CN118058789B - Linear cutting anastomat of endoscope easy to operate - Google Patents
Linear cutting anastomat of endoscope easy to operate Download PDFInfo
- Publication number
- CN118058789B CN118058789B CN202410470306.7A CN202410470306A CN118058789B CN 118058789 B CN118058789 B CN 118058789B CN 202410470306 A CN202410470306 A CN 202410470306A CN 118058789 B CN118058789 B CN 118058789B
- Authority
- CN
- China
- Prior art keywords
- plate
- anastomosis
- inclined plane
- telescopic
- adjusting
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 230000003872 anastomosis Effects 0.000 claims description 84
- 230000001105 regulatory effect Effects 0.000 claims description 20
- 238000013016 damping Methods 0.000 claims description 3
- 101000623895 Bos taurus Mucin-15 Proteins 0.000 claims 1
- 210000001503 joint Anatomy 0.000 claims 1
- 210000000056 organ Anatomy 0.000 abstract description 18
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 abstract description 10
- 229910052719 titanium Inorganic materials 0.000 abstract description 10
- 239000010936 titanium Substances 0.000 abstract description 10
- 238000006073 displacement reaction Methods 0.000 description 4
- 210000003811 finger Anatomy 0.000 description 2
- 210000003813 thumb Anatomy 0.000 description 2
- 206010068797 Anastomotic fistula Diseases 0.000 description 1
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000010304 firing Methods 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 229910052744 lithium Inorganic materials 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
Classifications
-
- 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
- A61B17/07207—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 the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07228—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
- A61B2017/07271—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
- A61B2017/07285—Stapler heads characterised by its cutter
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses an easy-to-operate endoscope linear cutting anastomat, which relates to the technical field of endoscope anastomat and comprises an anastomat body, wherein the right end of the anastomat body is provided with a handle, both sides of the handle are provided with limiting baffles, the inner wall of each limiting baffle is provided with a fixed plate, the left side of the handle is provided with a side seat, the inner wall of each side seat is provided with a pressing trigger, the top end of each pressing trigger is provided with a pressing plate, the left side of the top of the handle is provided with a limiting seat, and the right front of each pressing plate is provided with a push plate; the position of the nail storage bin and the position of the pressing plate can be adjusted simultaneously according to the needs of doctors, and the adjustment of the stitching interval can be achieved by adjusting the interval of each titanium nail, so that the stitching and cutting work under the conditions of organs with different sizes and operations can be dealt with.
Description
Technical Field
The invention relates to the technical field of endoscopic anastomat, in particular to an easy-to-operate endoscope linear cutting anastomat.
Background
The endoscopic anastomat (an endoscopic cutting anastomat and a disposable nail box) is one of important instruments for endoscopic surgery, replaces traditional manual suturing, utilizes titanium nails to separate or anastomose tissues, is simple and rapid to operate, greatly shortens the operation time, enables the operation field to be narrow, enables deep manual operation to be difficult to anastomose, is accurate, firm and reliable, obviously reduces the occurrence rate of anastomotic fistula, can be divided into manual and electric two types according to different power transmission modes, is different from the traditional manual endoscopic anastomat in mechanical control, can cut off tissues between the two anastomoses when the anastomat is used for firing the anastomat through power sensing, can be driven into the anastomat with three staggered rows on two sides and is provided with a disposable lithium battery pack, enables the anastomat to be subjected to multiple design improvements since birth, becomes an anastomat from an original medical 'machine', starts to step into a first-generation anastomat after two technical stages of an open anastomat and a second-generation endoscopic anastomat, has better clinical value in the three-generation of electric cavity stapler, has better clinical value and has better clinical value in the three-generation of the clinical laboratory, and has better clinical value.
When the conventional endoscope linear cutting anastomat is used, the interval of each titanium nail is inconvenient to quickly adjust when the focus parts of different organs are cut, if the interval of each titanium nail is too large, the suturing is incomplete, bleeding is formed, if the interval of each titanium nail is too small, the organs of the focus parts of a patient are pressed, blood circulation is pressed, and the operation effect is influenced, so that the endoscope linear cutting anastomat with different types is required to be replaced for use when the organs with larger or smaller volumes are cut and sutured, and is very inconvenient;
Meanwhile, when a doctor presses the linear cutting anastomat, a movable clamp is generally adopted to press, when the stapler is pressed from the end to the end, the surface is very smooth due to the elasticity of an organ, and only when the stapler is pressed to a certain extent, a titanium nail can be inserted into organ tissues of a focus part to hold the pressing position, so that a small amount of redundant deformation is generated at the pressed focus part at the initial stage of pressing, or a small amount of displacement is generated between the pressed focus part and the stapler, and judgment of the doctor and deviation of the suture position are influenced.
Disclosure of Invention
The problems to be solved by the invention are that when cutting and suturing an organ with a larger or smaller volume, endoscope linear cutting anastomat with different models needs to be replaced for use, and the problem that the pressed focus part is slightly deformed excessively in the early stage or slightly displaced from the anastomat due to the adoption of movable clips for pressing, so that judgment of doctors and deviation of suturing positions are influenced.
In order to solve the technical problems, the invention adopts the following technical scheme: the utility model provides an easy-to-operate endoscope linear cutting anastomat, includes the anastomat body, the anastomat body right-hand member is provided with the handle, the limit baffle is installed to the handle both sides, limit baffle inner wall is provided with the fixed plate, the handle left side is installed to the side seat, the side seat inner wall is installed and is pressed the trigger, press the trigger top and install the pressing plate, the handle top left side is installed and is limited the seat, be provided with the push pedal in the dead ahead of pressing plate, the push pedal tip is installed and is drawn in the board, the fixed plate tip is installed and is anastomosed subassembly one and anastomosed subassembly two, anastomosed subassembly one and anastomosed subassembly two are all installed in both sides fixed plate tip, anastomosed subassembly one and anastomosed subassembly two are all set up two sets, two sets of anastomosed subassembly one and anastomosed subassembly two are the symmetry setting, and anastomosed subassembly one is set up in anastomosed subassembly two top; the first anastomosis component and the second anastomosis component are used for suturing the part needing cutting and suturing; an adjusting component is arranged on one side of the handle and is used for adjusting the suture gap between the first anastomosis component and the second anastomosis component; the end parts of the first anastomosis component and the second anastomosis component are provided with telescopic components, and the telescopic components are used for limiting and bouncing up when the first anastomosis component and the second anastomosis component are clamped up and down; one side of the first anastomosis component is provided with a cutting component which is used for cutting a part to be cut.
Optionally, the fixed plate is in limit baffle inboard sliding connection, the tip of fixed plate sets up to the bulge, press the trigger and rotate with the side seat and be connected, press the trigger and press and form a lever through the inboard pivot of side seat between the board, press and set up to the butt between board and the push pedal, the board that draws in cup joints the tip at two sets of anastomoses subassembly one and anastomoses subassembly two.
Optionally, the first anastomotic assembly includes an anastomotic placode, the anastomotic placode is installed in fixed plate one end inboard, slide rail one is installed to the inner wall of anastomotic placode one, expansion bracket one is installed to the inner wall of slide rail one, adjusting seat one is installed to the articulated part of expansion bracket one, the pressure plate is installed to adjusting seat one bottom, inclined plane adjusting plate one is installed to the right-hand member of expansion bracket one, the right-hand member mid-mounting of anastomotic placode has elastic telescopic link one, the spout has been seted up to anastomotic placode one side, the arc roof is installed at anastomotic placode right-hand member top, the arc roof is close to the board that draws in, draw in the board and can slide at arc roof bottom surface to extrude the arc roof.
Optionally, the pivot of articulated part and slide rail one inner wall sliding connection of expansion bracket one, when the inclined plane regulating plate is to advancing to the left, can prop up the tip part of expansion bracket one, make expansion bracket one carries out the flexible deformation, when expansion bracket one carries out the flexible deformation, the pivot of every articulated part in middle part can equi-proportion prop up or draw in, the right-hand member portion of inclined plane regulating plate one sets up to the inclined plane to the quantity of inclined plane regulating plate one sets up the multiunit, every group inclined plane regulating plate equi-proportion transverse arrangement installs, and the length of multiunit inclined plane regulating plate one is for from small to big.
Optionally, the second anastomotic assembly comprises a second anastomotic plate, the second anastomotic plate is arranged on the inner side of one end of the fixed plate, a second sliding rail is arranged on the inner wall of the second anastomotic plate, a second telescopic frame is arranged on the inner wall of the second sliding rail, an adjusting seat II is arranged at the hinged part of the second telescopic frame, a nail storage bin is arranged at the top of the adjusting seat II, an inclined plane adjusting plate II is arranged at the right end of the second telescopic frame, an elastic telescopic rod II is arranged at the middle part of the right end of the second anastomotic plate, an arc-shaped bottom plate is arranged at the bottom of the right end of the second anastomotic plate, and a medical film is adhered to the top of the laminating plate.
Optionally, the pivot of articulated part and slide rail second inner wall sliding connection of expansion bracket second, works as the inclined plane regulating plate advances to the left, can prop up the tip part of expansion bracket second, makes expansion bracket second carries out the flexible deformation, works as the expansion bracket second carries out the flexible deformation, and the pivot of every articulated part in middle part can equiproportion prop up or draw in, the right-hand member portion of inclined plane regulating plate second sets up to the inclined plane to the quantity of inclined plane regulating plate second sets up to the multiunit, every group inclined plane regulating plate equi proportion transverse arrangement installs, and the length of multiunit inclined plane regulating plate second is from little to big, the arc bottom plate is close to drawing in the board, drawing in the board can slide at arc bottom plate bottom surface, and extrudees the arc bottom plate.
Optionally, the adjusting part is including adjust knob, adjust knob installs first pulley in the tip, first pulley rotates with handle one side and is connected, belt has been cup jointed to first pulley surface, belt pulley second has been cup jointed to belt one end inner wall, threaded rod is installed to second pulley one side, threaded rod surface threaded connection carriage, the ejector pad is all installed at one side top and the bottom of carriage.
Optionally, the quantity of ejector pad sets up to four groups, the tip of ejector pad sets up to the inclined plane, ejector pad and inclined plane regulating plate one and inclined plane regulating plate two's right-hand member inclined plane are on a horizontal line, the ejector pad just in time set up with inclined plane regulating plate one and inclined plane regulating plate two's inclined plane relatively, when the carriage drives four groups ejector pad and slides to one side, can promote the inclined plane of multiunit inclined plane regulating plate one and inclined plane regulating plate two.
Optionally, the flexible subassembly is including mounting panel one, mounting panel one is installed in the left end of kissing plate one, mounting panel one bottom is provided with the telescopic link three, the spring has been cup jointed to the three surface of telescopic link, mounting panel two is installed to the bottom of telescopic link three and spring, mounting panel two is installed in the left end of kissing plate two.
Optionally, the cutting assembly includes a pushing disc, a sliding limiting plate is installed at the end of the pushing disc, the sliding limiting plate is arranged on the inner wall of the chute, the sliding limiting plate is in sliding connection with the inner wall of the chute, a blade is installed at the end of the sliding limiting plate, the position of the blade is arranged between the first anastomosis assembly and the second anastomosis assembly, and the sliding limiting plate is in damping connection with the inner wall of the chute.
Compared with the prior art, the invention has at least the following advantages:
According to the invention, the first anastomosis component and the second anastomosis component are arranged, the pressing type triggering is directly carried out through the finger pressing handle, the folding plate is pushed by the push plate, the folding plate is used for folding and extruding the arc-shaped top plate and the arc-shaped bottom plate, the first anastomosis plate and the second anastomosis plate are driven to carry out anastomosis, and the telescopic component is used for limiting and rebounding, so that the vertical combined pressing operation on the focus part of a patient is carried out, the slight excessive deformation of the organ part or the slight displacement generated between the organ part and the anastomat when the movable clamp type pressing is adopted in the prior art is reduced, the vertical combined pressing operation can reduce the possibility of displacement and a small amount of excessive deformation generated between the pressed focus part and the anastomat, the accuracy of pressing and stitching parts is improved, and the stability of a doctor during anastomosis cutting of an endoscope is improved;
According to the invention, the adjusting assembly, the first inclined plane adjusting plate and the second inclined plane adjusting plate are arranged, the adjusting knob is directly twisted by the thumb of the left hand, the operation is simple and easy, the positions of the nail storage bins and the pressing plates in the first anastomosis assembly and the second anastomosis assembly are simultaneously adjusted by driving the first telescopic frame and the second telescopic frame, the multi-stage adjustment is formed by matching the plurality of groups of inclined plane adjusting plates with the inclined planes with the four groups of pushing blocks, the positions of the nail storage bins and the pressing plates can be simultaneously adjusted according to the needs of doctors, so that the distance between each titanium nail is adjusted, the adjustment of the stitching distance is achieved, and the problem that when the suturing is carried out on organs with larger or smaller volumes, the linear endoscope cutting anastomat with different types needs to be replaced is solved, and the inconvenience is solved;
The device is disposable, is simple to operate and low in cost, does not need to use electricity, and meanwhile, the medical film is arranged to protect the nail storage bin, so that the nail storage bin can be directly torn off when in use, the operation that a doctor needs to install the nail storage bin when in use is omitted, the use convenience of the linear cutting anastomat is improved, and popularization and use are facilitated.
Drawings
FIG. 1 is a schematic view of the structure of a stapler body;
FIG. 2 is a schematic view of the push plate, carriage, tuck plate, and arcuate top and bottom plates;
FIG. 3 is a schematic view of the structure of the grip and the pressing trigger;
FIG. 4 is a schematic view of the structure of the telescoping assembly and cutting assembly;
FIG. 5 is a schematic view of the structure of a first anastomosis assembly;
FIG. 6 is a schematic view of a second anastomosis assembly;
FIG. 7 is a schematic structural view of an adjustment assembly;
FIG. 8 is an enlarged schematic view of FIG. 2A;
Fig. 9 is a schematic view of the appearance of the stapler body.
In the figure, 1, a anastomat body; 10. a grip; 11. a limit baffle; 12. a fixing plate; 13. a side seat; 14. pressing a trigger; 15. pressing the plate; 16. a limit seat; 17. a push plate; 18. a gathering plate; 2. an anastomosis assembly I; 20. kiss plate one; 21. a first slide rail; 22. a first telescopic frame; 23. an adjusting seat I; 24. pressing the plate; 25. an inclined plane adjusting plate I; 26. an elastic telescopic rod I; 27. a chute; 28. an arc-shaped top plate; 3. a second anastomosis component; 30. a second kiss plate; 31. a second slide rail; 32. a second telescopic frame; 33. an adjusting seat II; 34. a nail storage bin; 35. a second inclined plane adjusting plate; 36. an elastic telescopic rod II; 37. a medical film; 38. an arc-shaped bottom plate; 4. an adjustment assembly; 40. an adjustment knob; 41. a belt pulley I; 42. a belt; 43. a belt pulley II; 44. a threaded rod; 45. a carriage; 46. a pushing block; 5. a telescoping assembly; 50. a first mounting plate; 51. a telescopic rod III; 52. a spring; 53. a second mounting plate; 6. a cutting assembly; 60. pushing the disc; 61. sliding limiting plates; 62. a blade.
Detailed Description
The present invention will be described in further detail below.
Referring to fig. 1-9, a stapler body 1, a grip 10 is arranged at the right end of the stapler body 1, limit baffles 11 are installed at two sides of the grip 10, a fixed plate 12 is arranged on the inner wall of the limit baffles 11, a side seat 13 is installed at the left side of the grip 10, a pressing trigger 14 is installed on the inner wall of the side seat 13, a pressing plate 15 is installed at the top end of the pressing trigger 14, a limit seat 16 is installed at the left side of the top of the grip 10, a push plate 17 is arranged right in front of the pressing plate 15, a furling plate 18 is installed at the end of the push plate 17, a first stapling assembly 2 and a second stapling assembly 3 are installed at the end of the fixed plate 12 at two sides, the first stapling assembly 2 and the second stapling assembly 3 are both arranged in two groups, the first stapling assembly 2 and the second stapling assembly 3 are both symmetrically arranged, and the first stapling assembly 2 is arranged above the second stapling assembly 3; the first anastomosis component 2 and the second anastomosis component 3 are used for suturing the part needing cutting and suturing; an adjusting component 4 is arranged on one side of the grip 10, and the adjusting component 4 is used for adjusting the suture clearance between the first anastomosis component 2 and the second anastomosis component 3; the end parts of the first anastomosis component 2 and the second anastomosis component 3 are provided with telescopic components 5, and the telescopic components 5 are used for limiting and bouncing up when the first anastomosis component 2 and the second anastomosis component 3 are clamped up and down; a cutting assembly 6 is arranged on one side of the first anastomosis assembly 2, and the cutting assembly 6 is used for cutting a part to be cut.
The fixed plate 12 is slidingly connected with the inner side of the limit baffle 11, the end part of the fixed plate 12 is arranged in a protruding shape (the protruding part is used for limiting), the pressing trigger 14 is rotationally connected with the side seat 13, a lever is formed between the pressing trigger 14 and the pressing plate 15 through the inner side rotating shaft of the side seat 13, the pressing plate 15 is in abutting connection with the push plate 17, the folding plate 18 is sheathed at the end parts of the two groups of the first anastomosis components 2 and the second anastomosis components 3, the first anastomosis components 2 comprise first anastomosis components 20, the first anastomosis components 20 are arranged at the inner side of one end of the fixed plate 12, the inner wall of the first anastomosis components 20 is provided with a first slide rail 21, the inner wall of the first slide rail 21 is provided with a first telescopic frame 22, the hinged part of the first telescopic frame 22 is provided with a first regulating seat 23, the bottom of the first regulating seat 23 is provided with a pressing plate 24, the right end of the first telescopic frame 22 is provided with a first inclined regulating plate 25, the middle part of the right end of the first anastomosis components 20 is provided with a first elastic telescopic rod 26, a chute 27 is arranged at one side of the first anastomosis plate 20, an arc-shaped top plate 28 is arranged at the top of the right end of the first anastomosis plate 20, the arc-shaped top plate 28 is adjacent to the folding plate 18, the folding plate 18 can slide on the bottom surface of the arc-shaped top plate 28 and extrude the arc-shaped top plate 28, the second anastomosis assembly 3 comprises a second anastomosis plate 30, the second anastomosis plate 30 is arranged at the inner side of one end of the fixed plate 12, a second slide rail 31 is arranged on the inner wall of the second anastomosis plate 30, a second expansion bracket 32 is arranged on the inner wall of the second slide rail 31, an adjusting seat 33 is arranged at the hinged part of the second expansion bracket 32, a nail storage bin 34 is arranged at the top of the adjusting seat 33, an inclined plane adjusting plate 35 is arranged at the right end of the second expansion bracket 32, an elastic telescopic rod 36 is arranged at the middle part of the right end of the second anastomosis plate 30, an arc-shaped bottom plate 38 is arranged at the bottom of the right end of the second anastomosis plate 30, a rotating shaft of the hinged part of the second expansion bracket 32 is connected with the inner wall of the second slide rail 31 in a sliding way, when the second inclined plane adjusting plates 35 are pushed leftwards, the end parts of the second telescopic frames 32 are unfolded to enable the second telescopic frames 32 to be in telescopic deformation, when the second telescopic frames 32 are in telescopic deformation, the rotating shafts of all hinge parts in the middle are unfolded or folded in equal proportion, the right end parts of the second inclined plane adjusting plates 35 are arranged into inclined planes, the number of the second inclined plane adjusting plates 35 is multiple groups, the second inclined plane adjusting plates 35 of each group are transversely arranged in equal proportion, the lengths of the second inclined plane adjusting plates 35 of the multiple groups are small to large, the arc-shaped bottom plates 38 are adjacent to the folding plates 18, the folding plates 18 can slide on the bottom surfaces of the arc-shaped bottom plates 38, the arc-shaped bottom plates 38 are extruded, the medical films 37 are adhered to the tops of the nail storage bins 34, the pressing operation of vertical combination is carried out on focus parts of patients, slight redundant deformation of organ parts or slight displacement generated between the organ parts and the anastomat is reduced, meanwhile, the medical films 37 can be used for protecting the nail storage bins 34, and the operation of doctors in use is omitted.
The rotating shaft of the hinging part of the first telescopic frame 22 is in sliding connection with the inner wall of the first sliding rail 21, when the first inclined plane adjusting plate 25 is pushed leftwards, the end part of the first telescopic frame 22 is propped up to enable the first telescopic frame 22 to carry out telescopic deformation, when the first telescopic frame 22 is subjected to telescopic deformation, the rotating shaft of each hinging part in the middle part is propped up or folded in equal proportion, the right end part of the first inclined plane adjusting plate 25 is provided with inclined planes, the number of the first inclined plane adjusting plates 25 is multiple groups, the first inclined plane adjusting plates 25 of each group are transversely arranged in equal proportion, the lengths of the first inclined plane adjusting plates 25 of the multiple groups are from small to large, the adjusting assembly 4 comprises an adjusting knob 40, the end part of the adjusting knob 40 is provided with a belt pulley 41, the first belt pulley 41 is rotationally connected with one side of the handle 10, the outer surface of the first belt pulley 41 is sleeved with a belt 42, the inner wall of one end of the belt 42 is sleeved with a second belt pulley 43, one side of the second belt pulley 43 is provided with a threaded rod 44, the outer surface of the threaded rod 44 is connected with the sliding frame 45 in a threaded manner, push blocks 46 are arranged at the top and the bottom of one side of the sliding frame 45, the number of the push blocks 46 is four, the end parts of the push blocks 46 are inclined planes, the push blocks 46 are arranged on a horizontal line with the inclined planes of the first inclined plane adjusting plate 25 and the second inclined plane adjusting plate 35, the inclined planes of the push blocks 46, the first inclined plane adjusting plate 25 and the second inclined plane adjusting plate 35 are just opposite, when the sliding frame 45 drives the four groups of push blocks 46 to slide to one side, the inclined planes of the first inclined plane adjusting plate 25 and the second inclined plane adjusting plate 35 are pushed, the first inclined plane adjusting plate 25 with the inclined planes is matched with the push blocks 46 to form multi-stage adjustment, the stapler body 1 can adjust the positions of the nail storage bin 34 and the pressing plate 24 simultaneously according to the needs of doctors, thereby adjusting the spacing of each titanium nail, and adjusting the stitching spacing, suture cutting work in organs of different sizes and surgical conditions should be handled.
The telescopic assembly 5 comprises a first mounting plate 50, the first mounting plate 50 is mounted at the left end of the first anastomosis plate 20, a third telescopic rod 51 is arranged at the bottom of the first mounting plate 50, a spring 52 is sleeved on the outer surface of the third telescopic rod 51, a second mounting plate 53 is mounted at the bottom ends of the third telescopic rod 51 and the spring 52, the second mounting plate 53 is mounted at the left end of the second anastomosis plate 30, the cutting assembly 6 comprises a push plate 60, a sliding limiting plate 61 is mounted at the end part of the push plate 60, the sliding limiting plate 61 is arranged on the inner wall of the sliding groove 27, the sliding limiting plate 61 is in sliding connection with the inner wall of the sliding groove 27, a blade 62 is mounted at the end part of the sliding limiting plate 61, the position of the blade 62 is arranged between the first anastomosis assembly 2 and the second anastomosis assembly 3, the sliding limiting plate 61 is in damping connection with the inner wall of the sliding groove 27, the third telescopic rod 51 is used for limiting the first anastomosis plate 20 and the second anastomosis plate 30, the spring 52 is used for bouncing the first anastomosis plate 20 and the second anastomosis plate 30 to restore to an initial state, and the blade 62 is used for being pushed by doctors to cut focus parts of patients.
Working principle: when a doctor uses the device, firstly, the doctor stretches the anastomat body 1 into a patient body by the left hand, before aiming at an organ to be cut, when the organ to be cut is needed to be cut and sewn, the organ is observed through an endoscope, the adjusting knob 40 is rotated by the thumb of the left hand, the first belt pulley 41 is driven to rotate by the adjusting knob 40, the second belt pulley 43 is driven by the belt 42, the second belt pulley 43 drives the threaded rod 44 to rotate, the sliding frame 45 in threaded connection with the outer surface of the threaded rod 44 slides to one side under the action of the threaded connection, the pushing block 46 is driven to move to one side, the inclined plane of the pushing block 46 pushes the inclined plane adjusting plate I25 and the inclined plane of the inclined plane adjusting plate II 35 which are abutted by the end parts to move to one side simultaneously, the elastic telescopic rod I26 and the elastic telescopic rod II 36 are pressed simultaneously, and when the inclined plane adjusting plate I25 and the inclined plane adjusting plate II 35 are pushed, the telescopic frame I22 and the telescopic frame II 32 are unfolded for adjustment, the hinged parts of the telescopic frame I22 and the telescopic frame II 32 are scaled or extended equally when one end of the telescopic frame I22 and one end of the telescopic frame II 32 are unfolded, the rotating shafts of the hinged parts of the telescopic frame I22 and the telescopic frame II 32 slide on the inner walls of the sliding rail I21 and the sliding rail II 31, the pressing plate 24 and the nail storage bin 34 are simultaneously driven for position adjustment, the rotation of the adjusting knob 40 is stopped until the position of the gear is adjusted to the size required by a doctor, the positions of the pressing plate 24 and the nail storage bin 34 are kept still at the moment to finish adjustment, then the doctor presses the pressing trigger 14 through other fingers when cutting and sewing, the pressing plate 15 is pushed forward under the rotation of the pressing trigger 14, the pushing plate 17 abutted against the pressing plate is driven, the folding plate 18 is driven to slide towards the direction of the first kiss plate 20 and the second kiss plate 30, simultaneously, the arc-shaped top plate 28 and the arc-shaped bottom plate 38 at the top and the bottom of the first anastomosis plate 20 and the second anastomosis plate 30 are extruded and folded to the inner side of the folding plate 18, after the first anastomosis plate 20 and the second anastomosis plate 30 are extruded, the parts, needing to be cut and sutured, of the organs of a patient are pressed, and simultaneously the third telescopic rod 51 and the spring 52 are extruded, at the moment, the nail storage bin 34 penetrates through two sides of a focus part of a doctor and a patient, the titanium nails are propped against the inner wall of the pressing plate 24 through the titanium nails on the nail storage bin 34, the two sides of the focus part of the doctor and patient are sutured, after the parts are kept still, a doctor pushes the push plate 60 to push forwards through a right hand, slides in the sliding groove 27 through the sliding limiting plate 61, the parts, needing to be cut and sutured of the organs of the patient are cut through the blade 62, finally, the doctor releases the pressing trigger 14, the first anastomosis plate 20 and the second anastomosis plate 30 are rebounded by the elasticity of the spring 52, the initial position is restored, the body 1 of the stapler is withdrawn, and the cutting and suturing work of the focus part of the doctor is completed.
What has not been described in detail in this specification is prior art that is well known to those skilled in the art, and in the description of the present invention, unless otherwise specified, the meaning of "a plurality" is two or more; the terms "upper," "lower," "left," "right," "inner," "outer," "front," "rear," "head," "tail," and the like are used as an orientation or positional relationship based on that shown in the drawings, merely to facilitate description of the invention and to simplify the description, and do not indicate or imply that the devices or elements referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore should not be construed as limiting the invention. Furthermore, the terms "first," "second," "third," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "connected," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
Finally, it is noted that the above embodiments are only for illustrating the technical solution of the present invention and not for limiting the same, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications and equivalents may be made thereto without departing from the spirit and scope of the technical solution of the present invention, which is intended to be covered by the scope of the claims of the present invention.
Claims (4)
1. An easy-to-operate endoscope linear cutting anastomat comprises an anastomat body (1), and is characterized in that: the anastomat comprises an anastomat body (1), wherein the right end of the anastomat body (1) is provided with a grip (10), two sides of the grip (10) are provided with limit baffles (11), the inner wall of each limit baffle (11) is provided with a fixed plate (12), the left side of the grip (10) is provided with a side seat (13), the inner wall of each side seat (13) is provided with a pressing trigger (14), the top end of each pressing trigger (14) is provided with a pressing plate (15), the left side of the top of the grip (10) is provided with a limit seat (16), the right front of each pressing plate (15) is provided with a push plate (17), the end of each push plate (17) is provided with a folding plate (18), the end of each fixed plate (12) is provided with an anastomotic assembly I (2) and an anastomotic assembly II (3), the anastomotic assembly I (2) and the anastomotic assembly II (3) are arranged at the end of the two fixed plates (12), and the anastomotic assembly I (2) and the anastomotic assembly II (3) are arranged symmetrically;
The first anastomosis component (2) and the second anastomosis component (3) are used for suturing the part needing cutting and suturing;
An adjusting component (4) is arranged on one side of the grip (10), and the adjusting component (4) is used for adjusting the suture clearance between the anastomosis component I (2) and the anastomosis component II (3);
The end parts of the first anastomosis component (2) and the second anastomosis component (3) are provided with telescopic components (5), and the telescopic components (5) are used for limiting and bouncing the first anastomosis component (2) and the second anastomosis component (3) when being clamped up and down;
a cutting component (6) is arranged on one side of the first anastomotic component (2), the cutting component (6) is used for cutting a part to be cut, the first anastomotic component (2) comprises a first anastomotic placode (20), the first anastomotic placode (20) is arranged on the inner side of one end of a fixed plate (12), a first sliding rail (21) is arranged on the inner wall of the first anastomotic placode (20), a first telescopic bracket (22) is arranged on the inner wall of the first sliding rail (21), an adjusting seat (23) is arranged on the hinged part of the first telescopic bracket (22), a pressing plate (24) is arranged at the bottom of the adjusting seat (23), an inclined plane adjusting plate (25) is arranged at the right end of the first telescopic bracket (22), An elastic telescopic rod I (26) is arranged in the middle of the right end of the anastomotic placode I (20), a chute (27) is formed in one side of the anastomotic placode I (20), an arc-shaped top plate (28) is arranged at the top of the right end of the anastomotic placode I (20), the arc-shaped top plate (28) is adjacent to the folding plate (18), the folding plate (18) can slide on the bottom surface of the arc-shaped top plate (28) and extrude the arc-shaped top plate (28), a rotating shaft of a hinge part of the telescopic frame I (22) is in sliding connection with the inner wall of the sliding rail I (21), when the inclined plane regulating plate I (25) is pushed leftwards, the end part of the telescopic frame I (22) can be unfolded, When the telescopic frame I (22) is subjected to telescopic deformation, the rotating shaft of each hinge part in the middle part is uniformly proportionally spread or folded, the right end part of the first inclined plane adjusting plate (25) is provided with inclined planes, the number of the first inclined plane adjusting plates (25) is multiple groups, each group of the first inclined plane adjusting plates (25) are transversely arranged in an equal proportion, the lengths of the first inclined plane adjusting plates (25) of the multiple groups are from small to large, the second anastomosis assembly (3) comprises a second anastomosis plate (30), the second anastomosis plate (30) is arranged at the inner side of one end of the fixed plate (12), the inner wall of the second anastomosis plate (30) is provided with a second slide rail (31), The inner wall of the second slide rail (31) is provided with a second telescopic bracket (32), the hinged part of the second telescopic bracket (32) is provided with a second adjusting seat (33), the top of the second adjusting seat (33) is provided with a nail storage bin (34), the right end of the second telescopic bracket (32) is provided with a second inclined plane adjusting plate (35), the middle part of the right end of the second anastomosis plate (30) is provided with a second elastic telescopic rod (36), the bottom of the right end of the second anastomosis plate (30) is provided with an arc-shaped bottom plate (38), the top of the pressing plate (24) is adhered with a medical film (37), the rotating shaft of the hinged part of the second telescopic bracket (32) is in sliding connection with the inner wall of the second slide rail (31), When the second inclined plane adjusting plate (35) is pushed leftwards, the end part of the second telescopic frame (32) is unfolded, the second telescopic frame (32) is subjected to telescopic deformation, when the second telescopic frame (32) is subjected to telescopic deformation, the rotating shaft of each hinge part in the middle part is unfolded or folded in equal proportion, the right end part of the second inclined plane adjusting plate (35) is provided with inclined planes, the number of the second inclined plane adjusting plates (35) is multiple groups, the second inclined plane adjusting plates (35) of each group are transversely arranged in equal proportion, the lengths of the second inclined plane adjusting plates (35) of the multiple groups are from small to large, the arc-shaped bottom plate (38) is adjacent to the folding plate (18), The folding plate (18) can slide on the bottom surface of the arc-shaped bottom plate (38) and extrude the arc-shaped bottom plate (38), the adjusting component (4) comprises an adjusting knob (40), a belt pulley I (41) is arranged at the end part of the adjusting knob (40), the belt pulley I (41) is rotationally connected with one side of the grip (10), a belt (42) is sleeved on the outer surface of the belt pulley I (41), a belt pulley II (43) is sleeved on the inner wall of one end of the belt (42), a threaded rod (44) is arranged on one side of the belt pulley II (43), a sliding frame (45) is connected with the outer surface of the threaded rod (44) in a threaded manner, a push block (46) is arranged at the top and the bottom of one side of the sliding frame (45), the number of the push blocks (46) is set to four, the end parts of the push blocks (46) are set to be inclined planes, the inclined planes of the push blocks (46) and the right end inclined planes of the first inclined plane adjusting plate (25) and the second inclined plane adjusting plate (35) are arranged on the same horizontal line, the inclined planes of the push blocks (46) and the first inclined plane adjusting plate (25) and the second inclined plane adjusting plate (35) are just opposite, and when the sliding frame (45) drives the four groups of push blocks (46) to slide to one side, the inclined planes of the first inclined plane adjusting plate (25) and the second inclined plane adjusting plate (35) are pushed.
2. The steerable endoscope linear cutting stapler of claim 1, wherein: the fixing plate (12) is in sliding connection with the inner side of the limit baffle (11), the end part of the fixing plate (12) is arranged to be convex, the pressing trigger (14) is rotationally connected with the side seat (13), a lever is formed between the pressing trigger (14) and the pressing plate (15) through an inner side rotating shaft of the side seat (13), the pressing plate (15) is arranged to be in butt joint with the push plate (17), and the folding plate (18) is sleeved at the end parts of the two groups of the first anastomosis component (2) and the second anastomosis component (3).
3. The steerable endoscope linear cutting stapler of claim 2, wherein: the telescopic assembly (5) comprises a first mounting plate (50), the first mounting plate (50) is mounted at the left end of the first kiss plate (20), a third telescopic rod (51) is arranged at the bottom of the first mounting plate (50), a spring (52) is sleeved on the outer surface of the third telescopic rod (51), a second mounting plate (53) is mounted at the bottom ends of the third telescopic rod (51) and the spring (52), and the second mounting plate (53) is mounted at the left end of the second kiss plate (30).
4. An easy-to-handle endoscopic linear cutting stapler according to claim 3, wherein: the cutting assembly (6) comprises a pushing disc (60), a sliding limiting plate (61) is arranged at the end part of the pushing disc (60), the sliding limiting plate (61) is arranged on the inner wall of the sliding groove (27), the sliding limiting plate (61) is connected with the inner wall of the sliding groove (27) in a sliding mode, a blade (62) is arranged at the end part of the sliding limiting plate (61), and the position of the blade (62) is arranged between the two groups of the first anastomosis assembly (2) and the second anastomosis assembly (3), and the sliding limiting plate (61) is connected with the inner wall of the sliding groove (27) in a damping mode.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202410470306.7A CN118058789B (en) | 2024-04-18 | 2024-04-18 | Linear cutting anastomat of endoscope easy to operate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202410470306.7A CN118058789B (en) | 2024-04-18 | 2024-04-18 | Linear cutting anastomat of endoscope easy to operate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN118058789A CN118058789A (en) | 2024-05-24 |
| CN118058789B true CN118058789B (en) | 2024-07-09 |
Family
ID=91104064
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202410470306.7A Active CN118058789B (en) | 2024-04-18 | 2024-04-18 | Linear cutting anastomat of endoscope easy to operate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN118058789B (en) |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113558692A (en) * | 2021-07-16 | 2021-10-29 | 山东第一医科大学附属省立医院(山东省立医院) | Surgical stapler with staple spacing adjusting device |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| PL3476312T3 (en) * | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
| US11849944B2 (en) * | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| CN116831666A (en) * | 2022-12-20 | 2023-10-03 | 苏州贝诺医疗器械有限公司 | Linear type cutting anastomat of accurate percussion location |
-
2024
- 2024-04-18 CN CN202410470306.7A patent/CN118058789B/en active Active
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113558692A (en) * | 2021-07-16 | 2021-10-29 | 山东第一医科大学附属省立医院(山东省立医院) | Surgical stapler with staple spacing adjusting device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN118058789A (en) | 2024-05-24 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN202740059U (en) | Linear incising stiching instrument by adopting novel jaw occlusion mechanism | |
| US20150097017A1 (en) | Surgical instrument with sequential clamping and cutting | |
| US20050216055A1 (en) | Surgical stapling device with dissecting tip | |
| CN1732859A (en) | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism | |
| CN207898502U (en) | The clamping stapling apparatus of disposable hysteroscope internal cutting stapler | |
| CN111973243B (en) | Surgical cutting and suturing instrument | |
| CN112754566B (en) | Minimally invasive endoscope anastomat capable of being triggered in head deviation process | |
| CN113288266B (en) | Anastomat for surgical wound suturing | |
| CN111904505A (en) | Medical instrument | |
| CN210903169U (en) | Medical instrument | |
| CN118058789B (en) | Linear cutting anastomat of endoscope easy to operate | |
| CN207804300U (en) | The connection lever fixing apparatus of disposable hysteroscope internal cutting stapler | |
| CN205307029U (en) | Surgical instrument capable of being operated by signal hand | |
| CN211674393U (en) | Retractable cutting stitching instrument | |
| CN111134753A (en) | Retractable cutting stitching instrument | |
| CN215228025U (en) | Foreskin anastomat capable of realizing suturing before cutting | |
| CN207804299U (en) | The retaining safety device of disposable hysteroscope internal cutting stapler | |
| CN204147075U (en) | Medical stapler | |
| CN221635892U (en) | Bending mechanism of nail box assembly and anastomat | |
| CN207979727U (en) | The push broach device of disposable hysteroscope internal cutting stapler | |
| CN211433102U (en) | Joint assembly of endoscopic surgical instrument | |
| CN113288268B (en) | Endoscope anastomat capable of being sewn in staggered mode | |
| CN219680693U (en) | Nail bin assembly of linear cutting anastomat | |
| CN221205540U (en) | Endoscopic linear cutting anastomat assembly | |
| CN214857060U (en) | Multifunctional needle holding instrument |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |