CN201752426U - Residual end ring cutter for oesophagus - Google Patents
Residual end ring cutter for oesophagus Download PDFInfo
- Publication number
- CN201752426U CN201752426U CN2010202629640U CN201020262964U CN201752426U CN 201752426 U CN201752426 U CN 201752426U CN 2010202629640 U CN2010202629640 U CN 2010202629640U CN 201020262964 U CN201020262964 U CN 201020262964U CN 201752426 U CN201752426 U CN 201752426U
- Authority
- CN
- China
- Prior art keywords
- shaped arm
- pull bar
- cutting blade
- hinged
- girdling
- 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.)
- Expired - Lifetime
Links
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The utility model discloses a residual end ring cutter for an oesophagus, which belongs to the technical field of a medical appliance and comprises an arc-shaped clamping head, clamping arms and handles connected with the clamping arms; an arc-shaped cutting blade is arranged on the clamping head; an operating mechanism is arranged on the cutting blade; and a clamping buckle is arranged between the handles. The residual end ring cutter has the characteristics of being simple and convenient to operate, saving time and labor, etc.
Description
Technical field
This utility model relates to a kind of medical apparatus and instruments, and is especially a kind of with the girdling device that cuts off esophageal stump.
Background technology
In esophageal carcinoma operation, be preferred manner with esophagus time full excision, anastomose esophagus stomach, the present digestive tract stapler instead of manual of using are sewed up more, because it has simplified operating procedure, have shortened operating time, have reduced the generation of complication, are widely used.
During use, fully free esophagus stomach function regulating at far-end 2-3cm place, predetermined anastomosis longitudinal incision esophagus, is put into esophageal lumen to nail supporting base then under trachea general anesthesia intubation, at the predetermined far-end 0.5cm place, anastomosis of esophagus with No. 10 line or special-purpose pocket needlework purse string suture, ligation pocket suture, suture cuts off esophagus with 0.5～1.0 centimeters far away, removes specimen, after at the bottom of the stomach antetheca otch put into the anastomat fuselage, dock with the nail supporting base hollow stem, screw nut, finish identical.Though yet use anastomat to simplify operating procedure, shortened operating time, but but relatively more difficult in the operating process of cutting off esophagus: some doctor for convenience, before putting into nail supporting base, directly esophagus is cut off, easy recessed the contracting of mucous membrane of esophagus this moment, sometimes when inserting nail supporting base, tear esophageal stump easily, cause local mucous membrane of esophagus and gastric mucosa involutory bad occur fistula of operative incision or identical failure; The operation of generally using at present of safety is to put into nail supporting base earlier, after carrying out purse string suture, bit by bit esophagus is cut off with shears, but because space, anastomosis narrow and small (particularly on the aortic arch), operating difficulties is so not only wasted time and energy, and has prolonged operating time, and, influenced identical quality because esophageal tissue has elasticity and causes shearing area irregular.
The utility model content
Characteristics such as technical assignment of the present utility model is to provide a kind of esophageal stump girdling device at above the deficiencies in the prior art, and it is easy and simple to handle that this girdling device has, time saving and energy saving.
The technical scheme that its technical problem that solves this utility model adopts is: esophageal stump girdling device, comprise arc clamping head, clamping limb and the handle that links to each other with clamping limb, on described clamping head, be provided with the arcuate cutting blade sheet, on described cutting blade, be provided with operating mechanism, between described handle, be provided with buckle.
The middle part of described clamping head has groove, and described cutting blade is arranged in groove, and purpose is to prevent its hetero-organization of cutting blade damage patient.
Described operating mechanism is by the U-shaped arm, pull bar, bracing frame and operating grip constitute, described U-shaped arm has certain elasticity, middle part at described U-shaped arm is provided with through hole, two ends at described U-shaped arm are respectively equipped with connecting rod, the two ends of described connecting rod and U-shaped arm are hinged, the other end and the pull bar of described connecting rod are hinged, described pull bar passes through hole and links to each other with operating grip, support frame as described above is made of two support bars that are hinged, its described two support bar hinged places and described pull bar are movably connected, end and described clamping limb at described support bar are slidingly connected, and the two ends of described U-shaped arm are movably connected with described cutting blade respectively.
The two ends of described U-shaped arm are movably connected by double buckle or slot with described cutting blade respectively.
Be provided with chute on described clamping limb, be provided with slide block in the end of described support bar, described slide block is embedded in the described chute.
Described operating grip is made of fixed handle and movable handle, described fixed handle is fixedlyed connected with the rear end of described pull bar, the top of described movable handle is provided with sliding sleeve, described sliding sleeve is enclosed within on the pull bar between described fixed handle and the U-shaped arm, be provided with back-moving spring between described fixed handle and the movable handle, also can allow described pull bar and described operating grip screw thread join.
Rear end at described pull bar is provided with catching groove, is movably equipped with locating rod on described clamping limb, and described locating rod matches with catching groove.
Inner surface at described clamping head is provided with anti-skidding stricture of vagina or non-slip process.
During use, in esophageal lumen, put into nail supporting base, behind the ligation pocket suture, clamp with this utility model clamping head and to wait to cut the esophagus place, utilize operating grip to make the cutting blade closure then, when cutting blade touches the nail supporting base hollow stem, take out the locating rod that matches with catching groove, rotate back and forth operating grip, make cutting blade do circular arc along the nail supporting base hollow stem and move, esophagus promptly is cut off.
The utility model has the advantages that: 1, solved the problem of utilizing the troublesome operations that shears bit by bit shears, used more convenient; 2, time saving and energy saving, shortened operating time, reduced doctor's labor intensity; 3, neat, the standard of cutting section has improved identical quality, increases operation safety; 4, because of cutting blade can freely load and unload, therefore, except that cutting blade, other are all reusable after sterilization, have reduced use cost, have alleviated patient's financial burden.
Description of drawings
Fig. 1 is the structural representation of this utility model embodiment one.
Fig. 2 is the structural representation of this utility model embodiment two.
Fig. 3 is the structural representation of this utility model double buckle.
Fig. 4 is the structural representation of this utility model bracing frame.
Fig. 5 is that this utility model A is to view.
Fig. 6 is the structural representation of this utility model catching groove and locating rod.
Among the figure: 1-clamping head, 2-projection, 3-cutting blade, 4-clamping limb, the 5-connecting rod, 6-U shape arm, 7-support bar, 8-pull bar, the 9-operating grip, 10-locating rod, 11-handle, 12-buckle, the 13-sliding sleeve, 14-double buckle, the movable handle of 15-, 16-back-moving spring, the 17-fixed handle, 18-slide block, 19-chute, the 20-wire casing, 21-groove, 22-catching groove
The specific embodiment
Below in conjunction with Figure of description this utility model is done following detailed description.
Embodiment one, as shown in Figure 1, esophageal stump girdling device, comprise arc clamping head 1, clamping limb 4 and the handle 11 that links to each other with clamping limb 4, on clamping head 1, be provided with arcuate cutting blade sheet 3, have groove 21 at the middle part of described clamping head 1, described cutting blade 3 is arranged in groove 21, purpose is to prevent its hetero-organization of cutting blade damage patient, the width of its clamping head 1 is about 1cm, can be designed to when clamping head 1 closure, the cross-shaped attitude of two free end in order to prevent that clamping head 1 occurs skidding with esophagus when cutting, can be provided with non-slip process 2 or anti-skidding stricture of vagina at the inner surface of clamping head 1.
The radian of its cutting blade 3 equals or is slightly larger than the circular arc of nail supporting base hollow stem, and so cutting blade 3 then can fully contact with the nail supporting base hollow stem in closure, reaches maximum facet; Can be being designed to cutting blade 3 in closure, the cross-shaped attitude of two free end when cutting blade is done circular arc and moved, can not withstood esophageal wall because of the free end of cutting blade 3 and cause cutting fully like this.
Be provided with operating mechanism on cutting blade 3, its cutting blade 3 is connected with double buckle 14 with operating mechanism as shown in Figure 3, also can connect by slot, perhaps other movable connection methods.
Its operating mechanism is made of U-shaped arm 6, pull bar 8, bracing frame and operating grip 9, its U-shaped arm 6 is to have steel disc to make, and has certain elasticity, can restore to the original state automatically, be provided with through hole, be respectively equipped with connecting rod 5 at the two ends of U-shaped arm 6 at the middle part of U-shaped arm 6, described connecting rod 5 is hinged with the two ends of U-shaped arm 6, the other end of described connecting rod 5 and pull bar 8 are hinged, and described pull bar 8 passes through hole and links to each other with operating grip 9 screw threads, and operating grip 9 is an adjusting nut; Support frame as described above is made of two support bars that are hinged 7, its described two support bar 7 hinged places and described pull bar 8 are movably connected, purpose is to hold operating grip 9 can come back rotation, come back rotation to drive cutting blade 3, reach the purpose of cutting esophagus fully, be slidingly connected at the end and the clamping limb 4 of described support bar 7, its syndeton is for being provided with chute 19 as shown in Figure 4 on clamping limb 4, be provided with slide block 18 in the end of support bar 7, described slide block 18 is embedded into 19 li of chutes.The two ends of described U-shaped arm 6 are connected by double buckle 14 or slot with described cutting blade 3 respectively.
As shown in Figure 6, be provided with catching groove 22 in the rear end of pull bar 8, on clamping limb 4, be movably equipped with locating rod 10, described locating rod 10 matches with catching groove 22, its effect is to be two one lines with the pin joint that is movably connected in the support bar 7 on the pull bar 8, limited the random rotation of operating mechanism before cutting, what help operating normally carries out.
As shown in Figure 5, outer surface at clamping head 1 is provided with axial wire casing 20, and purpose is to make purse wire pass wire casing 20 to pull out, and so can limit the position of clamping head, in order to avoid purse wire is too much cut off in clamping or clip position is far away excessively from purse wire, esophageal stump can not be cut fully.
As shown in Figure 1, be provided with buckle 12 between described handle 11, purpose is the clamp position of fixed clamp 1.
Its work process is: during use, in esophageal lumen, put into nail supporting base, behind the ligation pocket suture, clamp with this utility model clamping head and to wait to cut the esophagus place, allow two free ends of purse wire respectively by the wire casing on the clamping head 20, the turn adjusting nut when adjusting nut withstands U-shaped arm 6, continues turn, connecting rod 5 beginnings are closed gradually, the two ends that spur U-shaped arm 6 simultaneously are closed gradually, so drive cutting blade 3 closures, when cutting blade 3 touches the nail supporting base hollow stem, take out the locating rod 10 that matches with catching groove 22, hold operating grip 9 and rotate back and forth, make cutting blade 3 do circular arc along the nail supporting base hollow stem and move, esophagus promptly is cut off.
This utility model adopts stainless steel material to be made, and also can use other medical materials to make, only otherwise influence result of use of the present utility model just.
This utility model can be made the bend arm with certain angle to clamping limb 4 according to actual needs, only needs that U-shaped arm 6 and connecting rod 5 are done suitable distortion this moment and gets final product, and other are constant.
Embodiment two, as shown in Figure 2, its operating grip is made of fixed handle 17 and movable handle 15, described fixed handle 17 is fixedlyed connected with the rear end of pull bar 8, the top of described movable handle 15 is provided with sliding sleeve 13, described sliding sleeve 13 is enclosed within on the pull bar 8 between fixed handle 17 and the U-shaped arm 6, is provided with back-moving spring 16 between described fixed handle 17 and the movable handle 15.Its operation principle is identical with embodiment one adjusting nut working forms.
Claims (10)
1. esophageal stump girdling device is characterized in that comprising arc clamping head, clamping limb and the handle that links to each other with clamping limb, is provided with the arcuate cutting blade sheet on described clamping head, is provided with operating mechanism on described cutting blade, is provided with buckle between described handle.
2. girdling device according to claim 1 is characterized in that the middle part of described clamping head has groove, and described cutting blade is arranged in groove.
3. girdling device according to claim 1, it is characterized in that described operating mechanism is by the U-shaped arm, pull bar, bracing frame and operating grip constitute, described U-shaped arm has certain elasticity, middle part at described U-shaped arm is provided with through hole, two ends at described U-shaped arm are respectively equipped with connecting rod, the two ends of described connecting rod and U-shaped arm are hinged, the other end and the pull bar of described connecting rod are hinged, described pull bar passes through hole and links to each other with operating grip, support frame as described above is made of two support bars that are hinged, its described two support bar hinged places and described pull bar are movably connected, end and described clamping limb at described support bar are slidingly connected, and the two ends of described U-shaped arm are movably connected with described cutting blade respectively.
4. girdling device according to claim 2, it is characterized in that described operating mechanism is by the U-shaped arm, pull bar, bracing frame and operating grip constitute, described U-shaped arm has certain elasticity, middle part at described U-shaped arm is provided with through hole, two ends at described U-shaped arm are respectively equipped with connecting rod, the two ends of described connecting rod and U-shaped arm are hinged, the other end and the pull bar of described connecting rod are hinged, described pull bar passes through hole and links to each other with operating grip, support frame as described above is made of two support bars that are hinged, its described two support bar hinged places and described pull bar are movably connected, end and described clamping limb at described support bar are slidingly connected, and the two ends of described U-shaped arm are movably connected with described cutting blade respectively.
5. according to claim 3 or 4 described girdling devices, it is characterized in that the two ends of described U-shaped arm are movably connected by double buckle or slot with described cutting blade respectively.
6. according to claim 3 or 4 described girdling devices, it is characterized in that being provided with chute on described clamping limb, be provided with slide block in the end of described support bar, described slide block is embedded in the described chute.
7. according to claim 3 or 4 described girdling devices, it is characterized in that described pull bar and described operating grip screw thread join.
8. according to claim 3 or 4 described girdling devices, it is characterized in that described operating grip is made of fixed handle and movable handle, described fixed handle is fixedlyed connected with the rear end of described pull bar, the top of described movable handle is provided with sliding sleeve, described sliding sleeve is enclosed within on the pull bar between described fixed handle and the U-shaped arm, is provided with back-moving spring between described fixed handle and the movable handle.
9. according to claim 3 or 4 described girdling devices, it is characterized in that being provided with catching groove in the rear end of described pull bar, be movably equipped with locating rod on described clamping limb, described locating rod matches with catching groove.
According to claim 1 or 2 described girdling devices, it is characterized in that being provided with anti-skidding stricture of vagina or non-slip process at the inner surface of described clamping head.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010202629640U CN201752426U (en) | 2010-07-16 | 2010-07-16 | Residual end ring cutter for oesophagus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010202629640U CN201752426U (en) | 2010-07-16 | 2010-07-16 | Residual end ring cutter for oesophagus |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN201752426U true CN201752426U (en) | 2011-03-02 |
Family
ID=43620157
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2010202629640U Expired - Lifetime CN201752426U (en) | 2010-07-16 | 2010-07-16 | Residual end ring cutter for oesophagus |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN201752426U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101897613A (en) * | 2010-07-16 | 2010-12-01 | 费立聪 | Esophageal stump girdling device |
-
2010
- 2010-07-16 CN CN2010202629640U patent/CN201752426U/en not_active Expired - Lifetime
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101897613A (en) * | 2010-07-16 | 2010-12-01 | 费立聪 | Esophageal stump girdling device |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN201879759U (en) | Cartridge device of disposable rotary cutting anastomat capable of controlling tissue thickness | |
| CN204394620U (en) | Chamber mirror holding forceps and cerclage bar | |
| JP2003310627A (en) | Surgical purse string suturing instrument and surgical needle | |
| CN201790853U (en) | Circumcision anastomat | |
| CN204192686U (en) | A kind of negative pressure arc hemorrhoid Endo-GIA | |
| CN112494087A (en) | Small joint suture threading device | |
| CN101897613B (en) | Esophageal stump girdling device | |
| CN205626038U (en) | Prepuce cutting anastomat | |
| CN201752426U (en) | Residual end ring cutter for oesophagus | |
| CN206285130U (en) | A kind of hysteroscope cuts suturing mechanism | |
| CN211131206U (en) | Minimally invasive suturing device | |
| CN104490437B (en) | Staple bin assembly and medical stapler using staple bin assembly | |
| CN204246178U (en) | A kind of Minimally Invasive Surgery apparatus | |
| CN209136726U (en) | A kind of stitching unstrument handle and stitching unstrument | |
| CN202044302U (en) | Disposable tubular hemorrhoid stapler | |
| CN201958939U (en) | Linear seam cutter | |
| CN114848061A (en) | Laparoscopic surgery suture traction device | |
| CN213345790U (en) | Linear type cutting anastomat with flexible head swinging function and used for endoscope | |
| CN210962207U (en) | Gallbladder grasping forceps | |
| CN204655055U (en) | A kind of infant Inguinal Hernia Herniorrhaphy skin mini-incision cutter | |
| CN204233194U (en) | A kind of endoscope-assistant surgery organ puncture fixture | |
| CN203724182U (en) | Scissors for fine operation | |
| CN108498135B (en) | Clinical internal medicine vascular forceps | |
| CN205514774U (en) | Larynx micrurgy is with peeling off son | |
| CN202537744U (en) | Tong for taking out foreign matter from uterine cavity |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20110302 Effective date of abandoning: 20120620 |