CN200984208Y - Binding mechanism of the anus piles binding instrument - Google Patents

Binding mechanism of the anus piles binding instrument Download PDF

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Publication number
CN200984208Y
CN200984208Y CN 200620125457 CN200620125457U CN200984208Y CN 200984208 Y CN200984208 Y CN 200984208Y CN 200620125457 CN200620125457 CN 200620125457 CN 200620125457 U CN200620125457 U CN 200620125457U CN 200984208 Y CN200984208 Y CN 200984208Y
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CN
China
Prior art keywords
anvil
nail
hemorrhoid
pin
binding
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Expired - Fee Related
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CN 200620125457
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Chinese (zh)
Inventor
陈望东
徐威
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Touchstone International Medical Science Co Ltd
Suzhou Tianchen International Medical Technology Co Ltd
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Suzhou Tianchen International Medical Technology Co Ltd
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Priority to CN 200620125457 priority Critical patent/CN200984208Y/en
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Abstract

The utility model relates to a binding mechanism, in particular to a binding mechanism for anus tache binder, and comprises a set of nail/anvil elements and a set of nail head elements, wherein the set of nail/anvil elements comprises a nail anvil in detachable connection with the main body of the anus tache binder, the nail anvil is connected with a nail anvil axis, wherein the set of nail head elements comprises a pulling rod of the nail anvil, a nail cylinder, and a nail storage, wherein hatches are arranged on top of the nail anvil and the pipe wall on top of the nail anvil axis, tache fixation elements are arranged through the hatches, the exterior end of the nail anvil is in the covering connection with a nail anvil cap, wherein an elastic thread is arranged inside the nail anvil axis, the tube wall of the nail anvil is covered by a press spring and then is connected with the inner bottom of the nail anvil, wherein one end of the nail anvil pulling rod is connected with the nail anvil axis, and the other end is connected with the main body of the binder. The binding mechanism contains the tache inside the nail anvil, and alters the volume through changing the height of the nail anvil, while the diameter of the nail anvil is still kept in the size, to which the human body can adapt, thereby increasing the adjustment capability of the mechanism concerning various illness state and improving the applicable functions of the equipment on the premise that the adaptation degree of human body is maintained.

Description

Anus hemorrhoid binding instrument binding mechanism
Technical field
This utility model relates to a kind of binder mechanism, and particularly a kind of binder mechanism that is used for anus hemorrhoid Binding Instrument belongs to medical instruments field.
Background technology
People were to the history in surplus the understanding of hemorrhoid existing 4000 year, and for a long time, the theory of relevant hemorrhoid emerges in an endless stream.Since 18th century, hemorrhoid are considered to rectum lower end or anal canal and have abundant venous plexus, if at a place or the number place expansion or varicose take place, promptly become hemorrhoid, that is hemorrhoid are the vein groups of giving prominence to, be the vascular lesion that a variety of causes causes.Since the seventies in 20th century, the research of hemorrhoid has been obtained breakthrough, anatomy, histology and physiological discovery give hemorrhoid and have given modern notion.Thomson proposed first in 1975, and " hemorrhoid are normal anatomical structures that everybody all has, and at the lip shape wart or the title anus pad (anal cushions) of rectum lower end, the pathology hypertrophy of anus pad is the hemorrhoid disease." this new notion in the past few years also gains recognition gradually in China anorectal surgical educational circles nearly 10.The traditional method of internal hemorrhoid treatment, all be to treat at hemorrhoid itself comprise that injection of sclerosing agent, rubber snare are pricked and various forms of excision arts etc., be intended to make blood stasis to dwindle or disappear, but effect is not fine, the post-operative recovery time is long, complication, sequela incidence rate height.In the surgical operation of the hemorrhoid excision of rising in recent years, a kind of PPH of being called operation method is arranged, i.e. mucosa ring cutting art on the hemorrhoid under the help of tubular anastomat.Its principle is: organize under the situation at reservation anus pad, with mucosa, the about 3-4cm of submucosa tissue circular resection on part internal hemorrhoid and the hemorrhoid, two ends simultaneously coincide, in blocking-up hemorrhoid supply vascular flow, the tissue that reaches slippage upwards suspends fixed purpose in midair, with the anorectal region of pathological state, return to normal anatomic status.Advantages such as utilization PPH art treatment severe hemorrhoid disease has the postoperative pain of alleviating, reduces postoperative hemorrhage, shortens the hospital stays, accelerates recovery period, do not influence daily life, relapse rate is low.The whole surgery process only needs 8-15 minute, and operation back patient does not almost have the sensation of pain.Owing to solved the pathogenetic root of hemorrhoid in the operation process, so reach the long-term effect ideal in the recent period.With the very thorny hemorrhoid of traditional remedies, as mixed hemorrhoid, ring-type hemorrhoid, serious prolapse of hemorrhoid, proctoptosis etc., the PPH operation has unique good efficacy equally to some.But, the technical ability of this operation is only grasped in some veteran surgeon's handss now, and the reason that influences its popularization is a lot, and some reason is because existing apparatus exists some defectives, make operation complicated loaded down with trivial details, so the doctor who lacks experience is difficult for grasping.Traditional apparatus is as the space that holds hemorrhoid with the nail tube, this spatial size is decided by the diameter of nail tube, the diameter volume of spike tube more is big more, if the pathological changes of hemorrhoid is more serious, volume is just very big, and that just needs to select large diameter Binding Instrument hemorrhoid all could be held and excised fully, just can undergo surgery greatlyyer but large diameter Binding Instrument must make anal canal strut, and this causes that just a lot of postoperatives have an intense pain even the immediate cause of anal fissure, is unfavorable for the enforcement and the popularization of performing the operation.
Summary of the invention
The purpose of this utility model is to overcome the above problem that prior art exists, and a kind of anus hemorrhoid binding instrument binding mechanism is provided.
The purpose of this utility model realizes by following technical solution:
Anus hemorrhoid binding instrument binding mechanism, include nail-anvil assembly and nail-head component, nail-anvil assembly includes nail anvil, nail anvil is split type connection with anus hemorrhoid Binding Instrument body, the nail anvil top is connected with pin anvil shaft, nail-head component comprises anvil pull rod, the nail tube, nail bin etc., wherein: nail anvil top and pin anvil shaft top tube wall are provided with perforate, are installed with the hemorrhoid fixture in the perforate, and the nail anvil outer end is socketed with nail-anvil cap, be provided with elastic yarn in the pin anvil shaft, the pin anvil shaft tube wall is with the inner bottom part that is connected nail anvil behind the stage clip outward, and the anvil pull rod far-end is connected with pin anvil shaft, and near-end is connected with the Binding Instrument body.
The purpose of this utility model also can further realize by following technical measures:
Above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, described nail anvil and pin anvil shaft riveted and fixed.
Further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, described pin anvil shaft is hollow stainless steel tube, pin anvil shaft is provided with draw-in groove.
Further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, described elastic yarn is the Nitinol material, and the length of elastic yarn equals pin anvil shaft and anvil pull rod hollow parts sum at least, and its afterbody is provided with link, is the hook of a clip shape.
Further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, described hemorrhoid fixture is sucker or other pocket seam mutual aid system devised for poor peasants tool that has conduit.
Further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, described conduit is provided with valve.
Further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, the quantity that described pin anvil shaft top tube wall is provided with perforate is three, and is evenly distributed on circumference.
Further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, described nail anvil top drilling quantity is five, there wherein have three holes and pin anvil shaft top tube wall to be provided with perforate to be corresponding.
Further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, anvil pull rod is provided with projection, and by the draw-in groove that pin anvil shaft is provided with, both realize that buckle connects.
Again further, above-mentioned anus hemorrhoid binding instrument binding mechanism, wherein, the end that anvil pull rod is connected with pin anvil shaft is the hollow stainless steel tube of part, the other end is fixedlyed connected by pin with the Binding Instrument body.
Advantage of the present utility model is: by utilizing negative pressure sucker or other pocket seam mutual aid system devised for poor peasants tool, can prevent effectively that suture needle from thrusting dark, avoid causing vaginal fistula or anal canal flesh layer impaired, and simple to operation, reduced operation implementer's operating time and working strength; Secondly, this binder mechanism changes the structure of traditional nail anvil, will follow closely tube as the space that holds hemorrhoid unlike traditional instruments, but hemorrhoid are contained in nail anvil inside, change volume by the height that changes nail anvil, and the diameter of nail anvil still remains the adaptable size of human body.This human oriented design can improve the regulatory function of apparatus to the different state of an illness under the prerequisite that keeps patient's adaptedness, improved the serviceability of apparatus.During operation, the operator only needs to select the suitable nail anvil of diameter get final product according to patient's the state of an illness, and the cost of the cost of the big nail anvil apparatus bigger than a cover is little a lot, and this has excellent popularization value just for the patient has saved many surgery cost.
The purpose of this utility model, advantage and characteristics will illustrate by the non-limitative illustration of following preferential embodiment and explain that these embodiment only provide as an example with reference to accompanying drawing.
Description of drawings
Fig. 1 is this utility model embodiment 1 subassembly sketch map;
Fig. 2 is this utility model embodiment 1 sucker distribution schematic diagram;
Fig. 3 is the sketch map of interchangeable nail anvil;
Fig. 4 is the sketch map of interchangeable nail anvil;
Fig. 5 is the sketch map of interchangeable nail anvil;
Fig. 6 is this utility model overall schematic.
More than among each figure: the 1-nail anvil; The 2-pin anvil shaft; The 3-anvil pull rod; The 4-nail-anvil cap; The 5-elastic yarn; The 6-stage clip; The 7-side opening; The 8-hook; The 9-sucker; The 10-conduit; The 11-projection; The 12-aspirator; 13-Binding Instrument body; The 14-draw-in groove.
The specific embodiment
Anus hemorrhoid binding instrument binding mechanism shown in Fig. 1~6, include nail-anvil assembly and nail-head component, nail-anvil assembly includes nail anvil 1, nail anvil 1 is split type connection with anus hemorrhoid Binding Instrument body 13, nail anvil 1 is provided with pin anvil shaft 2, nail-head component comprises anvil pull rod 3, the nail tube, nail bin etc., be provided with perforate on nail anvil 1 top and pin anvil shaft 2 top tube walls, specifically, the quantity that pin anvil shaft 2 top tube walls are provided with perforate is three, evenly distributed on circumference, nail anvil 1 top drilling quantity is five, and there wherein have three holes and pin anvil shaft 2 top tube walls to be provided with perforate to be corresponding, the installation of remaining cooperation nail-anvil cap 4.Be installed with the hemorrhoid fixture in perforate, the hemorrhoid fixture is sucker 9 or other pocket seam mutual aid system devised for poor peasants tool that has conduit 10.On conduit 10, be provided with valve, prevent that air pressure from unnecessary variation occurring and influencing surgical effect.Be socketed with nail-anvil cap 4 outside the nail anvil 1, be provided with elastic yarn 5 in the pin anvil shaft 2, it is the Nitinol material, and length equals pin anvil shaft 2 and anvil pull rod 3 hollow parts sums at least, and its afterbody is provided with the hook 8 of a clip shape as link.Behind pin anvil shaft 2 tube wall overcoat compression springs 6, be connected the inner bottom part of nail anvil 1, nail anvil 1 top and pin anvil shaft 2 far-end riveted and fixed, pin anvil shaft 2 has adopted hollow stainless steel tube, which is provided with draw-in groove 14.Anvil pull rod 3 far-ends are provided with projection 11, and by the draw-in groove 14 that pin anvil shaft 2 near-ends are provided with, both realize that buckle connects.And the end that anvil pull rod 3 is connected with pin anvil shaft 2 is the hollow stainless steel tube of part, and the other end and Binding Instrument body 13 are fixedlyed connected by pin.
Embodiment 1
Anus hemorrhoid binding instrument binding mechanism shown in Fig. 1~6, include nail-anvil assembly and nail-head component, nail-anvil assembly includes nail anvil 1, nail anvil 1 is split type connection with anus hemorrhoid Binding Instrument body 13, nail anvil 1 is provided with pin anvil shaft 2, nail-head component comprises anvil pull rod 3, nail tube, nail bin etc., on nail anvil 1 top and pin anvil shaft 2 top tube walls, be provided with perforate, specifically, the quantity that pin anvil shaft 2 top tube walls are provided with perforate is three, and is evenly distributed on circumference, nail anvil 1 top drilling quantity is five, and there wherein have three holes and pin anvil shaft 2 top tube walls to be provided with perforate to be corresponding.Be installed with the hemorrhoid fixture in perforate, the hemorrhoid fixture is the sucker 9 that has conduit 10, is provided with valve on conduit 10, prevents that air pressure from unnecessary variation occurring and influencing surgical effect.Nail anvil 1 outer end is socketed with nail-anvil cap 4, is provided with elastic yarn 5 in the pin anvil shaft 2, and it is the Nitinol material, and length equals pin anvil shaft 2 and anvil pull rod 3 hollow parts sums at least, and its afterbody is provided with the hook 8 of a clip shape as link.Be connected the inner bottom part of nail anvil 1 behind pin anvil shaft 2 tube wall overcoat compression springs 6, anvil pull rod 3 far-ends connect pin anvil shaft 2 and riveted and fixed, and near-end is connected with Binding Instrument body 13.Pin anvil shaft 2 has adopted hollow stainless steel tube, which is provided with draw-in groove 14.
Anus hemorrhoid binding instrument binding mechanism assembling process is as follows: at first elastic yarn 5 is welded in the pin anvil shaft 2, nail anvil 1 and pin anvil shaft 2 riveted joints are got up, make three holes on the pin anvil shaft 2 be exposed at nail anvil 1 outside simultaneously, be enclosed within stage clip 6 on the pin anvil shaft 2 fixing by welding subsequently with nail anvil 1 bottom.Then three negative pressure suckers 9 that have a conduit 10 are being prolonged the side of nail anvil 1, pass three perforates that are provided with on the nail anvil 1 from the inside to surface respectively, penetrate pin anvil shaft 2 tops and nail anvil 1 again to three corresponding perforates, in the pin anvil shaft 2 of hollow, pass, connect the nail-anvil cap 4 of suitable patient sizes at last at nail anvil 1 outside cover, finish the installation of nail-anvil assembly part to this.
Now sucker 9 is placed on above the hemorrhoid, is connected conduit 10 behind the sucker 9 this moment and takes out aspirator 12 with medical adjustable negative pressure and be connected, aspirate with negative pressure-pumping machine 12 then, hemorrhoid firmly are fixed in the sucker 9.Then, the operation implementer closes valve on the suction pipe, makes sucker 9 and hemorrhoid keep adsorbed state, and being connected of disconnection and negative pressure-pumping machine.Next the hook 8 of the clip shape that is had by elastic yarn 5 afterbodys, the afterbody of three conduits 10 is bound together, subsequently under the guiding of elastic yarn 5, after conduit 10 passes the hollow parts of anvil pull rod 3, pass from the side opening 7 of anvil pull rod 3, last conduit 10 passes fairlead together with elastic yarn 5 and is drawn out to the apparatus outside.At this moment, the operation implementer holds derivative elastic yarn 5 on the other hand, the projection of anvil pull rod 3 is aimed at the inlet of the draw-in groove 14 of pin anvil shaft 2, another hands rotates the Binding Instrument body while pushing away, realize that anvil pull rod 3 is connected with the buckle of pin anvil shaft 2, and pass through stage clip 6 and realize that both are compacted and loosening, finished the installation of whole apparatus and the absorption of hemorrhoid now.Subsequently, the guiding by conduit 10 spurs sucker 9, also just hemorrhoid and sucker 9 is all drawn in the nail anvil 1, and is carried out relative fixed to drawing the outer conduit 10 of apparatus under other clamps auxiliary.At last, adjust the spacing that the distance between nail-anvil assembly and the nail-head component is implemented to suitable operation, the percussion binder mechanism is implemented to cut, and finishes the excision to hemorrhoid.By utilizing negative pressure sucker 9 can prevent effectively that suture needle from thrusting deeply, avoid causing vaginal fistula or anal canal flesh layer impaired, and also simple to operation, reduced operation implementer's operating time and working strength.And this binder mechanism is contained in hemorrhoid in the nail anvil 1 by changing the structure of traditional nail anvil 1.Shown in Fig. 3-5: change volume by the height that changes nail anvil 1, and the diameter of nail anvil 1 still remains the adaptable size of human body, is the design of hommization.Unlike traditional apparatus is as the space that holds hemorrhoid with the nail tube, and this spatial size is decided by the diameter of nail tube, the diameter volume of spike tube more is big more, if the pathological changes of hemorrhoid is more serious, volume is just very big, that just needs to select large diameter Binding Instrument hemorrhoid all could be held and excised fully, just can undergo surgery greatlyyer but large diameter Binding Instrument must make anal canal strut, and this causes that just a lot of postoperatives have an intense pain even the immediate cause of anal fissure.And now, the operation implementer only need select the nail anvil 1 of suitable size according to patient's the state of an illness, and little many of the cost of a big nail anvil 1 apparatus cost bigger than a cover have also saved expense for the patient, and excellent popularization value is arranged.
Embodiment 2
Anus hemorrhoid binding instrument binding mechanism, include nail-anvil assembly and nail-head component, nail-anvil assembly includes nail anvil 1, nail anvil 1 is split type connection with anus hemorrhoid Binding Instrument body 13, nail anvil 1 is provided with pin anvil shaft 2, nail-head component comprises anvil pull rod 3, nail tube, nail bin etc., on nail anvil 1 top and pin anvil shaft 2 top tube walls, be provided with perforate, specifically, the quantity that pin anvil shaft 2 top tube walls are provided with perforate is three, and is evenly distributed on circumference, nail anvil 1 top drilling quantity is five, and there wherein have three holes and pin anvil shaft 2 top tube walls to be provided with perforate to be corresponding.In perforate, be installed with the hemorrhoid fixture, the hemorrhoid fixture is other pocket seam mutual aid system devised for poor peasants tool, such as pocket folder etc., nail anvil 1 outer top is socketed with nail-anvil cap 4, be provided with elastic yarn 5 in the pin anvil shaft 2, it is the Nitinol material, and length equals pin anvil shaft 2 and anvil pull rod 3 hollow parts sums at least, and its afterbody is provided with the hook 8 of a clip shape as link.Be welded on the inner bottom part of nail anvil 1 behind pin anvil shaft 2 tube wall overcoat compression springs 6, anvil pull rod 3 one ends are connected on the pin anvil shaft 2, and fixing by welding, and the other end is connected with Binding Instrument body 13.Pin anvil shaft 2 has adopted hollow stainless steel tube, which is provided with draw-in groove 14.Its concrete assembling mode and process and embodiment 1 are identical, do not repeat them here.
Certainly, more than only be concrete exemplary applications of the present utility model, protection domain of the present utility model is not constituted any limitation.In addition to the implementation, this utility model can also have other embodiment.All employings are equal to the technical scheme of replacement or equivalent transformation formation, all drop within this utility model scope required for protection.

Claims (10)

1, anus hemorrhoid binding instrument binding mechanism, include nail-anvil assembly and nail-head component, nail-anvil assembly includes nail anvil, nail anvil is split type connection with anus hemorrhoid Binding Instrument body, the nail anvil top is connected with pin anvil shaft, nail-head component comprises anvil pull rod, the nail tube, nail bin etc., it is characterized in that: nail anvil top and pin anvil shaft top tube wall are provided with perforate, are installed with the hemorrhoid fixture in the perforate, and the nail anvil outer end is socketed with nail-anvil cap, be provided with elastic yarn in the pin anvil shaft, the pin anvil shaft tube wall is with the inner bottom part that is connected nail anvil behind the stage clip outward, and anvil pull rod one end connects goes up pin anvil shaft, and the other end is connected with the Binding Instrument body.
2, anus hemorrhoid binding instrument binding mechanism according to claim 1 is characterized in that: described nail anvil and pin anvil shaft riveted and fixed.
3, anus hemorrhoid binding instrument binding mechanism according to claim 1, it is characterized in that: described pin anvil shaft is hollow stainless steel tube, and pin anvil shaft is provided with draw-in groove.
4, anus hemorrhoid binding instrument binding mechanism according to claim 1, it is characterized in that: described elastic yarn is the Nitinol material, the length of elastic yarn equals pin anvil shaft and anvil pull rod hollow parts sum at least, and its afterbody is provided with link, is the hook of a clip shape.
5, anus hemorrhoid binding instrument binding mechanism according to claim 1 is characterized in that: described hemorrhoid fixture is sucker or other pocket seam mutual aid system devised for poor peasants tool that has conduit.
6, anus hemorrhoid binding instrument binding mechanism according to claim 5, it is characterized in that: described conduit is provided with valve.
7, anus hemorrhoid binding instrument binding mechanism according to claim 1 is characterized in that: the quantity that described pin anvil shaft top tube wall is provided with perforate is three, and is evenly distributed on circumference.
8, anus hemorrhoid binding instrument binding mechanism according to claim 1 is characterized in that: described nail anvil top drilling quantity is five, and wherein to be provided with perforate corresponding for three holes and pin anvil shaft top tube wall.
9, anus hemorrhoid binding instrument binding mechanism according to claim 1, it is characterized in that: the far-end of anvil pull rod is provided with projection, and by the draw-in groove that pin anvil shaft is provided with, both realize that buckle connects.
10, anus hemorrhoid binding instrument binding mechanism according to claim 9 is characterized in that: the end that anvil pull rod is connected with pin anvil shaft is the hollow stainless steel tube of part, and the other end is fixedlyed connected by pin with the Binding Instrument body.
CN 200620125457 2006-11-24 2006-11-24 Binding mechanism of the anus piles binding instrument Expired - Fee Related CN200984208Y (en)

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Application Number Priority Date Filing Date Title
CN 200620125457 CN200984208Y (en) 2006-11-24 2006-11-24 Binding mechanism of the anus piles binding instrument

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Application Number Priority Date Filing Date Title
CN 200620125457 CN200984208Y (en) 2006-11-24 2006-11-24 Binding mechanism of the anus piles binding instrument

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104605907B (en) * 2011-12-30 2016-10-12 苏州天臣国际医疗科技有限公司 A kind of surgery Linear stapling cutter
CN107693077A (en) * 2017-10-31 2018-02-16 无锡贝恩外科器械有限公司 A kind of modified Pipy digestive tract stapler

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104605907B (en) * 2011-12-30 2016-10-12 苏州天臣国际医疗科技有限公司 A kind of surgery Linear stapling cutter
CN107693077A (en) * 2017-10-31 2018-02-16 无锡贝恩外科器械有限公司 A kind of modified Pipy digestive tract stapler

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