CN202146325U - Sandwich stapler type digestive tract anastomosis cutting closer - Google Patents
Sandwich stapler type digestive tract anastomosis cutting closer Download PDFInfo
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- CN202146325U CN202146325U CN201120193651U CN201120193651U CN202146325U CN 202146325 U CN202146325 U CN 202146325U CN 201120193651 U CN201120193651 U CN 201120193651U CN 201120193651 U CN201120193651 U CN 201120193651U CN 202146325 U CN202146325 U CN 202146325U
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- nail
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- digestive tract
- stapler
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Abstract
The utility model discloses a sandwich stapler type digestive tract anastomosis cutting closer and relates to a surgical operation appliance. The utility model provides the sandwich stapler type digestive tract anastomosis cutting closer which can prevent tearing, fistula and blood oozing from the cut surface of an anastomotic stoma in the digestive tract during a surgical operation. The sandwich stapler type digestive tract anastomosis cutting closer is provided with a nail anvil (also known as a bottom needle bed), a nail cabin (also known as a nail box), a device body, a movable handle, an adjusting button, a cutter pad and an anastomotic nail (also known as a stitching nail), wherein the nail anvil is connected with the front end part of the device body, the adjusting button is arranged at the tail part of the device body, the movable handle is arranged at the rear part of the device body, a safety button is arranged at the joint between the movable handle and the device body, the cutter pad is arranged on the nail anvil, the anastomotic nail is arranged at the front end part of the device body, a membrane-like substance is arranged on the surface of the nail anvil (also known as the bottom needle bed), the membrane-like substance is arranged on the surface of the nail cabin (also known as the nail box), and a membrane-like substance plus intestinal wall plus membrane-like substance sandwich structure is formed after nailing.
Description
Technical field
This utility model relates to a kind of surgical apparatus, especially relates to a kind of operating sandwich stapler formula alimentary tract anastomosis cutting closers such as digestive tract that are mainly used in.
Background technology
In operation on digestive tract; Often need rebuild stitching, and must excision dock the unnecessary tissue of internal organs after sewing up, so that rebuild digestive tract digestive tract; In order to guarantee the smooth completion of above-mentioned operation; Usually adopt disposable digestive tract stapler, the design principle of the surgical instrument " disposable use digestive tract stapler " that uses at present adopts the stapler principle usually, and two big types of cast and linear types are arranged; Mainly be made up of nail anvil (also claiming end needle stand), nail bin (also claiming the nail box), device body, flexible handle, adjustment button, edge bearing and suturing nail (also claiming anastomosis staple) etc., other is furnished with the cutting knife anastomat and uses connecting rod.When operation on digestive tract, through being the anastomosis staple that is staggered the digestive tract internal organs are docked along device body periphery two rows, and through the unnecessary tissue after the center annular cutting knife excision stitching, so that rebuild digestive tract.When the digestive tract of being sewed up is organized accurately by the effectively clamping of connecting portion quilt of the nail seat of income anastomat and device body front end; And when stop button can rotate on request smoothly;, realize the butt joint of digestive tract internal organs though but the manipulation activities handle is implemented percussion; But exist and to cause that digestive tract internal organs anastomotic stoma is torn, deficiencies such as fistula of operative incision and anastomotic stoma tangent plane oozing of blood, bring risk and negative effect for patient and medical personnel.
Chinese patent CN1695563 discloses a kind of Digective canal tubular anastomat; Being connected between being connected between plastic part and the plastic part, plastic part and the metal parts adopts buckle structure to adapt to the characteristic of plastic material as far as possible; Through changing cutter anvil end surface shape with the resistance of the endless knife cutter anvil that reduces Digective canal tubular anastomat and the resistance of firing lock as far as possible; Through adopting the sour jujube dental structure that insurance institution is also had except having safety effect to coincide anti-in the auditory tone cues effect accomplished and the clamping firing handle process to open effect, the scale on the indication window has the indication of more detailed nail anvil position.
Chinese patent CN1973782 discloses a kind of Digective canal tubular anastomat, adopts the scotch on the cutter anvil medial surface that nail anvil can not be rotated around the anvil pull rod inclination.When accomplishing identical operation; After endless knife is cut the medial surface and the end face between the lateral surface that connects the cutter anvil; The medial surface that drives the cutter anvil partly breaks away from nail anvil, nail anvil is rotated around the anvil pull rod inclination under the effect of inclination spring, thereby can take out Digective canal tubular anastomat easily.
The open disposable automatic safety circular anastomat of Chinese patent CN101856250A comprises nail supporting base assembly, nail bin groupware, aluminum bend pipe, curved push-rod assembly, flexible handle assembly, adjusting nut assembly, automatic safety and fixed handle assembly; Curved push-rod assembly comprises curved push rod, the axis of guide, brace, screw mandrel, regulating block, adjustment screw and tabletting; Curved push-rod assembly is sleeved in the aluminum bend pipe; Nail bin groupware comprises nail bin cover, nail bin, pushing slice of nail and endless knife; The nail supporting base assembly comprises nail supporting base, jump ring pipe, jump ring and nail supporting base lid; Automatic safety comprises insurance location-plate, insurance location-plate back-moving spring, insurance location-plate back-moving spring pin, indicator collet, indicator collet driver plate, indicator collet driver plate back-moving spring and indicator collet driver plate alignment pin.
Summary of the invention
The purpose of this utility model be to existing disposable stapler formula alimentary tract anastomosis cut that the ubiquitous easy generation alimentary tract anastomosis mouth of closed related equipment is torn, problems such as fistula of operative incision and anastomotic stoma tangent plane oozing of blood, provide and can prevent in a kind of orthopaedic surgical operations operation that the alimentary tract anastomosis mouth from tearing, the sandwich stapler formula alimentary tract anastomosis cutting closer of fistula of operative incision and anastomotic stoma tangent plane oozing of blood.
The technical scheme of the said sandwich stapler of this utility model formula alimentary tract anastomosis cutting closer is to roll into a ball on the basis of closing the device related equipment in the identical cutting of existing digestive tract stapler to improve, and is provided with membranoid substance on the surface of original nail anvil and the surface of nail bin.
The said sandwich stapler of this utility model formula alimentary tract anastomosis cutting closer is provided with nail anvil (also claiming end needle stand), nail bin (also claiming the nail box), device body, flexible handle, adjustment button, edge bearing and anastomosis staple (also claiming suturing nail); Nail anvil is connected with the leading section of device body, and the adjustment button is located at the afterbody of device body, and flexible handle is located at the rear portion of device body; The junction of flexible handle and device body is provided with stop button; Edge bearing is located on the nail anvil, and anastomosis staple is located at the leading section of device body, is provided with membranoid substance on the surface of nail anvil (also claiming end needle stand); Surface at nail bin (also claiming the nail box) is provided with membranoid substance, forms the sandwich structure of membranoid substance+intestinal wall+membranoid substance after the stitching.
Said membranoid substance can be annular membrane or strip film etc.; Said annular membrane mainly is applicable to tube type anastomat; The ring width of said annular membrane can be 1.5～3.0mm, and the thickness of annular membrane can be 0.1～1.0mm, and the diameter of annular membrane can be confirmed according to the model of tube type anastomat; Said strip film mainly is applicable to linear anastomat, and the width of strip film can be 1.5～5mm, and the thickness of strip film can be 0.1～1.0mm, and the diameter of strip film can be confirmed according to linear model;
Said membranoid substance can adopt has elasticity and flexible membranoid substance, and said have elasticity and flexible membranoid substance can adopt degradable or non-degraded membranoid substance, can be selected from silica gel, gathers the lactonaphthol class, membranoid substance such as polylactic acid-based, polyoxyethylene, polyester material.
This utility model to existing disposable stapling machine formula alimentary tract anastomosis cut that the ubiquitous easy generation alimentary tract anastomosis mouth of closed related equipment is torn, problems such as fistula of operative incision and anastomotic stoma tangent plane oozing of blood; Cut at existing disposable stapling machine formula alimentary tract anastomosis on the basis of closed related equipment and made important architecture advances; Owing to be provided with membranoid substance on the surface of nail anvil (also claiming end needle stand); Surface at nail bin (also claiming the nail box) is provided with membranoid substance; Form the sandwich structure of membranoid substance+intestinal wall+membranoid substance after the stitching, therefore cut closed related equipment and compare, the utlity model has following outstanding advantage with existing disposable stapling machine formula alimentary tract anastomosis:
1) owing to is equipped with membranoid substance on the surface of nail anvil (also claiming end needle stand) and the surface of nail bin (also claiming the nail box); Therefore make two membranoid substances after the stitching by the surface of stitching at double-deck intestinal wall; Form sandwich sandwich; Make the closure after the double-deck intestinal wall stitching better, stressed more balanced, can reduce the alimentary tract anastomosis stomatorrhagia effectively in the orthopaedic surgical operations operation, tear, the generation of complication such as fistula of operative incision (leakage) and anastomotic stoma tangent plane oozing of blood.
2) anastomosis staple can come off with double-deck membranoid substance, and reaching anastomotic stoma does not have the residual purpose of foreign body, reduces the possibility that narrow and inflammation take place anastomotic stoma.
3) though this utility model has adopted foolproof architecture advances; But solved not only for a long time in the digestive tract surgical operation that ubiquitous easy generation alimentary tract anastomosis mouth is torn, deficiency such as fistula of operative incision and anastomotic stoma tangent plane oozing of blood; And medical expense is low; Operating time is short, obtains unexpected technique effect.
Description of drawings
Fig. 1 is existing one-shot tube shape digestive tract stapler structural representation.
Fig. 2 is existing disposable use digestive tract closer structural representation.
Fig. 3 is an existing disposable use digestive tract abdominal cavity external form straight cuts stiching instrument structural representation.
Fig. 4 is existing disposable use digestive tract intraperitoneal type straight cuts stiching instrument structural representation.
Fig. 5 is that the structure of nail anvil, nail bin and the membranoid substance of this utility model embodiment 1 (being used for tubulose sandwich stapler formula alimentary tract anastomosis cutting closer) is formed sketch map.
Fig. 6 is that the structure of nail anvil, nail bin and the membranoid substance of this utility model embodiment 2 (being used for linear type sandwich stapler formula alimentary tract anastomosis cutting closer) is formed sketch map.
Fig. 7 is the organizational structure design sketch after the existing alimentary tract anastomosis operation stitching.
" sandwich " organizational structure design sketch of Fig. 8 for forming after the stitching of the said sandwich stapler of this utility model formula alimentary tract anastomosis cutting closer embodiment anastomosis operation.
The specific embodiment
Following examples will combine accompanying drawing that this utility model is further described.
Referring to Fig. 1 and 5; Fig. 1 provides existing one-shot tube shape digestive tract stapler structural representation; Fig. 5 provides the structure of nail anvil, nail bin and the membranoid substance of this utility model embodiment 1 (being used for tubulose sandwich stapler formula alimentary tract anastomosis cutting closer) and forms sketch map, and the said tubulose sandwich stapler formula alimentary tract anastomosis cutting closer that is used for mainly is made up of nail anvil (also claiming end needle stand) 1, nail bin (also claiming the nail box) 2, device body 3, flexible handle 4, adjustment button 5, edge bearing and anastomosis staple (not drawing in Fig. 1～4) etc.; Nail anvil 1 is connected with the leading section of device body 3, and adjustment button 5 is located at the afterbody of device body 3, and flexible handle 4 is located at the rear portion of device body 3, and flexible handle 4 is provided with stop button with the junction of device body 3, and edge bearing is located on the nail anvil 1, and anastomosis staple is located at the leading section of device body 3.Be provided with annular membrane 11 on the surface of nail anvil 1, be provided with annular membrane 21 on the surface of nail bin 2.The ring width of said annular membrane 11 is 1.5～3.0mm, and the thickness of annular membrane 11 is 0.1～1.0mm, and the diameter of annular membrane 11 can be confirmed according to the model of the tube type anastomat that adopts.Said annular membrane 11 and 21 can adopt has elasticity and flexible membranoid substance, and said have elasticity and flexible membranoid substance can adopt degradable or non-degraded membranoid substance, can be selected from silica gel, gathers the lactonaphthol class, membranoid substance such as polylactic acid-based, polyoxyethylene, polyester material.
Referring to Fig. 2～4 and Fig. 6; Fig. 2 provides existing disposable use digestive tract closer structural representation; Fig. 3 provides existing disposable use digestive tract abdominal cavity external form straight cuts stiching instrument structural representation, and Fig. 4 provides existing disposable use digestive tract intraperitoneal type straight cuts stiching instrument structural representation; Fig. 6 provides the structure of nail anvil, nail bin and the membranoid substance of this utility model embodiment 2 (being used for linear type sandwich stapler formula alimentary tract anastomosis cutting closer) and forms sketch map; Be provided with strip film 12 on the surface of nail anvil 1, be provided with strip film 22 on the surface of nail bin 2.Said strip film 12 and 22 width are 1.5～5mm, and strip film 12 and 22 thickness are 0.1～1.0mm, and the diameter of strip film can be confirmed according to linear model.Said strip film 12 and 22 can adopt has elasticity and flexible membranoid substance, and said have elasticity and flexible membranoid substance can adopt degradable or non-degraded membranoid substance, can be selected from silica gel, gathers the lactonaphthol class, membranoid substance such as polylactic acid-based, polyoxyethylene, polyester material.
Fig. 7 provides the organizational structure design sketch after the existing alimentary tract anastomosis operation stitching, and Fig. 8 provides " sandwich " organizational structure design sketch that forms after the stitching of the said sandwich stapler of this utility model formula alimentary tract anastomosis cutting closer embodiment anastomosis operation.During operation, can membranoid substance 13 be arranged in the groove of nail anvil (corresponding to the nail position of anastomosis staple stitching), in addition membranoid substance 23 be arranged in the groove of nail bin (corresponding to the nail position of anastomosis staple stitching).Can find out by Fig. 7 and Fig. 8; Owing to be equipped with membranoid substance on the surface of nail anvil 1 and the surface of nail bin 2; Therefore make two membranoid substances after the stitching by anastomosis staple 7 stitchings on the surface of double-deck intestinal wall 6, form the sandwich structure of membranoid substance 13+ intestinal wall 6+ membranoid substance 23 after the stitching, make the closure after double-deck intestinal wall 6 stitchings better; Stressed more balanced, can reduce the alimentary tract anastomosis stomatorrhagia effectively in the orthopaedic surgical operations operation, tear, phenomenons such as fistula of operative incision (leakage) and anastomotic stoma tangent plane oozing of blood.Anastomosis staple 7 can come off with membranoid substance 13 and 23, and reaching anastomotic stoma does not have the residual purpose of foreign body, reduces the possibility that narrow and inflammation take place anastomotic stoma.
The kind of adoptable said membranoid substance is more, also can adopt polymer and copolymer, PETG (PET), polybutylene terephthalate (PBT) (PBT), the PEN (PEN) of lactide and Acetic acid, hydroxy-, bimol. cyclic ester, polyvinyl acetate, polyacrylamide, PMAm and the derivant thereof of partial hydrolysis; And their combination and mixture etc.
Obviously; Though this utility model has adopted foolproof architecture advances; But solved not only for a long time in the digestive tract surgical operation that ubiquitous easy generation alimentary tract anastomosis mouth is torn, deficiency such as fistula of operative incision and anastomotic stoma tangent plane oozing of blood; And medical expense is low, and operating time is short, obtains unexpected technique effect.
Claims (4)
1. a sandwich stapler formula alimentary tract anastomosis cutting closer is provided with nail anvil, nail bin, device body, flexible handle, adjustment button, edge bearing and anastomosis staple; Nail anvil is connected with the leading section of device body; The adjustment button is located at the afterbody of device body, and flexible handle is located at the rear portion of device body, and the junction of flexible handle and device body is provided with stop button; Edge bearing is located on the nail anvil; Anastomosis staple is located at the leading section of device body, it is characterized in that being provided with membranoid substance on the surface of nail anvil, is provided with membranoid substance on the surface of nail bin.
2. a kind of sandwich stapler formula alimentary tract anastomosis cutting closer as claimed in claim 1 is characterized in that said membranoid substance is annular membrane or strip film.
3. a kind of sandwich stapler formula alimentary tract anastomosis cutting closer as claimed in claim 2, the ring width that it is characterized in that said annular membrane is 1.5～3.0mm, the thickness of annular membrane is 0.1～1.0mm.
4. a kind of sandwich stapler formula alimentary tract anastomosis cutting closer as claimed in claim 2, the width that it is characterized in that said strip film is 1.5～5mm, the thickness of strip film is 0.1～1.0mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201120193651U CN202146325U (en) | 2011-06-08 | 2011-06-08 | Sandwich stapler type digestive tract anastomosis cutting closer |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201120193651U CN202146325U (en) | 2011-06-08 | 2011-06-08 | Sandwich stapler type digestive tract anastomosis cutting closer |
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| Publication Number | Publication Date |
|---|---|
| CN202146325U true CN202146325U (en) | 2012-02-22 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201120193651U Expired - Fee Related CN202146325U (en) | 2011-06-08 | 2011-06-08 | Sandwich stapler type digestive tract anastomosis cutting closer |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102217963A (en) * | 2011-06-08 | 2011-10-19 | 刘忠臣 | Sandwiched stapler type alimentary tract anastomosis dissecting sealer |
| CN103405258A (en) * | 2013-08-23 | 2013-11-27 | 刘忠臣 | Oval unequal length anastomotic nail turning cover sandwich type tubular anastomat |
| CN104224285A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioning device, circumcision device and storage device |
| CN106963440A (en) * | 2017-04-14 | 2017-07-21 | 山东省立医院 | One kind is suitable for operation on digestive tract remote medical consultation with specialists device |
| CN108095789A (en) * | 2018-02-05 | 2018-06-01 | 赵舒 | A kind of degradable anastomotic component and the stapler with the degradable anastomotic component |
| CN113367754A (en) * | 2021-07-10 | 2021-09-10 | 江苏康赛医疗器械科技有限公司 | Linear cutting anastomat with safety assembly |
-
2011
- 2011-06-08 CN CN201120193651U patent/CN202146325U/en not_active Expired - Fee Related
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102217963A (en) * | 2011-06-08 | 2011-10-19 | 刘忠臣 | Sandwiched stapler type alimentary tract anastomosis dissecting sealer |
| CN104224285A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioning device, circumcision device and storage device |
| CN106420011A (en) * | 2013-06-20 | 2017-02-22 | 商晶晶 | Storage device and circumcision device |
| CN106420011B (en) * | 2013-06-20 | 2020-02-07 | 商晶晶 | Storage device and circumcision device |
| CN103405258A (en) * | 2013-08-23 | 2013-11-27 | 刘忠臣 | Oval unequal length anastomotic nail turning cover sandwich type tubular anastomat |
| CN106963440A (en) * | 2017-04-14 | 2017-07-21 | 山东省立医院 | One kind is suitable for operation on digestive tract remote medical consultation with specialists device |
| CN108095789A (en) * | 2018-02-05 | 2018-06-01 | 赵舒 | A kind of degradable anastomotic component and the stapler with the degradable anastomotic component |
| CN108095789B (en) * | 2018-02-05 | 2023-06-23 | 赵舒 | Degradable anastomosis component and anastomat with same |
| CN113367754A (en) * | 2021-07-10 | 2021-09-10 | 江苏康赛医疗器械科技有限公司 | Linear cutting anastomat with safety assembly |
| CN113367754B (en) * | 2021-07-10 | 2024-01-16 | 江苏康赛医疗器械科技有限公司 | Linear cutting anastomat with safety component |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20120222 Termination date: 20190608 |
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| CF01 | Termination of patent right due to non-payment of annual fee |