CN115998352A - Anastomotic stoma reinforcement repair sheet and surgical device - Google Patents
Anastomotic stoma reinforcement repair sheet and surgical device Download PDFInfo
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- CN115998352A CN115998352A CN202211378443.5A CN202211378443A CN115998352A CN 115998352 A CN115998352 A CN 115998352A CN 202211378443 A CN202211378443 A CN 202211378443A CN 115998352 A CN115998352 A CN 115998352A
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- anastomat
- biological material
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- 230000008439 repair process Effects 0.000 title claims abstract description 100
- 230000002787 reinforcement Effects 0.000 title claims abstract description 77
- 239000012620 biological material Substances 0.000 claims abstract description 98
- 239000012528 membrane Substances 0.000 claims abstract description 73
- 230000003014 reinforcing effect Effects 0.000 claims abstract description 29
- 238000005520 cutting process Methods 0.000 claims description 85
- 238000005728 strengthening Methods 0.000 claims description 17
- 210000004379 membrane Anatomy 0.000 description 59
- 210000001519 tissue Anatomy 0.000 description 25
- 230000003872 anastomosis Effects 0.000 description 23
- 238000000034 method Methods 0.000 description 9
- 239000000463 material Substances 0.000 description 7
- 238000010008 shearing Methods 0.000 description 5
- 230000000740 bleeding effect Effects 0.000 description 3
- 238000001727 in vivo Methods 0.000 description 3
- 239000002861 polymer material Substances 0.000 description 3
- 210000004876 tela submucosa Anatomy 0.000 description 3
- 206010050456 Anastomotic leak Diseases 0.000 description 2
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Chemical compound OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 2
- 229920000954 Polyglycolide Polymers 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 210000000936 intestine Anatomy 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 210000000496 pancreas Anatomy 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- 239000004633 polyglycolic acid Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000036262 stenosis Effects 0.000 description 2
- 208000037804 stenosis Diseases 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000017423 tissue regeneration Effects 0.000 description 2
- 206010056346 Anastomotic haemorrhage Diseases 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 229920006237 degradable polymer Polymers 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002163 immunogen Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000282 nail Anatomy 0.000 description 1
- 210000003516 pericardium Anatomy 0.000 description 1
- 239000004626 polylactic acid Substances 0.000 description 1
- -1 polypropylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 210000000813 small intestine Anatomy 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000003932 urinary bladder Anatomy 0.000 description 1
- 230000009278 visceral effect Effects 0.000 description 1
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Classifications
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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
-
- 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
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention provides an anastomotic stoma reinforcement repair sheet and an operation device. The anastomotic stoma reinforcing repair sheet comprises: the biological material membrane comprises a main body part and an extension part which extends outwards from the main body part, and one end of the biological material membrane is provided with a notch; and the back lining is detachably connected with the biological material membrane, one end of the back lining is provided with a cap part, and the cap part is provided with a containing space for containing the extension part.
Description
Technical Field
The present disclosure relates to the field of medical devices, and in particular, to a stoma reinforcement repair patch and a surgical device.
Background
The application of the anastomat can greatly promote the development of modern surgery and minimally invasive surgery, and has the significance of milestones. The anastomat can staple tissues through the anastomat during cutting, and is widely used for cutting, suturing or anastomosis of visceral tissues such as intestines, stomach, lung, pancreas and the like. However, the defects, leakage and bleeding of the tissue of the anastomotic stoma cannot be completely avoided by combining the hard nails of the anastomotic nail, and the problems of infection, stenosis, scarring and the like can be caused. Once complications such as anastomotic leakage, bleeding, stenosis, infection, adhesion and the like occur, secondary surgery may be required to solve, seriously affecting the quality of life of the patient, and even endangering life, causing serious economic and psychological burden to the patient.
The prior art methods use staplers with a sheet of biomaterial in order to reduce the complications after anastomosis. The nail bin and the nail anvil surface of the anastomat are both provided with a layer of absorbable biological material membrane, and the biological material membrane is fixed on the anastomat opening when the stapling and cutting are finished, so that fragile tissues are protected from being torn by the anastomat, or gaps between bare nails and tissues or blood vessels are closed, thereby strengthening the anastomat opening and reducing the risks of complications such as anastomotic leakage, bleeding and the like. The biological material membrane is a sheet structure made of degradable biological material, and the degradable biological material can be a high polymer material or an animal tissue material. Preferably, the degradable biological material may be an animal-derived tissue material, such as a submucosa material, preferably a small intestine submucosa material, a urinary bladder submucosa material, subjected to an immunogen removal treatment; or for example, an organ envelope, preferably a pericardium.
However, prior methods require the reinforcement patches of the stoma to be assembled to the cartridge portion and anvil portion of the cartridge assembly of the stapler, typically by detachably connecting the reinforcement patches to the backing using wires, and then assembling the reinforcement patches to the cartridge portion and anvil portion together. However, since the reinforcing repair sheet is generally made of a flexible material, during the assembly process of the reinforcing repair sheet, the reinforcing repair sheet is often not assembled to a predetermined position of the backing, or the reinforcing repair sheet protrudes from a structural gap in the backing due to an operation reason of an operator and a structural reason between the reinforcing repair sheet and the backing.
In addition, after the reinforcing patch is fixed to the tissue to be treated, the fixation between the reinforcing patch and the backing may be released by removing the wires, thereby removing the backing. However, the adoption of the wire fixing biological material layer and the back lining makes the structure of the reinforcing repair sheet complex, and special placement and fixing are needed to be carried out so as to cooperate with the anastomat to ensure that the wire is not knotted or confused, thereby increasing the process steps in the process of manufacturing the product and influencing the production efficiency and the yield of the product.
In addition, since the staples need to completely cover the area of the reinforcement patch in contact with the tissue, the total length of the staple along the stoma reinforcement patch needs to be greater than the length of the patch. In other words, the staple line distal length is greater than the cut line length. However, in the structure of the existing reinforced repair sheet, the existing cutter is likely to fail to cut the repair sheet, and the cutting operation is completed only by means of other cutting tools, which increases the operation complexity.
Therefore, there is a need for a stoma-strengthening repair sheet with an improved structure that more effectively cooperates with a stapler to solve the above-described problems.
Disclosure of Invention
A first aspect of the present disclosure provides a stoma-strengthening repair patch configured to be used with a staple cartridge assembly and/or an anvil assembly of a stapler, the stoma-strengthening repair patch comprising:
the biological material membrane comprises a main body part and an extension part which extends outwards from the main body part, and one end of the biological material membrane is provided with a notch; and
the back lining is detachably connected with the biological material membrane, one end of the back lining is provided with a cap part, and the cap part is provided with a containing space for containing the extension part.
In some embodiments, in the case where the stoma-reinforcing repair sheet is used in cooperation with a staple cartridge assembly of the stapler, at least a portion of the extension is inserted into the cap, and the biomaterial membrane and the backing are detachably sewn by a wire to form a first socket structure, which is socket-jointed to the staple cartridge assembly of the stapler to form the stoma-reinforcing repair sheet in a first use state.
In some embodiments, further comprising:
under the condition that the anastomotic stoma reinforcement repairing piece is matched with the nail anvil component of the anastomat for use, at least one part of the extending part is inserted into the cap part, the biological material membrane and the back lining are detachably sewn through wires to form a second sleeving structure, and the second sleeving structure is sleeved on the nail anvil component of the anastomat to form the anastomotic stoma reinforcement repairing piece in a second use state.
In some embodiments, the depth of the receiving space of the cap is less than or equal to the length of the extension in the length direction of the sheet of biomaterial.
In some embodiments, the extension is formed extending outwardly from a portion of the first end of the body portion.
In some embodiments, the cutout is disposed in the extension and partially in the body portion;
the incision is used for cooperating with a cutting assembly of the anastomat so that the position reached by the front end of the cutting assembly coincides with a preset cutting position.
In some embodiments, the body portion is provided with a guide opening at a second end opposite the first end.
In some embodiments, a centerline of the guide port in a length direction of the biomaterial membrane sheet coincides with a centerline of the slit in a length direction of the biomaterial membrane sheet.
A second aspect of the present disclosure provides a surgical device comprising:
a stapler including a cartridge assembly and an anvil assembly; and
the anastomotic stoma reinforcement repair patch according to the first aspect of the present disclosure is used in cooperation with the anastomat.
In some embodiments, further comprising:
when the anastomotic stoma reinforcement repairing sheet is matched with a nail bin assembly of the anastomat for use, at least one part of the extension part is inserted into the cap part, the biological material membrane and the back lining are detachably sewn through wires to form a first sleeving structure, and the first sleeving structure is sleeved on the nail bin assembly of the anastomat to form the anastomotic stoma reinforcement repairing sheet in a first use state; and/or
Under the condition that the anastomotic stoma reinforcement repairing piece is matched with the nail anvil component of the anastomat for use, at least one part of the extending part is inserted into the cap part, the biological material membrane and the back lining are detachably sewn through wires to form a second sleeving structure, and the second sleeving structure is sleeved on the nail anvil component of the anastomat to form the anastomotic stoma reinforcement repairing piece in a second use state.
In some embodiments, further comprising:
the depth of the accommodating space of the cap part is smaller than or equal to the length of the extension part in the length direction of the biological material membrane.
Compared with the related art, the method has at least the following technical effects:
compared with the prior art, the anastomotic stoma reinforcement repairing piece has the advantages that the extension part is arranged on the biological material membrane, the accommodating space with the accommodating extension part is arranged on the back lining, and at least one part of the extension part of the biological material membrane can be inserted and pulled out of the cap part accommodated in the back lining to form a sleeving structure, so that the problem of misoperation or assembly dislocation caused by the fact that the biological material membrane is not assembled to the preset position of the back lining or extends out of a structural gap in the back lining can be effectively avoided, and the reinforcement repairing and anastomosis of the anastomotic stoma can be directly carried out after the cutting; through setting up the incision at the biological material diaphragm, through the cutting position of cutting assembly of incision restriction anastomat when treating the cutting treatment of tissue etc. for the position that the first end of this cutting assembly (the front end that contacts the tissue to be treated when promptly first) reached coincides with preset cutting position, can guarantee that cutting assembly cuts off the reinforcement repair piece completely, can guarantee simultaneously that the complete coincide of anastomotic orifice, and need not to use extra cutting tool and then can improve the operating convenience.
In addition, through setting up the guide mouth at the reinforcement patch, can reduce the shearing force of cutting assembly when cutting the patch, avoid the patch to curl and produce the risk of unfavorable cutting off.
Drawings
In order to more clearly illustrate the embodiments of the present disclosure or the technical solutions in the prior art, a brief description will be given below of the drawings required for the embodiments or the description of the prior art, and it is obvious that the drawings in the following description are some embodiments of the present disclosure, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic perspective view of an example of a stoma reinforcement repair patch provided in the present disclosure;
FIG. 2 is a perspective exploded view of an example of the stoma reinforcement repair patch of FIG. 1;
FIG. 3 is a perspective exploded view of an example application of the stoma reinforcement repair patch of FIG. 1;
FIG. 4 is a schematic view of another example of the stoma reinforcement repair patch of FIG. 1;
FIG. 5 is a perspective structural solid view of another example of a stoma strengthening repair patch provided by the present disclosure;
FIG. 6 is a perspective exploded view of the anastomosis reinforcing repair sheet of FIG. 5;
FIG. 7 is a schematic perspective view of another application example of the stoma reinforcement repair patch of FIG. 5;
FIG. 8 is a schematic view of another example of the stoma reinforcement repair patch of FIG. 5;
fig. 9 is a schematic perspective view of another application example of the anastomotic stoma reinforcement repair patch provided in the present disclosure.
Detailed Description
For the purpose of promoting an understanding of the principles and advantages of the disclosure, reference will now be made in detail to the drawings, in which it is apparent that the embodiments described are only some, but not all embodiments of the disclosure. Based on the embodiments in this disclosure, all other embodiments that a person of ordinary skill in the art would obtain without making any inventive effort are within the scope of protection of this disclosure.
The terminology used in the embodiments of the disclosure is for the purpose of describing particular embodiments only and is not intended to be limiting of the disclosure. As used in this disclosure of embodiments and the appended claims, the singular forms "a," "an," and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise, the "plurality" generally includes at least two.
It should be understood that the term "and/or" as used herein is merely one relationship describing the association of the associated objects, meaning that there may be three relationships, e.g., a and/or B, may represent: a exists alone, A and B exist together, and B exists alone. In addition, the character "/" herein generally indicates that the front and rear associated objects are an "or" relationship.
It should also be noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a product or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such product or apparatus. Without further limitation, an element defined by the phrase "comprising" does not exclude the presence of other like elements in a commodity or device comprising such element.
The present disclosure provides a stoma-strengthening repair patch configured to be used with a staple cartridge assembly and/or an anvil assembly of a stapler, the stoma-strengthening repair patch comprising: the biological material membrane comprises a main body part and an extension part which extends outwards from the main body part, and one end of the biological material membrane is provided with a notch; and the back lining is detachably connected with the biological material membrane, one end of the back lining is provided with a cap part, and the cap part is provided with a containing space for containing the extension part.
According to the anastomotic stoma reinforcement repairing piece, the extension part is arranged on the biological material membrane, the accommodating space with the accommodating extension part is arranged on the backing, and at least one part of the extension part of the biological material membrane can be inserted and pulled out of the cap part of the backing to form a sleeving structure, so that the problem of misoperation or assembly dislocation caused by the fact that the biological material membrane is not assembled to the preset position of the backing or extends out of a structural gap in the backing can be effectively avoided, and the anastomotic stoma can be directly reinforced, repaired and anastomosed after cutting; through setting up the incision at the biological material diaphragm, through the cutting position of cutting assembly of incision restriction anastomat when treating the cutting treatment of tissue etc. for the position that the first end of this cutting assembly (the front end that contacts the tissue to be treated when promptly first) reached coincides with preset cutting position, can guarantee that cutting assembly cuts off the reinforcement repair piece completely, can guarantee simultaneously that the complete coincide of anastomotic orifice, and need not to use extra cutting tool and then can improve the operating convenience.
In addition, through setting up the guide mouth at the reinforcement patch, can reduce the shearing force of cutting assembly when cutting the patch, avoid the patch to curl and produce the risk of unfavorable cutting off. .
The anastomotic stoma reinforcing repair patch is widely applied, and is particularly suitable for application scenes of anastomat for placing reinforcing repair patches at specified positions and fixing the reinforcing repair patches, such as application scenes of cutting, suturing or anastomosis of organ tissues of intestines, stomach, lung, pancreas and the like. Alternative embodiments of the present disclosure are described in detail below with reference to the drawings.
Example 1
In order to further optimize the structure of the anastomotic stoma reinforcing repairing piece and accurately assist the anastomat to perform operations such as cutting and anastomotic stoma anastomosis on tissues to be treated, the structure of each component in the anastomotic stoma reinforcing repairing piece is improved, so that accurate positioning cutting can be realized in the operations such as cutting and anastomosis on the anastomat, the conditions that the anastomotic stoma after anastomosis is not closed, has tearing and the like, the reinforcing repairing piece is not assembled to a preset position of a backing, or the reinforcing repairing piece extends out of a structural gap in the backing, and various problems caused by incapability of cutting the repairing piece and the like during cutting are effectively avoided, and further more effective anastomotic stoma anastomosis can be realized. The improved structure of the present invention will be specifically described below.
Fig. 1 is a schematic perspective view of an example of a stoma reinforcement repair patch provided in the present disclosure.
As shown in fig. 1, the present disclosure provides a stoma-strengthening repair patch 10, the stoma-strengthening repair patch 10 (also referred to as a first stoma-strengthening repair patch 10 in this embodiment) comprising a first sheet of biomaterial 11 and a first backing 13 detachably connected to the first sheet of biomaterial 11.
Specifically, the first biological material film 11 and the first backing 13 are preferably detachably connected by a wire 60, specifically, the two lateral sides of the first biological material film 11 in the width direction and the two lateral sides of the first backing 13 in the width direction are detachably connected by the wire 60 along the length direction of the first biological material film 11, see fig. 1.
Alternatively, the first sheet of biomaterial 11 is used in a variety of soft tissue repair clinical procedures and the like. For example, when the anastomat is used for treating the tissue to be treated, the first biological material film 11 is separated from the first back lining 11 and the second back lining 21 respectively to fix and repair the anastomotic stoma of the tissue to be treated when the anastomat is used for suturing, and the first biological material film 11 can realize in-vivo degradation and tissue regeneration, can effectively strengthen and repair the anastomotic stoma and plays a role of protecting the tissue from being torn by the anastomat.
In the present invention, the first biomaterial membrane is, for example, an in vivo degradable polymer material or an in vivo degradable biomaterial, wherein the polymer material includes, for example, polypropylene, polylactic acid (PLA), polyglycolic acid (PGA), polylactic glycolic acid (PLGA), or the like.
Fig. 2 is a perspective exploded view of an example of the stoma reinforcement repair patch of fig. 1.
As shown in fig. 2, the first biomaterial membrane sheet 11 includes a first main body 111, a first extension 113 extending outwards from the main body 111, and a first notch 115 is formed at one end of the first biomaterial membrane sheet 11, wherein the first main body 111 is substantially strip-shaped, and an orthographic projection on a plane parallel to a horizontal plane is substantially rectangular, but not limited thereto, and in other examples, the orthographic projection may be a chamfered rectangle or other polygonal shape. The foregoing is illustrative only and is not to be construed as limiting the invention.
In the present invention, an end of the component or the member on the left side of the drawing sheet is referred to as a first end, an end of the component or the member on the right side of the drawing sheet (i.e., an end opposite to the first end) is referred to as a second end, an upper side of the drawing sheet is referred to as an upper side, and a lower side of the drawing sheet is referred to as a lower side.
Specifically, a first extension portion 113 is provided at a first end of the first body portion 111, that is, the first extension portion 113 is formed to extend outwardly from a portion (in this example, a central portion) of the first end of the first body portion 111. More specifically, the first extension 113 is inclined outward from the first body 111, for example, downward and leftward as shown in fig. 2.
In other examples, the first inclined portion 111 may be located on the same horizontal plane as the first main body portion 111. The shape of the first extension portion is not particularly limited, as long as the shape is easily pluggable. The foregoing is illustrative only and is not to be construed as limiting the invention.
In the example shown in fig. 2, the first cutout 115 is provided at the first extension 113 and partially provided at the first main body 111, and the first cutout 115 is provided along the length direction of the first main body 111. As can be seen from fig. 2, the first extension 113 is divided into two parts by the first cutout 115.
Further, a first cap 130 is provided at one end of the first backing 13, and the first cap 130 has a receiving space S1 for receiving the first extension 113.
Optionally, the depth d1 of the accommodating space S1 of the first cap 130 is smaller than or equal to the length c of the first extension 113 in the length direction of the first biomaterial membrane sheet 11, as can be seen in fig. 2.
Preferably, the depth d1 of the accommodating space S1 of the first cap 130 is less than or equal to 1/2 of the length c of the first extension 113 in the length direction of the first biological material membrane 11.
It should be noted that the foregoing is merely illustrative of the present invention and is not to be construed as limiting thereof.
Fig. 3 is a perspective exploded view of an application example of the stoma reinforcement repair patch of fig. 1. FIG. 3 illustrates the present invention of a stoma reinforcement repair in combination with a staple cartridge assembly of a stapler. The improved structure of the stoma reinforcement patch of the invention will be further described below in connection with the application example of fig. 3.
Referring to fig. 1 and 3, in the case that the first stoma-reinforcing repair sheet 10 is used in cooperation with the cartridge assembly 20 of the stapler 200, at least a portion of the first extension portion 113 is inserted into the first cap portion 130, and the first biomaterial film sheet 11 and the first backing 13 are detachably sewn together by the wire 60 to form a first socket structure, and the first socket structure is socket-coupled with the cartridge assembly 30 of the stapler 200 to form the first stoma-reinforcing repair sheet in a first use state.
Specifically, by providing the first cap 130 on the first backing 13 and providing the depth of the accommodating space S1 of the first cap 130, so that at least a portion of the first extension 113 is inserted into the first cap 130, that is, by using the structure that the first cap 130 accommodates the first extension 113, the insertion of the first biomaterial film into the first cap can be effectively ensured.
Further, by inserting a portion of the first extension 113 into the first cap 130 and detachably jointing the first biomaterial membrane 11 and the first backing 13 with the wire 60 to form a first sleeve structure, the insertion of the first biomaterial membrane into the first cap can be more effectively ensured, and further, the problem of incorrect operation or assembly dislocation caused by the fact that the biomaterial membrane is not assembled to a preset position of the backing, or the biomaterial membrane protrudes from a structural gap in the backing, and the repairing and anastomosis of an anastomosis can be directly performed after cutting.
In addition, a first incision 115 is further provided on the first main body 111, where the first incision 115 is used to cooperate with the cutting assembly 50 of the anastomat 200, and the cutting position of the cutting assembly during the cutting treatment of the tissue to be treated is limited by the first incision 115, so that the position reached by the first end of the cutting assembly (i.e. the front end that is firstly contacted with the tissue to be treated when in use) coincides with the preset cutting position, which can ensure that the cutting assembly completely cuts off the reinforcement repair sheet, and at the same time can ensure the complete anastomosis of the anastomotic orifice, without using an additional cutting tool, thereby improving the operation convenience.
Fig. 4 is a schematic view of another example of the stoma reinforcement repair patch of fig. 1.
The example of fig. 4 differs from the example of fig. 3 in that the first body portion 111 of the first sheet of biomaterial 11 is provided with a first guide opening 117 at a second end opposite to the first end.
Specifically, the first guide opening 117 is a through hole penetrating the first body 111, and a center line of the first guide opening 117 along the longitudinal direction of the first body 111 coincides with a center line of the first cutout 115 along the longitudinal direction of the first body 111. The first guiding opening 117 is used for guiding the cutting assembly of the anastomat to perform cutting operation, so that the shearing force of the cutting assembly when cutting the repair patch can be reduced, and the risk of unfavorable cutting caused by curling of the repair patch is avoided.
Note that, since the first backing in the example of fig. 4 is substantially the same as the first backing in fig. 1 in structure, the description of the same portions thereof is omitted.
Example 2
Another example of the stoma reinforcement patch of the invention will be described with reference to fig. 5 to 9.
It should be noted that, in this embodiment, the stoma reinforcement repair sheet (also referred to as a second stoma reinforcement repair sheet 20 in this embodiment) is used in combination with an anvil assembly of the stapler.
Fig. 5 is a perspective structural entity view of another example of a stoma reinforcement repair patch provided by the present disclosure. Fig. 6 is a perspective exploded view of the anastomosis reinforcing repair sheet of fig. 5.
As shown in fig. 5 and 6, the second stoma reinforcement repair patch 20 includes a second biomaterial membrane sheet 21 and a second backing 23, the second backing 23 being detachably connected to the second biomaterial membrane sheet 21.
Alternatively, the second biomaterial membrane sheet 21 and the second backing 23 are detachably connected by a wire 61, and specifically, both sides in the width direction of the second biomaterial membrane sheet 21 and both sides in the width direction of the second backing 23 are detachably connected by the wire 61 along the length direction of the second biomaterial membrane sheet 21.
Specifically, the second biomaterial membrane 21 includes a second body 211, and a second extension 213 extending from the second body 211, wherein the second extension 213 is divided into two parts by the second slit 215, i.e., the second extension 213 is two protruding parts protruding from the second body 213.
Further, one end (i.e., the first end) of the second backing 23 is provided with a second cap 230, and the second cap 230 has a receiving space S2 for receiving the second extension 213.
Optionally, the depth d2 of the accommodating space S1 of the second cap 230 is smaller than or equal to the length c2 of the second extension 213 in the length direction of the second biomaterial membrane sheet 11, as can be seen in fig. 6.
Preferably, the depth d2 of the receiving space S1 of the second cap 230 is less than or equal to 1/2 of the length c2 of the second extension 213 in the length direction of the second biomaterial membrane sheet 11.
In assembled use, at least a portion of the second extension 213 is inserted into the second cap 230 and the second biomaterial membrane 21 and the second backing 23 are detachably stitched by wire 61 to form a second socket (see fig. 7).
Note that the second biomaterial film sheet 21 and the second backing 23 in the example shown in fig. 5 have substantially the same structure as the first biomaterial film sheet 11 and the first backing 13 in the example shown in fig. 1, and the second biomaterial film sheet 21 in embodiment 2 has substantially the same functions and preparation materials as the first biomaterial film sheet 11 in embodiment 1, and therefore, the description of the same parts thereof is omitted.
Fig. 7 is a schematic perspective view of another application example of the stoma reinforcement repair patch of fig. 5.
Fig. 7 shows the present invention of a stoma reinforcement repair (i.e. a second stoma reinforcement repair) in combination with an anvil assembly of the stapler.
As shown in fig. 7, in the case that the second stoma reinforcement repair sheet 20 is used in cooperation with the anvil assembly 40 of the stapler 200, at least a portion of the second extension portion 213 is inserted into the second cap portion 230, and the second biomaterial membrane 21 and the second backing 23 are detachably sewn together by the wire 61 to form a second socket structure, and the second socket structure is socket-connected to the anvil assembly 40 of the stapler 200 to form the stoma reinforcement repair sheet in the second use state.
Through the second sleeving structure, the second biological material membrane can be more effectively ensured to be inserted into the second cap part, and further, the problem that the biological material membrane is not assembled to the preset position of the back lining, or the biological material membrane stretches out of a structural gap in the back lining and other misoperation or assembly dislocation problems are more effectively avoided, and the reinforcement repair and anastomosis of an anastomotic stoma can be directly carried out after cutting.
Alternatively, the length a of the second cutout 215 in the length direction of the second body portion 211 is smaller than 1/2 of the length b of the second body portion 211 in the length direction thereof, as can be seen in particular in fig. 8.
Preferably, the length a of the second cutout 115 in the length direction of the second body portion 211 is less than 1/2 of the length b of the second body portion 211 in the length direction thereof.
Through the setting of second incision and length, can further guarantee that cutting assembly cuts off the reinforcement repair piece completely, can guarantee simultaneously that the anastomotic stoma's is completely anastomotic, and need not to use extra cutting tool and then can improve the operating convenience.
Fig. 8 is a schematic view of another example of the stoma reinforcement repair patch of fig. 5.
The example of fig. 8 differs from the example of fig. 5 in that the second body portion 211 of the second biomaterial membrane 21 is provided with a second guide opening 217 at a second end opposite to the first end.
Specifically, the second guide opening 217 is a through hole penetrating the first body 211, and the position of the second guide opening 217 corresponds to the position of the first guide opening 117.
Further, the center line of the second guide opening 217 along the length direction of the second body 211 coincides with the center line of the second slit 215 along the length direction of the second body 211. The second guiding opening 217 is used for guiding the cutting assembly of the anastomat to perform cutting operation, so that the shearing force of the cutting assembly when cutting the repair patch can be further reduced, and the risk of unfavorable cutting caused by curling of the repair patch is avoided.
Example 3
The invention also provides a surgical device for cutting, anastomosis and the like of the tissue to be treated. The surgical device of the present invention will be described with reference to fig. 1, 3, 5, 7 and 9.
Specifically, the surgical device comprises a stapler 200 and a stoma reinforcement repair sheet matched with the stapler 200, wherein the stapler 200 comprises a nail bin assembly 30 and a nail anvil assembly 40.
In the first embodiment, the stoma reinforcement repair is the first stoma reinforcement repair 11 in example 1. I.e., the stoma strengthening repair is only used to socket the cartridge assembly 30, see in particular fig. 3.
As shown in fig. 3, in the case that the first stoma reinforcement repair sheet 11 is used in cooperation with the cartridge assembly 30 of the stapler 200, at least a portion of the first extension portion 113 is inserted into the first cap portion 130, and the first biomaterial membrane 11 and the first backing 13 are detachably sewn together by the wire 60 to form a first sleeve structure, and the first sleeve structure is sleeve-jointed with the cartridge assembly 30 of the stapler 200 to form the stoma reinforcement repair sheet in the first use state.
Optionally, the depth d1 of the accommodating space S1 of the first cap 130 is smaller than or equal to the length c of the first extension 113 in the length direction of the first biomaterial membrane sheet 11, as can be seen in fig. 2.
Preferably, the depth d1 of the accommodating space S1 of the first cap 130 is less than or equal to 1/2 of the length c of the first extension 113 in the length direction of the first biological material membrane 11.
Furthermore, a first incision 115 is provided in the first body portion 111, said first incision 115 being intended to cooperate with the cutting assembly 50 of the stapler 200.
Specifically, the length of the first cutout 115 in the length direction of the first main body portion 111 is less than 1/2 of the length of the first main body portion 111 in the length direction thereof.
Preferably, the length of the first cutout 115 in the length direction of the first body portion 111 is less than 1/3 of the length of the first body portion 111 in the length direction thereof.
The first incision 115 limits the cutting position of the cutting assembly during the cutting treatment of the tissue to be treated, so that the position reached by the first end of the cutting assembly (i.e., the front end that is first contacted with the tissue to be treated when in use) coincides with the preset cutting position, thereby ensuring that the cutting assembly completely cuts off the reinforcement repair sheet, and simultaneously ensuring the complete anastomosis of the anastomotic stoma without using an additional cutting tool, and further improving the convenience of operation.
Note that, since the structure of the first anastomosis reinforcing repair sheet 11 in the first embodiment is substantially the same as that of the first anastomosis reinforcing repair sheet 11 in example 1, the description of the same portions thereof is omitted.
In the second embodiment, the stoma reinforcement repair is the second stoma reinforcement repair 21 in example 2. I.e., the stoma strengthening repair is only used to socket anvil assembly 40, see in particular fig. 7.
As shown in fig. 7, in the case that the second stoma-reinforcing repair sheet 20 is used in cooperation with the anvil assembly 40 of the stapler 200, at least a portion of the second extension portion 213 is inserted into the second cap portion 230, and the second biomaterial membrane 21 and the second backing 23 are detachably sewn together by the wire 61 to form a second socket structure, and the second socket structure is socket-coupled with the anvil assembly 40 of the stapler 200 to form the stoma-reinforcing repair sheet in the second use state.
Note that, since the structure of the second anastomosis reinforcing repair sheet 20 in the second embodiment is substantially the same as that of the second anastomosis reinforcing repair sheet 21 in example 2, the description of the same portions thereof is omitted.
In the third embodiment, the anastomotic stoma reinforcement patch includes the first anastomotic reinforcement patch 11 in example 1 and the second anastomotic reinforcement patch 21 in example 2, that is, the anastomotic stoma reinforcement patch is used for sleeving the cartridge assembly 30 and the anvil assembly 40, and particularly, see fig. 9.
As shown in fig. 9, in the case that the first stoma reinforcement repairing sheet 11 is used together with the cartridge assembly 30 of the stapler 200, and the second stoma reinforcement repairing sheet 20 is used together with the anvil assembly 40 of the stapler 200, the first biomaterial membrane sheet 11 and the first backing 13 are detachably sewn together by the wire 60 to form a first sleeve structure, and the second biomaterial membrane sheet 21 and the second backing 23 are detachably sewn together by the wire 61 to form a second sleeve structure.
Specifically, at least a portion of the first extension 113 is inserted into the first cap 130, and the first sheet of biomaterial 11 and the first backing 13 are detachably joined by the wire 60 to form a first sleeve structure, which is sleeved on the cartridge assembly 30 of the stapler 200 to form the stoma-strengthening repair sheet in the first use state. And, at least a portion of the second extension 213 is inserted into the second cap 230, and the second biomaterial membrane 21 and the second backing 23 are detachably sewn together by the wire 61 to form a second sleeve structure, and the second sleeve structure is sleeved on the anvil assembly 40 of the stapler 200 to form a stoma reinforcing repair sheet in a second use state.
In this third embodiment, the second biomaterial membrane 21 is provided with the second incision 215 corresponding to the position of the first incision 115, and the first incision and the second incision corresponding to the positions cooperate with the cutting assembly of the anastomat together to perform related operations, so that the cutting assembly can be further ensured to completely cut off the reinforcement repair sheet, and meanwhile, the complete anastomosis of the anastomotic stoma can be ensured, without using an additional cutting tool, and thus, the operation convenience can be improved.
Regarding the lengths of the first cutout 115 and the second cutout 215, the length of the first cutout 115 in the length direction of the first body portion 111 is equal to the length of the second cutout 215 in the length direction of the second body portion 211.
Specifically, the length of the first cutout 115 in the length direction of the first main body portion 111 is less than 1/2 of the length of the first main body portion 111 in the length direction thereof.
Preferably, the length of the first cutout 115 in the length direction of the first body portion 111 is less than 1/3 of the length of the first body portion 111 in the length direction thereof.
In another embodiment, a first guide opening 117 is provided at a second end of the first body portion 111 opposite to the first end, and a second guide opening 217 corresponding to the position of the first guide opening 117 is provided at the second body portion 211.
In this embodiment, the center line of the first guide opening 117 in the longitudinal direction of the first biomaterial membrane sheet 11 (i.e., the first body portion 111) coincides with the center line of the first slit 115 in the longitudinal direction of the first biomaterial membrane sheet (i.e., the first body portion 111). Accordingly, the center line of the second guide opening 217 in the length direction of the second biomaterial membrane sheet 21 (i.e., the second body portion 211) coincides with the center line of the second slit 215 in the length direction of the second biomaterial membrane sheet 21 (i.e., the second body portion 211).
It should be noted that the foregoing is merely illustrative of the present invention and is not to be construed as limiting thereof.
Compared with the prior art, the surgical device can effectively avoid the misoperation problems such as the unassembled biological material membrane to the preset position of the back lining or the extension of the biological material membrane from the structural gap in the back lining or the assembly dislocation problem by improving the structure of the anastomotic stoma reinforcing and modifying sheet, and can also directly perform the reinforcing, repairing and anastomosis of the anastomotic stoma after cutting; the cutting position of the cutting assembly of the anastomat during cutting treatment of tissues to be treated and the like is limited through the incision, so that the position reached by the first end of the cutting assembly (namely, the front end firstly contacts the tissues to be treated during cutting treatment) coincides with the preset cutting position, the cutting assembly can be ensured to completely cut off the reinforcing repair piece, meanwhile, the complete anastomosis of an anastomotic stoma can be ensured, and an additional cutting tool is not required, so that the operation convenience can be improved; by arranging the guide opening on the reinforcing repair piece, the shearing force of the cutting assembly when cutting the repair piece can be reduced, and the risk that the repair piece is curled to generate unfavorable cutting is avoided.
Finally, it should be noted that: in the present specification, each embodiment is described in a progressive manner, and each embodiment is mainly described in a different point from other embodiments, and identical and similar parts between the embodiments are all enough to refer to each other. The system or the device disclosed in the embodiments are relatively simple in description, and the relevant points refer to the description of the method section because the system or the device corresponds to the method disclosed in the embodiments.
The above embodiments are merely for illustrating the technical solution of the present disclosure, and are not limiting thereof; although the present disclosure has been described in detail with reference to the foregoing embodiments, it should be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present disclosure.
Claims (11)
1. A stoma-strengthening repair sheet configured to be used in cooperation with a staple cartridge assembly and/or an anvil assembly of a stapler, the stoma-strengthening repair sheet comprising:
the biological material membrane comprises a main body part and an extension part which extends outwards from the main body part, and one end of the biological material membrane is provided with a notch; and
the back lining is detachably connected with the biological material membrane, one end of the back lining is provided with a cap part, and the cap part is provided with a containing space for containing the extension part.
2. The stoma reinforcement repair patch of claim 1, wherein,
under the condition that the anastomat reinforcing repair sheet is matched with the nail bin assembly of the anastomat for use, at least one part of the extending part is inserted into the cap part, the biological material membrane and the back lining are detachably sewn through wires to form a first sleeving structure, and the first sleeving structure is sleeved on the nail bin assembly of the anastomat to form the anastomat reinforcing repair sheet in a first use state.
3. The stoma reinforcement repair patch of claim 1, wherein,
under the condition that the anastomotic stoma reinforcement repairing piece is matched with the nail anvil component of the anastomat for use, at least one part of the extending part is inserted into the cap part, the biological material membrane and the back lining are detachably sewn through wires to form a second sleeving structure, and the second sleeving structure is sleeved on the nail anvil component of the anastomat to form the anastomotic stoma reinforcement repairing piece in a second use state.
4. The stoma reinforcement repair patch according to claim 2 or 3, wherein,
the depth of the accommodating space of the cap part is smaller than or equal to the length of the extension part in the length direction of the biological material membrane.
5. The stoma reinforcement repair patch of claim 1, wherein,
the extension portion is formed to extend outwardly from a portion of the first end of the body portion.
6. The stoma-strengthening repair patch according to claim 1 or 5, wherein,
the notch is arranged on the extension part and is partially arranged on the main body part;
the incision is used for cooperating with a cutting assembly of the anastomat so that the position reached by the front end of the cutting assembly coincides with a preset cutting position.
7. The stoma-strengthening repair patch of claim 1, wherein the main body portion is provided with a guide port at a second end opposite the first end.
8. The stoma reinforcement repair of claim 7, wherein a center line of the guide port in a length direction of the biomaterial membrane coincides with a center line of the incision in the length direction of the biomaterial membrane.
9. A surgical device, the surgical device comprising:
a stapler including a cartridge assembly and an anvil assembly; and
the stoma reinforcement repair of claim 1, for use with the stapler.
10. The surgical device of claim 9, further comprising:
when the anastomotic stoma reinforcement repairing sheet is matched with a nail bin assembly of the anastomat for use, at least one part of the extension part is inserted into the cap part, the biological material membrane and the back lining are detachably sewn through wires to form a first sleeving structure, and the first sleeving structure is sleeved on the nail bin assembly of the anastomat to form the anastomotic stoma reinforcement repairing sheet in a first use state; and/or
Under the condition that the anastomotic stoma reinforcement repairing piece is matched with the nail anvil component of the anastomat for use, at least one part of the extending part is inserted into the cap part, the biological material membrane and the back lining are detachably sewn through wires to form a second sleeving structure, and the second sleeving structure is sleeved on the nail anvil component of the anastomat to form the anastomotic stoma reinforcement repairing piece in a second use state.
11. The surgical device of claim 9, further comprising:
the depth of the accommodating space of the cap part is smaller than or equal to the length of the extension part in the length direction of the biological material membrane.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211378443.5A CN115998352A (en) | 2022-11-04 | 2022-11-04 | Anastomotic stoma reinforcement repair sheet and surgical device |
| PCT/CN2023/124466 WO2024051861A1 (en) | 2022-11-04 | 2023-10-13 | Anastomosis reinforcement patch and surgical apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211378443.5A CN115998352A (en) | 2022-11-04 | 2022-11-04 | Anastomotic stoma reinforcement repair sheet and surgical device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN115998352A true CN115998352A (en) | 2023-04-25 |
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ID=86036045
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202211378443.5A Pending CN115998352A (en) | 2022-11-04 | 2022-11-04 | Anastomotic stoma reinforcement repair sheet and surgical device |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN115998352A (en) |
| WO (1) | WO2024051861A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2024051861A1 (en) * | 2022-11-04 | 2024-03-14 | 北京博辉瑞进生物科技有限公司 | Anastomosis reinforcement patch and surgical apparatus |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1993013714A2 (en) * | 1992-01-07 | 1993-07-22 | Austin Leahy | A surgical device |
| CN111012422A (en) * | 2019-12-18 | 2020-04-17 | 上海大博医疗科技有限公司 | Anastomotic stoma supporting gasket and anastomat with same |
| CN111466973A (en) * | 2020-04-28 | 2020-07-31 | 上海大博医疗科技有限公司 | Gasket subassembly is consolidated to anastomat |
| CN213372243U (en) * | 2020-08-28 | 2021-06-08 | 江苏三联星海医疗器械有限公司 | Endoscopic stapler nail bin assembly with patch repairing function |
| CN217338673U (en) * | 2022-03-18 | 2022-09-02 | 卓阮医疗科技（苏州）有限公司 | Anastomotic stoma reinforcement |
| CN115998352A (en) * | 2022-11-04 | 2023-04-25 | 北京博辉瑞进生物科技有限公司 | Anastomotic stoma reinforcement repair sheet and surgical device |
| CN219109598U (en) * | 2022-11-04 | 2023-06-02 | 北京博辉瑞进生物科技有限公司 | Anastomotic stoma reinforcement repair sheet and surgical device |
-
2022
- 2022-11-04 CN CN202211378443.5A patent/CN115998352A/en active Pending
-
2023
- 2023-10-13 WO PCT/CN2023/124466 patent/WO2024051861A1/en unknown
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2024051861A1 (en) * | 2022-11-04 | 2024-03-14 | 北京博辉瑞进生物科技有限公司 | Anastomosis reinforcement patch and surgical apparatus |
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| Publication number | Publication date |
|---|---|
| WO2024051861A1 (en) | 2024-03-14 |
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