A kind of Pipy digestive tract stapler
Technical field
This utility model relates to a kind of medical apparatus and instruments, particularly a kind of Pipy digestive tract stapler, and it belongs to disposable apparatus, mainly is applicable to the operation of human body alimentary canal.
Background technology
In the prior art, gastral operation can be by the disposable mechanical anastomosis of finishing the pathological tissues joint-cutting of anastomat, but its structural design of traditional digestive tract stapler is reasonable inadequately, head is fixing can not be swung, wound is big when causing performing the operation, especially in the operation that not exclusively exposes, be difficult to operation, increased the time and the difficulty of operation; Simultaneously, high to doctor's operation level requirement, strengthened the risk of operation.
China Patent No. 01237759,7 discloses the utility model patent that a kind of name is called " a kind of flexible digestive tract stapler ", but its center-pole is designed to the form of bending, with convenient operation, reduces damage; The lever parts are hose connection with the employing of nail base member, thus the crooked radian of scalable flexible pipe.But the center-pole of this anastomat all connects with flexible pipe, the stability and the rigidity of anastomat have been reduced, scale value and the actual variable thickness of coincideing are caused, thereby cause coincideing not exclusively, cause anastomotic stoma hemorrhage, also might cause excessively compressing to coincide and organize, cause organizing blood supply insufficiency, cause necrosis; This anastomat does not have safety percussion district and the eye-catching identical gap of minimum, is easy to generate maloperation; This anastomat does not meet the configuration design of human engineering, and the doctor holds uncomfortable, increases operating difficulty, thereby brings unnecessary misery to patient.Simultaneously, its head can not be swung.
China Patent No. 200510112179,0 discloses the patent of invention that a kind of name is called " digestive tract stapler ", its governor motion has adjusting nail anvil and the distance between the nail tube and the function of position of special fast, slow worm drive, the purpose of whole technical proposal is to reduce operating time and operating physical force, reduces cost.But this anastomat does not meet the fixed handle of human engineering configuration design, and anastomat bend pipe angle and human engineering are not inconsistent yet, thus the inconvenience when causing performing the operation; In addition, this anastomat is safety percussion district not, have only when being adjusted to pointer and in the green district of safety, insurance could be opened, and undergo surgery, otherwise operation can not be carried out, so it may increase maloperation, can not guarantee patient's safety effectively, can not guarantee the carrying out of operation safety effectively, increase operation risk.Simultaneously, its head can not be swung.
China Patent No. 200510024605,5 discloses the patent of invention that a kind of name is called " digestive tract stapler ", adopts buckle structure between its parts as far as possible, and by changing cutter anvil end surface shape to reduce resistance and percussion power.But this this anastomat does not have whole shaping nail anvil, poor stability, and it is shapeless or be shaped not exclusively to be easy to generate nail, thereby causes operative failure; This anastomat does not meet the configuration design of human engineering, and the doctor holds uncomfortable, has increased operating difficulty, thereby brings unnecessary misery to patient; Simultaneously, its head can not be swung.
The utility model content
Technical problem to be solved in the utility model is to overcome existing above-mentioned deficiency in the prior art, and the Pipy digestive tract stapler that provides a kind of reasonable in design, head to swing.
The technical scheme in the invention for solving the above technical problem is: this Pipy digestive tract stapler comprises the nail supporting base lid, the nail supporting base assembly, endless knife, nail bin groupware, the puncture axle, bend pipe, fixed handle, pointer, screw mandrel, the adjusting nut main body, stiffnut, flexible handle, safety block, curved push rod and tabletting, it is characterized in that: also be provided with adjusting device, this adjusting device is positioned at the front portion of described fixed handle, and the front portion of this adjusting device is connected with described bend pipe, the rear portion of adjusting device is connected with described fixed handle and screw mandrel, and described curved push rod passes this adjusting device.Make this utility model both meet the contour structures design of human engineering thus, can regulate the head of anastomat again, operation is used comfortable, has also reduced operating difficulty and risk.
As preferably, described adjusting device comprise curved in flakes, support set, fixedly runner, drive, knob, direct-connected and hinge; Bending in flakes wherein is connected with direct-connected with described puncture axle respectively, support set is connected with fixed handle with described bend pipe respectively, and fixedly runner is fixed on the support set, and drive and knob are fixed, the direct-connected other end is connected with screw mandrel, and hinge is connected with drive with fixing runner respectively.Make this utility model can make the support set swing easily, and then regulate the head of anastomat.
As preferably, described support set is provided with concavo-convex step, and this concavo-convex step and support set fuse; Make support set increase elasticity, so that the swinging of whole head.
As preferably, the front end of described support set is fixedlyed connected with bend pipe, fixedlys connected with fixed handle in the rear end of support set, and direct-connected then flexibly connects with screw mandrel.Whole adjusting device is coupled together the front and rear of anastomat effectively.
As preferably, a described curved end is in flakes fixedlyed connected with the puncture axle, and the other end of bending in flakes then flexibly connects by pin with direct-connected.So that drive the head swing of anastomat.
As preferably, described knob passes support set and fixed handle, and with support set and fixed handle clearance fit; With conveniently drive drive and fixedly runner, make the support set swing.
As preferably, described concavo-convex step is positioned at the middle part of support set; Make swinging of head more convenient.
As preferably, described curved two ends size in flakes is identical, and direct-connected be greater than the direct-connected other end with the curved end that links to each other in flakes.Making things convenient for the flexible connection of pin, and make direct-connected can cooperate effectively in flakes with curved.
As preferably, an end of described bend pipe is connected with an end plug-in mounting of support set.Make both fixing more firm.
This utility model compared with prior art has the following advantages and effect: reasonable in design, and simple, easy to use and reliable and safety; Meet the contour structures design of human engineering, operation is used comfortable; The head of anastomat can swing, and the pendulum angle maximum can reach about 15 °, only needs a very little wound just can satisfy requirements of operation during operation; Particularly in the operation that not exclusively exposes, reduce operating difficulty and risk, saved operating time, reduced patient's misery simultaneously.
Description of drawings
Fig. 1 is a structural representation of the present utility model.
Fig. 2 is the structure for amplifying sketch map at A place among Fig. 1.
Structural representation outline drawing when Fig. 3 does not swing for this utility model head.
Structural representation outline drawing when Fig. 4 swings upwards into 15 ° for this utility model head.
Structural representation outline drawing when Fig. 5 swings to 15 ° downwards for this utility model head.
The specific embodiment
Referring to Fig. 1-Fig. 2, this utility model mainly is made up of nail supporting base lid 1, nail supporting base assembly 2, endless knife 3, nail bin groupware 4, puncture axle 5, bend pipe 6, adjusting device I, fixed handle 14, pointer 15, screw mandrel 16, adjusting nut main body 17, stiffnut 18, flexible handle 19, safety block 20, curved push rod 21 and tabletting 22.
Nail supporting base of the present utility model lid 1 is fixing with nail supporting base assembly 2, and is enclosed within on the puncture axle 5, and endless knife 3 is fixed on the nail bin groupware 4, and puncture axle 5 is fixedlyed connected with adjusting device I with bend pipe 6, and the other end of bend pipe 6 and nail bin groupware 4 are fixed; Fixed handle 14 is also fixedlyed connected with adjusting device I, pointer 15 flexibly connects with fixed handle 14, screw mandrel 16 and adjusting nut main body 17 are by being threaded, and adjusting nut main body 17 is fixing with stiffnut 18 welding, and flexible handle 19 flexibly connects with fixed handle 14, pointer 15 respectively; Safety block 20 is fixing with fixed handle 14, to prevent flexible handle 19 unexpected percussions; Curved push rod 21 and tabletting 22 are socketed in the bend pipe 6, play to bend among the supporting and regulating device I in flakes 7.Bend pipe 6 is formed from aluminium in the present embodiment.
Adjusting device I of the present utility model is positioned at the front portion of fixed handle 14, and the front portion of this adjusting device I is connected with described bend pipe 6, and the rear portion of adjusting device I is connected with described fixed handle 14 and screw mandrel 16, and curved push rod 21 passes this adjusting device I.
This adjusting device I comprise curved in flakes 7, support set 8, fixedly runner 9, drive 10, knob 11, direct-connected 12 and hinge 13; Wherein curved 7 is connected with direct-connected 12 with puncture axle 5 respectively in flakes, support set 8 is connected with fixed handle 14 with bend pipe 6 respectively, fixedly runner 9 is fixed on the support set 8, drive 10 is fixing with knob 11, direct-connected 12 the other end is connected with screw mandrel 16, and hinge 13 is connected with drive 10 with fixing runner 9 respectively.Support set 8 wherein is powerful support set.
The support set 8 of this adjusting device I is provided with concavo-convex step 81, and this concavo-convex step 81 fuses with support set 8, and concavo-convex step 81 is positioned at the middle part of support set 8.
The front end of the support set 8 of this adjusting device I is fixedlyed connected with bend pipe 6, fixedlys connected with fixed handle 14 in the rear end of support set 8, and direct-connected 12 then flexibly connects with screw mandrel 16; A curved end of 7 is in flakes fixedlyed connected with puncture axle 5, and curved 7 the other end in flakes then flexibly connects by pin 23 with direct-connected 12; Knob 11 passes support set 8 and fixed handle 14, and with support set 8 and fixed handle 14 clearance fit.Wherein: curved 7 two ends size in flakes is identical, and direct-connected 12 be greater than direct-connected 12 the other end 72 with curved 7 the end 71 that links to each other in flakes; One end of bend pipe 6 is connected with an end plug-in mounting of support set 8, i.e. fixing in the medial launder 82 of an end of bend pipe 6 insertion support set 8.
Referring to Fig. 3-Fig. 5, head of the present utility model can be in 0-15 ° scope about or deserve to be called lower swing, α among the figure and β are equal to 15 °.
Referring to Fig. 1-Fig. 5, during use, earlier the titanium nail is installed in the nail bin groupware 4.As required can first turn knob 11, drive drive 10, by hinge 13 and the fixedly rotation of runner 9, regulate the angle that the anastomat head swings again.Then, can turn adjusting nut main body 17, drive nail supporting base lid 1 and nail supporting base assembly 2, be adjusted to safe percussion district, open safety block 20, hold with a firm grip fixed handle 14 and flexible handle 19 can be finished the cutting of human body alimentary canal and the percussion of titanium nail.
Specific embodiment described in this description, as long as its part undeclared concrete size, then this part can be the virtually any size that adapts with its structure; Simultaneously, the part title of getting also can be different.Allly conceive equivalence or the simple change that described structure, feature and principle are done, be included in the protection domain of this utility model patent according to this utility model.