider (19), and two equal fixed mounting in one side that electronic slider (19) are close to each other has same mobile station (20), two high frequency sews up cylinder (22) and all fixedly cup joints on mobile station (20).
8. The controlled localized stapled motorized endoluminal cutting stapler of claim 7, wherein: store up and still seted up cutting extension hole (25) on nail board (11), just it has cutting cylinder (26) to go back fixed mounting on mobile station (20), the output of cutting cylinder (26) passes through second telescopic link fixedly connected with installing frame, installing frame internal fixation has cup jointed cutting motor (27), just the one end fixedly connected with cutting blade (28) of the output shaft of cutting motor (27), cutting blade (28) are located in cutting extension hole (25).
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| CN202111229892.9A CN113951956B (en) | 2021-10-22 | 2021-10-22 | Controllable localized suture electric intracavity cutting anastomat |
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| CN113951956B CN113951956B (en) | 2023-03-21 |
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Cited By (1)
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| CN114767196A (en) * | 2022-06-17 | 2022-07-22 | 迈迪威(深圳)实业有限公司 | Cutting anastomat capable of automatically suturing incision |
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| CN113951956B (en) | 2023-03-21 |
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