CN114041842B - Anastomat for plastic surgery - Google Patents
Anastomat for plastic surgery Download PDFInfo
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- CN114041842B CN114041842B CN202111358926.4A CN202111358926A CN114041842B CN 114041842 B CN114041842 B CN 114041842B CN 202111358926 A CN202111358926 A CN 202111358926A CN 114041842 B CN114041842 B CN 114041842B
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- fixedly connected
- shell
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- nail
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M35/00—Devices for applying media, e.g. remedies, on the human body
- A61M35/20—Non-portable devices, e.g. spraying booths
-
- 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
- A61B2017/07228—Arrangement of the staples
-
- 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
- A61B2017/07257—Stapler heads characterised by its anvil
-
- 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
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses an anastomat for plastic surgery, which belongs to the field of medical appliances and comprises a shell and a motor fixedly connected in the shell, wherein a T-shaped plate is fixedly connected in the shell, the output end of the motor is fixedly connected with a driving shaft, the driving shaft is rotationally connected on the T-shaped plate, a disc is coaxially and fixedly connected on the driving shaft, an eccentric column is fixedly connected on the disc, a rotating shaft is rotationally connected on the T-shaped plate, the bottom of a rack is fixedly connected with a pressing plate, a nail outlet groove matched with the pressing plate is formed in a nail bin, and the pressing plate intermittently abuts against a medical suture gang nail. According to the invention, the fan gear is matched with the rack to anastomose the wound, so that the labor intensity of medical staff is reduced, the effect of timely sterilizing the anastomosed position is achieved by arranging the sterilizing mechanism, and the effect of good anastomosed degree of the wound is achieved by arranging the auxiliary mechanism.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to an anastomat for plastic surgery.
Background
Skin wounds, particularly wounds after surgery, are often linear wounds, and medical needle and line suturing is usually adopted, so that long suturing time is needed, and the operation risk of a patient is increased.
At present, skin wounds are sutured by adopting stitching nails, the stitching nails can be sutured on the wounds only by manually pressing the existing device, the labor intensity of medical staff is high for longer wounds, and hands are ache, so that the suturing deviation can be caused.
Disclosure of Invention
The invention aims to provide an anastomat for plastic surgery, which has the advantage of labor-saving anastomosis of wounds and solves the problem of high labor intensity of medical staff.
In order to achieve the above purpose, the present invention provides the following technical solutions: the utility model provides an anastomat for plastic surgery, includes shell and fixed connection be in motor in the shell, fixedly connected with T shaped plate in the shell, the output fixedly connected with drive shaft of motor, the drive shaft rotates to be connected with on the T shaped plate, coaxial fixedly connected with disc in the drive shaft, fixedly connected with eccentric post on the disc, rotate to be connected with the pivot on the T shaped plate, fixedly connected with hollow strip in the pivot, eccentric post sliding connection is in the hollow strip, fixedly connected with sector gear on the hollow strip, fixedly connected with riser on the T shaped plate, offered the through-hole on the riser and through-hole sliding connection has the rack, sector gear with the rack meshing, fixedly connected with nail storehouse in the shell, place medical suture gang nail in the nail storehouse, the bottom fixedly connected with clamp plate of rack, set up on the nail storehouse with clamp plate complex goes out the nail groove, the clamp plate with medical suture gang nail intermittent type offsets.
Preferably, the nail bin is internally disassembled and connected with a stop block, the stop block is propped against the medical suture gang nail, a telescopic rod is fixedly connected to the stop block, a cover plate is fixedly connected to the telescopic rod, a spring is sleeved on the telescopic rod, two ends of the spring respectively prop against the cover plate and the stop block, a baffle is rotationally connected to the shell, the baffle props against the cover plate intermittently, and a rectangular bending cylinder for bending the medical suture gang nail is fixedly connected to the corresponding position of a nail outlet groove on the nail bin on the shell.
Preferably, the disinfection mechanism for disinfecting the wound is arranged in the shell, the disinfection mechanism comprises a box body fixedly connected in the shell, an iodophor disinfectant is filled in the box body, an air hole is formed in the box body, a mounting plate is fixedly connected in the shell, an air bag is fixedly connected to the mounting plate, an extraction pipe and a discharge pipe are fixedly connected to the air bag, check valves are arranged on the extraction pipe and the discharge pipe, one end of the extraction pipe, which is far away from the air bag, is fixedly connected to the box body, one end of the discharge pipe, which is far away from the air bag, penetrates through the shell and is fixedly connected with a spray head for spraying the iodophor disinfectant to the wound, an extrusion plate is fixedly connected to the rack, and the extrusion plate is intermittently abutted against the air bag.
Preferably, an auxiliary mechanism for gathering the wounds to assist the medical suture staples to anastomose the wounds is arranged at the bottom of the shell, the auxiliary mechanism comprises a driven wheel rotationally connected to the bottom of the shell, a driving wheel is coaxially and fixedly connected to the driving shaft, and a belt is arranged on the driving wheel and is in transmission connection with the driven wheel through the belt.
Preferably, the auxiliary mechanism further comprises a circular ring fixedly connected to the bottom of the shell, the circular ring is rotationally connected with an inclined rotating roller, the driven wheel is hinged with a first connecting ring, the first connecting ring is hinged to the inclined rotating roller, the number of the inclined rotating rollers is two, and the two inclined rotating rollers are symmetrically distributed on two sides of the rectangular bending cylinder.
Preferably, the auxiliary mechanism further comprises a cylindrical cam rotatably connected to the bottom of the shell, a second connecting ring is hinged to the inclined rotating roller, the cylindrical cam is hinged to the inclined rotating roller through the second connecting ring, a mounting ring is slidably connected to the cylindrical cam, a rectangular block attached to the bottom surface of the shell is arranged on the mounting ring, a convex ball is fixedly connected to the mounting ring, and the convex ball is slidably connected to the sliding groove on the cylindrical cam.
Preferably, the auxiliary mechanism further comprises a sliding column which is slidably connected to the mounting ring, a rectangular sliding block is fixedly connected to the sliding column, a rectangular plate is fixedly connected to the bottom of the shell, an inclined sliding groove is formed in the rectangular plate, the rectangular sliding block is slidably connected to the inclined sliding groove, pushing plates which are used for pushing skins on two sides of a wound to gather the wound are fixedly connected to the rectangular sliding block, the number of the pushing plates is two, the pushing plates are symmetrically distributed on two sides of the rectangular bending cylinder, a shifting plate is fixedly connected to the mounting ring, the shifting plate is attached to the pushing plates, and the shifting plate is intermittently offset with the medical suturing nails.
Preferably, a box door is rotatably connected to one side of the casing, which is close to the box body, and a lifting hole is formed in a part of the T-shaped plate, which is located outside the casing.
Compared with the prior art, the invention has the following beneficial effects:
1. according to the invention, the fan gear is matched with the rack to anastomose the wound, so that the labor intensity of medical staff is reduced, the effect of timely sterilizing the anastomosed position is achieved by arranging the sterilizing mechanism, and the effect of good anastomosed degree of the wound is achieved by arranging the auxiliary mechanism.
Drawings
FIG. 1 is a schematic view of the appearance structure of the present invention;
FIG. 2 is a schematic view of the internal structure of the present invention;
FIG. 3 is a schematic view of the structure of the staple cartridge of the present invention;
FIG. 4 is a schematic view of the structure of the rectangular bending cylinder of the present invention;
FIG. 5 is a schematic view of the structure of the driving shaft of the present invention;
FIG. 6 is a schematic view of the structure of the portion A of FIG. 5 according to the present invention;
FIG. 7 is a schematic diagram of an auxiliary mechanism according to the present invention;
FIG. 8 is a second schematic structural view of the auxiliary mechanism of the present invention;
FIG. 9 is a schematic view of the structure of the strut of the present invention;
fig. 10 is a schematic structural view of the medical suture gang nail of the present invention.
In the figure: 1. a housing; 11. a door; 12. a mounting plate; 13. a rectangular bending cylinder; 2. a T-shaped plate; 21. lifting holes; 22. a motor; 221. a drive shaft; 222. a driving wheel; 23. a disc; 231. an eccentric column; 24. hollow strips; 241. a rotating shaft; 25. sector gears; 26. a rack; 261. a pressing plate; 262. extruding a plate; 263. a riser; 3. a staple cartridge; 31. a cover plate; 32. a baffle; 33. a telescopic rod; 331. a spring; 332. a stop block; 333. medical suture gang nails; 4. a case body; 41. an air bag; 42. an extraction tube; 43. a discharge pipe; 431. a spray head; 44. a one-way valve; 5. driven wheel; 51. a belt; 52. a first connection ring; 53. tilting the rotating roller; 531. a circular ring; 54. a second connecting ring; 55. a cylindrical cam; 551. a mounting ring; 552. a convex ball; 553. a poking plate; 56. a rectangular plate; 561. an inclined chute; 57. a spool; 58. a rectangular slide block; 581. a push plate.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
The invention provides a technical scheme that: the utility model provides an anastomat for plastic surgery, including shell 1 and fixed connection in shell 1's motor 22, fixed connection T shaped plate 2 in the shell 1, motor 22's output fixedly connected with drive shaft 221, drive shaft 221 swivelling joint is on T shaped plate 2, coaxial fixedly connected with disc 23 on the drive shaft 221, fixedly connected with eccentric post 231 on the disc 23, swivelling joint has pivot 241 on the T shaped plate 2, fixedly connected with hollow bar 24 on the pivot 241, eccentric post 231 sliding connection is in hollow bar 24, fixedly connected with sector gear 25 on the hollow bar 24, fixedly connected with riser 263 on the T shaped plate 2, the through-hole has been seted up on the riser 263 and has rack 26 through-hole sliding connection, sector gear 25 meshes with rack 26, fixed connection in the shell 1 has nail storehouse 3, place medical suture row nail 333 in the nail storehouse 3, the bottom fixedly connected with clamp plate 261 of rack 26, the play nail groove with clamp plate 261 cooperation is seted up on the nail storehouse 3, clamp plate 261 is intermittent type with medical suture row nail 333.
Referring to fig. 1, 2, 3, 4 and 10, the rectangular bending cylinder 13 is aligned to the position of the wound, the two inclined rotating rollers 53 are pulled by hand to the contact position of the skin at two sides of the wound to straighten and move the whole shell 1, then the motor 22 is started to rotate the driving shaft 221, when the driving shaft 221 rotates, the disc 23 fixedly connected to the driving shaft 221 synchronously rotates, the eccentric column 231 fixedly connected to the disc 23 can rotate around the disc 23, when the eccentric column 231 rotates, relative sliding can occur in the hollow bar 24, because the hollow bar 24 is rotationally connected to the T-shaped plate 2 through the rotating shaft 241, when the eccentric column 231 slides in the hollow bar 24, the hollow bar 24 can reciprocate around the rotating shaft 241, and further the sector gear 25 fixedly connected to the hollow bar 24 can also reciprocate around the rotating shaft 241, and further when the sector gear 25 reciprocates, the sector gear 25 is meshed with the rack 26, the rack 26 can be driven to linearly slide up and down, and further the rack 26 fixedly connected to the bottom of the pressing plate 261 moves up and down synchronously with the rack 26.
The nail bin 3 is internally and detachably connected with a stop block 332, the stop block 332 is abutted against a medical suture gang nail 333, a telescopic rod 33 is fixedly connected to the stop block 332, a cover plate 31 is fixedly connected to the telescopic rod 33, a spring 331 is sleeved on the telescopic rod 33, two ends of the spring 331 are respectively abutted against the cover plate 31 and the stop block 332, the baffle plate 32 is rotatably connected to the shell 1, the baffle plate 32 is intermittently abutted against the cover plate 31, and a rectangular bending cylinder 13 for bending the medical suture gang nail 333 is fixedly connected to a position, corresponding to a nail outlet groove, on the nail bin 3 in the shell 1.
Referring to fig. 1, 2, 3, 4 and 10, the control motor 22 drives the driving shaft 221 to rotate clockwise in the state of fig. 2, when the eccentric column 231 slides in the hollow bar 24 to a position close to the rotating shaft 241, the swinging angular speed of the hollow bar 24 can be increased, so that the swinging speed of the hollow bar 24 is increased in the state, at this time, the eccentric column 231 continues to rotate clockwise around the disc 23, so that the sector gear 25 swings downwards, the sector gear 25 drives the rack 26 to move downwards rapidly, the bottom of the rack 26 is connected, the fixed pressure plate 261 moves downwards rapidly, the width of the pressure plate 261 is smaller than the width of the narrowest part of the rectangular bending cylinder 13, the pressure plate 261 can press one nail on the medical suture 333 out of the rectangular bending cylinder 13 rapidly, and suture is performed on the wound, the rack 26 swings upwards along with the movement of the eccentric column 231, at this time, the pressure plate 261 does not contact with the medical suture 333, then the medical suture 333 is pushed by the stop block 332 under the action of the spring 331, the medical suture 333 is pushed down, and the medical suture 333 is not easily circulated again, and the medical suture is easily done in turn, and the medical suture is not prone to the deviation is reduced.
Example two
On the basis of the first embodiment, further, a disinfecting mechanism for disinfecting wounds is arranged in the shell 1, the disinfecting mechanism comprises a box body 4 fixedly connected in the shell 1, an iodophor disinfectant is filled in the box body 4, ventilation holes are formed in the box body 4, a mounting plate 12 is fixedly connected in the shell 1, an air bag 41 is fixedly connected to the mounting plate 12, an extraction pipe 42 and a discharge pipe 43 are fixedly connected to the air bag 41, one ends, far away from the air bag 41, of the extraction pipe 42 are fixedly connected to the box body 4, one ends, far away from the air bag 41, of the discharge pipe 43 penetrate through the shell 1 and are fixedly connected with a spray head 431 for spraying the iodophor disinfectant to the wounds, a squeezing plate 262 is fixedly connected to the rack 26, the squeezing plate 262 is intermittently abutted against the air bag 41, a box door 11 is rotatably connected to one side, close to the box body 4, of the shell 1, of the T-shaped plate 2 is provided with a lifting hole 21.
Referring to fig. 2, 5 and 6, when the medical suture gang nail 333 is pressed out from the nail bin 3 and then enters the rectangular bending cylinder 13, as shown in fig. 10, a groove is formed in the medical suture gang nail 333, so that when the medical suture gang nail 333 enters the rectangular bending cylinder 13, the medical suture gang nail 333 is bent at the groove and is nailed into two sides of a wound to be sutured, anastomosis of skin wounds is completed when the rack 26 moves upwards, then the squeezing plate 262 on the rack 26 moves upwards along with the rack 26, the squeezing plate 262 gradually approaches the air sac 41 on the mounting plate 12 and extrudes the air sac 41, when the squeezing plate 262 moves downwards along with the rack 26, the squeezing plate 262 is far away from the air sac 41, at this moment, the air sac 41 deforms and recovers under own elasticity, and in the process of deformation and recovery of the air sac 41, when the air sac 41 deforms and recovers, the air sac 41 can extract iodophor liquid in the box 4 into the air sac 41 through the extraction pipe 42 communicated with the box body 4, the air inlet hole is formed on the box body 4, so that the iodophor disinfectant liquid in the box body 4 is sucked by the squeezing plate 262 and then is extruded into the air sac 41 through the box door position of the box door 43 when the box door 262 moves upwards, and the iodophor liquid is sprayed out of the air sac 41 and the position of the box 4 is not pushed into the wound by the box body 4.
Example III
On the basis of the second embodiment, further, an auxiliary mechanism for gathering wounds to assist the medical suture staples 333 to fit the wounds is arranged at the bottom of the casing 1, the auxiliary mechanism comprises a driven wheel 5 rotationally connected to the bottom of the casing 1, a driving wheel 222 is coaxially and fixedly connected to the driving shaft 221, a belt 51 is arranged on the driving wheel 222 and is in transmission connection with the driven wheel 5 through the belt 51, the auxiliary mechanism further comprises a circular ring 531 fixedly connected to the bottom of the casing 1, an inclined rotating roller 53 is rotationally connected to the circular ring 531, a first connecting ring 52 is hinged to the driven wheel 5, the first connecting ring 52 is hinged to the inclined rotating roller 53, the number of the inclined rotating rollers 53 is two, and the two inclined rotating rollers 53 are symmetrically distributed on two sides of the rectangular bending cylinder 13.
Referring to fig. 7-9, when the driving shaft 221 rotates, the driving wheel 222 fixedly connected to the driving shaft 221 rotates synchronously with the driving shaft 221, at this time, the rotating driving wheel 222 can drive the driven wheel 5 to rotate through the belt 51, because the driven wheel 5 is hinged with the inclined rotating roller 53 through the first connecting ring 52, the driven wheel 5 can further drive the inclined rotating roller 53 to rotate to integrally pull the shell 1 to move towards the direction of the pulling hole 21, the inclined rotating rollers 53 are symmetrically arranged two, the inclined rotating rollers 53 positioned at two sides of the cylindrical cam 55 are hinged with the cylindrical cam 55 through the second connecting ring 54, the cylindrical cam 55 rotates at the bottom of the shell 1 in a fixed shaft manner, and then the inclined rotating roller 53 positioned at one side of the driven wheel 5 can drive the cylindrical cam 55 to rotate, and when the cylindrical cam 55 rotates, one inclined rotating roller 53 far away from the driven wheel 5 can be driven, so that the two inclined rotating rollers 53 can roll on the skin at two sides of the wound, and simultaneously gather the skin at two sides of the wound, and the auxiliary medical suture nail row 333 is matched with the wound.
The auxiliary mechanism further comprises a cylindrical cam 55 rotatably connected to the bottom of the shell 1, a second connecting ring 54 is hinged to the inclined rotating roller 53, the cylindrical cam 55 is hinged to the inclined rotating roller 53 through the second connecting ring 54, a mounting ring 551 is slidably connected to the cylindrical cam 55, rectangular blocks attached to the bottom surface of the shell 1 are arranged on the mounting ring 551, a convex ball 552 is fixedly connected to the mounting ring 551, the convex ball 552 is slidably connected to a sliding groove on the cylindrical cam 55, the auxiliary mechanism further comprises a sliding column 57 slidably connected to the mounting ring 551, a rectangular sliding block 58 is fixedly connected to the sliding column 57, a rectangular plate 56 is fixedly connected to the bottom of the shell 1, an inclined sliding groove 561 is formed in the rectangular plate 56, the rectangular sliding block 58 is slidably connected to the inclined sliding groove 561, pushing plates 581 for pushing the skin on two sides of a wound are fixedly connected to enable the wound to gather, the number of the pushing plates 581 are two, the two pushing plates 581 are symmetrically distributed on two sides of the rectangular bending cylinder 13, a poking plate 553 is fixedly connected to the mounting ring 551, the poking plate 553 is attached to the pushing plate 581, the intermittent suturing device 333 is abutted to the medical volley 333.
Referring to fig. 7-9, two cylindrical cams 55 are symmetrically provided with two cylindrical cams 55 and are fixedly connected coaxially, a rectangular block attached to the bottom surface of the housing 1 is provided on the mounting ring 551, so that the mounting ring 551 does not rotate in opposite directions with respect to the cylindrical cams 55, when the cylindrical cams 55 rotate, the convex balls 552 on the mounting ring 551 can slide in opposite directions in the sliding grooves on the cylindrical cams 55, so that the mounting rings 551 on the two symmetrically provided cylindrical cams 55 move in opposite directions or back at the same time, because the rectangular plate 56 is fixedly connected to the housing 1, the sliding column 57 slides on the mounting ring 551, and then when the two mounting rings 551 move in opposite directions or back, the sliding column 57 can drive the rectangular sliding block 58 and the push plate 581 fixedly connected with the two mounting rings 551 to move in the horizontal direction, and because the rectangular sliding block 58 slides in the inclined sliding grooves 561, and then when the rectangular sliding block 58 slides in the inclined sliding grooves 561, the push plate 581 can be driven in the vertical direction, and then the movement track of the two push plates 581 is: the two push plates 581 simultaneously approach the skin at two sides of the wound when moving in opposite directions, gather the skin at two sides of the wound, assist the medical suture bent 333 to anastomose the wound, keep away from the skin simultaneously when moving in opposite directions, and synchronously approach the poking plates 553 fixedly connected to the two mounting rings 551 while the two mounting rings 551 approach each other, and squeeze the medical suture bent 333 pressed out by the extrusion plates 262 to assist bending, so that the medical suture bent 333 can more firmly anastomose the wound.
Working principle: when the anastomat for the plastic surgery is used, the rectangular bending cylinder 13 is opposite to the position of a wound, the two inclined rotating rollers 53 are connected with the skin at two sides of the wound, the lifting holes 21 on the T-shaped plate 2 are pulled by hands to centralize and move the whole shell 1, and then the motor 22 is started to rotate the driving shaft 221;
when the driving shaft 221 rotates, the disc 23 fixedly connected to the driving shaft 221 synchronously rotates, and then the eccentric column 231 fixedly connected to the disc 23 can rotate by taking the disc 23 as the circle center, when the eccentric column 231 rotates, the hollow bar 24 can relatively slide in the hollow bar 24, because the hollow bar 24 is rotationally connected to the T-shaped plate 2 through the rotating shaft 241, and then when the eccentric column 231 slides in the hollow bar 24, the hollow bar 24 can reciprocate by taking the rotating shaft 241 as the circle center, and further the sector gear 25 fixedly connected to the hollow bar 24 can also reciprocate by taking the rotating shaft 241 as the circle center, and further the sector gear 25 is meshed with the rack 26, and further the rack 26 can be driven to linearly slide up and down when the sector gear 25 reciprocates, and then the pressing plate 261 fixedly connected to the bottom of the rack 26 synchronously reciprocates with the rack 26;
the control motor 22 drives the driving shaft 221 to rotate clockwise in the state of fig. 2, when the eccentric column 231 slides in the hollow bar 24 to a position close to the rotating shaft 241, the angular speed of the swing of the hollow bar 24 is increased, the swing speed of the hollow bar 24 is further increased in the state, at the moment, the eccentric column 231 continues to rotate clockwise around the disc 23, the sector gear 25 can be enabled to swing downwards rapidly, the sector gear 25 drives the rack 26 to move downwards rapidly, the bottom of the rack 26 is connected, the fixed pressure plate 261 moves downwards rapidly, the width of the pressure plate 261 is smaller than the width of the narrowest part of the rectangular bending cylinder 13, the pressure plate 261 can rapidly push one nail on the medical suture gang nail 333 out of the rectangular bending cylinder 13 completely and stitch the wound, the rack 26 is enabled to move upwards along with the swing of the movement of the eccentric column 231, at the moment, the pressure plate 261 is not contacted with the medical suture nail 333, then the block 332 is enabled to apply thrust to the medical suture gang nail 333 under the action of the spring 331, the medical suture gang nail 333 is enabled to be pushed to move downwards again under the pressure plate 333, the pressure plate 261 is enabled to move downwards, the width of the narrowest part of the rectangular bending cylinder 13 can be enabled to rapidly separated from the rectangular bending cylinder 13 and stitch the wound, and the wound can not easily be caused to swing easily, and the wound can be caused to work easily when the wound is caused to be caused to a longer;
as shown in fig. 4, when the medical suture gang nail 333 is pressed out of the nail bin 3 and then enters the rectangular bending cylinder 13, as shown in fig. 10, the medical suture gang nail 333 is provided with a groove, so that when the medical suture gang nail 333 enters the rectangular bending cylinder 13, the medical suture gang nail 333 is bent into two sides of a wound to be sutured at the groove, one nail on the medical suture gang nail 333 can be rapidly pressed out of the rectangular bending cylinder 13 and sutured at the wound when the pressing plate 261 follows the rack 26 to move downwards, the pressing plate 261 and the rack 26 synchronously move upwards when the rack 26 moves upwards, at the moment, the skin wound is anastomosed by the medical suture gang nail 333, then the pressing plate 262 on the rack 26 continues to move upwards along with the rack 26, gradually approaches the air bag 41 on the mounting plate 12 and presses the air bag 41, and when the pressing plate 262 follows the rack 26 to move downwards, the pressing plate 262 moves away from the air bag 41, at this time, the air bag 41 is deformed and recovered under the elasticity of the air bag 41, the air pressure in the air bag 41 is changed during the extrusion deformation and deformation recovery of the air bag 41, when the air bag 41 is deformed and recovered, the iodophor disinfectant in the box body 4 can be extracted into the air bag 41 through the extracting pipe 42 communicated with the box body 4, the box body 4 is provided with an air inlet hole, the extracting pipe 42 and the discharging pipe 43 are provided with one-way valves 44, so that the iodophor disinfectant in the box body 4 is absorbed by the air bag 41, the extracting pipe 42 and the discharging pipe 43 are provided with one-way valves 44, when the extrusion plate 262 extrudes the air bag 41 along with the upward movement of the rack 26, the iodophor disinfectant in the air bag 41 can be ejected to a wound position which is just anastomosed by the medical suturing and discharging nail 333 through the discharging pipe 43 and the nozzle 431 to disinfect the wound position, when the iodophor disinfectant in the box body 4 is insufficient, the iodophor disinfectant can be added into the box body 4 through an air inlet hole in the box body 4 by opening the box door 11.
When the driving shaft 221 rotates, the driving wheel 222 fixedly connected to the driving shaft 221 rotates synchronously with the driving shaft 221, at this time, the rotating driving wheel 222 can drive the driven wheel 5 to rotate through the belt 51, because the driven wheel 5 is hinged with the inclined rotating roller 53 through the first connecting ring 52, the driven wheel 5 can further drive the inclined rotating roller 53 to rotate so as to lead the whole shell 1 to move towards the direction of the lifting hole 21, the inclined rotating rollers 53 are symmetrically arranged two, the inclined rotating rollers 53 positioned at two sides of the cylindrical cam 55 are hinged with the cylindrical cam 55 through the second connecting ring 54, the cylindrical cam 55 is fixedly pivoted at the bottom of the shell 1, the inclined rotating roller 53 positioned at one side of the driven wheel 5 can further drive the cylindrical cam 55 to rotate, and when the cylindrical cam 55 rotates, one inclined rotating roller 53 far away from the driven wheel 5 can be driven, so that the two inclined rotating rollers 53 can twist and press the skin at two sides of a wound while rolling on the skin at two sides of the wound, and the auxiliary medical suturing nails 333 can coincide with the wound;
the cylindrical cams 55 are symmetrically provided with two cylindrical cams 55, and the two cylindrical cams 55 are coaxially and fixedly connected, rectangular blocks attached to the bottom surface of the housing 1 are arranged on the mounting rings 551, so that the mounting rings 551 cannot rotate in opposite directions with the cylindrical cams 55, and then when the cylindrical cams 55 rotate, the convex balls 552 on the mounting rings 551 can slide in opposite directions in the sliding grooves on the cylindrical cams 55, and then the mounting rings 551 on the two cylindrical cams 55 which are symmetrically arranged move in opposite directions or back to back at the same time, as the rectangular plates 56 are fixedly connected to the housing 1, the sliding columns 57 slide on the mounting rings 551, and then when the two mounting rings 551 move in opposite directions or back to back, the sliding columns 57 can drive the rectangular sliding blocks 58 and the pushing plates 581 which are fixedly connected with the two mounting rings 551 to move in the horizontal direction, and because the rectangular sliding blocks 58 slide in the inclined sliding grooves 561, and then when the rectangular sliding blocks 58 slide in the inclined sliding grooves 561, the pushing plates 581 can be driven to move in the vertical direction, and then the movement tracks of the two pushing plates 581 are as follows: the two push plates 581 simultaneously approach the skin at two sides of the wound when moving in opposite directions, gather the skin at two sides of the wound, assist the medical suture bent 333 to anastomose the wound, keep away from the skin simultaneously when moving in opposite directions, and synchronously approach the poking plates 553 fixedly connected to the two mounting rings 551 while the two mounting rings 551 approach each other, and squeeze the medical suture bent 333 pressed out by the extrusion plates 262 to assist bending, so that the medical suture bent 333 can more firmly anastomose the wound.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (2)
1. An orthopedic anastomat comprises a shell (1) and a motor (22) fixedly connected in the shell (1), and is characterized in that: the medical stitching instrument comprises a shell (1), wherein a T-shaped plate (2) is fixedly connected in the shell (1), a driving shaft (221) is fixedly connected to the output end of a motor (22), the driving shaft (221) is rotatably connected to the T-shaped plate (2), a disc (23) is coaxially and fixedly connected to the driving shaft (221), an eccentric column (231) is fixedly connected to the disc (23), a rotating shaft (241) is rotatably connected to the T-shaped plate (2), a hollow strip (24) is fixedly connected to the rotating shaft (241), the eccentric column (231) is slidably connected to the hollow strip (24), a sector gear (25) is fixedly connected to the hollow strip (24), a vertical plate (263) is fixedly connected to the T-shaped plate (2), a through hole is formed in the vertical plate (263) and is slidably connected with a rack (26) through the through hole, the sector gear (25) is meshed with the rack (26), a nail bin (3) is fixedly connected to the inside the shell (1), a medical stitching nail row (333) is placed in the nail bin (3), the bottom of the medical stitching instrument is fixedly connected to the pressing plate (261), and the medical stitching instrument is matched with the pressing plate (261);
the medical suture line nail comprises a nail bin (3), and is characterized in that a stop block (332) is detachably connected in the nail bin (3), the stop block (332) is abutted against the medical suture line nail (333), a telescopic rod (33) is fixedly connected to the stop block (332), a cover plate (31) is fixedly connected to the telescopic rod (33), a spring (331) is sleeved on the telescopic rod (33), two ends of the spring (331) are respectively abutted against the cover plate (31) and the stop block (332), a baffle (32) is rotatably connected to the shell (1), the baffle (32) is intermittently abutted against the cover plate (31), and a rectangular bending cylinder (13) for bending the medical suture line nail (333) is fixedly connected to the corresponding position of a nail outlet groove on the shell (1) on the nail bin (3);
the disinfection mechanism comprises a box body (4) fixedly connected in the shell (1), an iodophor disinfectant is filled in the box body (4), ventilation holes are formed in the box body (4), a mounting plate (12) is fixedly connected in the shell (1), an air bag (41) is fixedly connected to the mounting plate (12), an extraction pipe (42) and a discharge pipe (43) are fixedly connected to the air bag (41), one ends, far away from the air bag (41), of the extraction pipe (42) are fixedly connected to the box body (4), one ends, far away from the air bag (41), of the discharge pipe (43) penetrate through the shell (1) and are fixedly connected with a spray head (431) for spraying the iodophor disinfectant to a wound, an extrusion plate (262) is fixedly connected to the rack (26), and the disinfectant is abutted against the air bag (41);
the bottom of the shell (1) is provided with an auxiliary mechanism for gathering wounds to assist a medical suture gang nail (333) to coincide with the wounds, the auxiliary mechanism comprises a driven wheel (5) rotationally connected to the bottom of the shell (1), the driving shaft (221) is coaxially and fixedly connected with a driving wheel (222), and the driving wheel (222) is provided with a belt (51) and is in transmission connection with the driven wheel (5) through the belt (51);
the auxiliary mechanism further comprises a circular ring (531) fixedly connected to the bottom of the shell (1), the circular ring (531) is rotationally connected with inclined rotating rollers (53), the driven wheel (5) is hinged with a first connecting ring (52), the first connecting ring (52) is hinged to the inclined rotating rollers (53), the number of the inclined rotating rollers (53) is two, and the two inclined rotating rollers (53) are symmetrically distributed on two sides of the rectangular bending cylinder (13);
the auxiliary mechanism further comprises a cylindrical cam (55) rotatably connected to the bottom of the shell (1), a second connecting ring (54) is hinged to the inclined rotating roller (53), the cylindrical cam (55) is hinged to the inclined rotating roller (53) through the second connecting ring (54), a mounting ring (551) is connected to the cylindrical cam (55) in a sliding mode, a rectangular block attached to the bottom face of the shell (1) is arranged on the mounting ring (551), a convex ball (552) is fixedly connected in the mounting ring (551), and the convex ball (552) is connected in a sliding groove on the cylindrical cam (55) in a sliding mode;
the auxiliary mechanism further comprises a sliding column (57) which is slidably connected to the mounting ring (551), rectangular sliding blocks (58) are fixedly connected to the sliding column (57), rectangular plates (56) are fixedly connected to the bottom of the shell (1), inclined sliding grooves (561) are formed in the rectangular plates (56), the rectangular sliding blocks (58) are slidably connected to pushing plates (581) which are used for pushing skin on two sides of a wound to gather the wound, the number of the pushing plates (581) is two, the two pushing plates (581) are symmetrically distributed on two sides of the rectangular bending cylinder (13), pulling plates (553) are fixedly connected to the mounting ring (551), the pulling plates (553) are attached to the pushing plates (581), and the pulling plates (553) are intermittently abutted to the medical suturing nails (333).
2. An orthopaedic stapler according to claim 1, wherein: one side of the shell (1) close to the box body (4) is rotationally connected with a box door (11), and a lifting hole (21) is formed in the part, located outside the shell (1), of the T-shaped plate (2).
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| CN202111358926.4A CN114041842B (en) | 2021-11-17 | 2021-11-17 | Anastomat for plastic surgery |
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| CN202111358926.4A CN114041842B (en) | 2021-11-17 | 2021-11-17 | Anastomat for plastic surgery |
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| CN114041842B true CN114041842B (en) | 2023-08-22 |
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| CN113558694A (en) * | 2021-07-26 | 2021-10-29 | 苏州法兰克曼医疗器械有限公司 | Dual-safety linear stitching instrument |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US11197669B2 (en) * | 2019-10-09 | 2021-12-14 | Chul Hi Park | Device and method for assisting selection of surgical staple height |
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| WO1999007441A1 (en) * | 1997-08-11 | 1999-02-18 | Mayer Paul W | Motorized motion-canceling suture tool holder |
| CN207973282U (en) * | 2018-02-08 | 2018-10-16 | 威尔克工业纺织（嘉兴）有限公司 | A kind of fabric batching cleaning device |
| CN108554715A (en) * | 2018-04-28 | 2018-09-21 | 重庆市璧山区川江金属配件厂 | Gearbox part processing device |
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| CN114041842A (en) | 2022-02-15 |
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