CN202313537U - 直线型缝切器的钉仓组件 - Google Patents

直线型缝切器的钉仓组件 Download PDF

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CN202313537U
CN202313537U CN 201120435922 CN201120435922U CN202313537U CN 202313537 U CN202313537 U CN 202313537U CN 201120435922 CN201120435922 CN 201120435922 CN 201120435922 U CN201120435922 U CN 201120435922U CN 202313537 U CN202313537 U CN 202313537U
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陈望东
单腾
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Suzhou Tianchen International Medical Technology Co Ltd
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Abstract

本实用新型揭示了一种直线型缝切器的钉仓组件，包括钉仓和内置其中的推钉片，所述钉仓的表面上向内凹设有一组钉孔，所述每个钉孔内均设有推钉片和缝合钉，所述钉仓的表面沿其轴线开设有一刀槽，所述钉孔与钉孔按序排列形成钉孔排，每个钉孔的轴线均与所述刀槽的轴线平行，所述钉孔排的轴线也与所述刀槽的轴线平行，所述钉仓表面上设有至少一个临近于刀槽最远端的垂直钉孔，所述垂直钉孔的轴线垂直于所述刀槽的轴线。本实用新型的有益效果主要体现在：结构简单，使缝合端部发生缝合口瘘的几率大大降低，能很好地适用于先进的“T形缝合术”。

Description

直线型缝切器的钉仓组件
技术领域
本实用新型涉及一种直线型缝切器的钉仓组件，属于医疗器械技术领域。
背景技术
直线型缝切器被广泛用于外科手术中用于伤口缝合、内部组织缝合与切割，典型的直线型缝切器如美国专利US5129570所揭示，具有缝合与切割两个功能，在进行伤口缝合的同时，将多余的组织切除。该类直线型缝切器一般包括上、下两个钳夹，以及用于闭合上、下钳夹的闭合把手，相对设置在上、下钳夹前端的钉砧和钉仓，设于钉仓内并可同时相对所述钉仓移动推钉杆和切刀，以及用于驱动所述推钉杆和切刀移动的推钮。所述钉仓内排列设置有推钉片和缝合钉，所述推钉杆依次按顺序推动推钉片并将缝合钉推向钉砧进行缝合，所述切刀将位于钉仓和钉砧之间的组织切断。
另外，在做高位食道癌切除缝合的手术中，有一种“T形缝合术”正在被医生所采取和接受。所谓的“T形缝合术”是指：医生首先用一个直线型缝切器在高位食道上切开一条直线缝合线；再把两条对折的缝合线拉成一条缝合线；然后把两条食道断端再另使用一个直线型缝切器进行相对垂直的缝合。经过多次的试验发现，这种“T形缝合术”可以很好地扩大了缝合口的直径，很好的解决了缝合口狭窄这一高位食道缝合经常发生的事故。但是“T形缝合术”也存在一些隐患，那就是在T型缝合的第一个切口处把两条缝合线拉成一条直线时，其两条缝合线的交点处是一个非常薄弱的地方，容易发生撕裂和缝合强度不够的风险。
实用新型内容
本实用新型的目的是提出一种能很好地适用于“T形缝合术”的直线型缝切器的钉仓组件。
本实用新型的目的，将通过以下技术方案得以实现：
一种直线型缝切器的钉仓组件，包括钉仓和内置其中的推钉片，所述钉仓的表面上向内凹设有一组钉孔，所述每个钉孔内均设有推钉片和缝合钉，所述钉仓的表面沿其轴线开设有一刀槽，所述钉孔与钉孔按序排列形成钉孔排，每个钉孔的轴线均与所述刀槽的轴线平行，所述钉孔排的轴线也与所述刀槽的轴线平行，所述钉仓表面上设有至少一个临近于刀槽最远端的垂直钉孔，所述垂直钉孔的轴线垂直于所述刀槽的轴线。
优选的，所述垂直钉孔的轮廓形状与平行于刀槽的钉孔的轮廓形状一致。
优选的，所述垂直钉孔内设有垂直推钉片和缝合钉，所述垂直推钉片的轴线与所述刀槽轴线垂直。
优选的，所述垂直推钉片与位于所述钉孔排内的最远端的钉孔内的推钉片一体制造并紧密结合。
优选的，所述钉仓表面上三个垂直钉孔，每个所述垂直钉孔内均设有垂直推钉片和缝合钉；临近于刀槽处设有一个垂直钉孔，远离刀槽处设有两个共轴的垂直钉孔，所述临近于刀槽处的垂直钉孔的轴线穿过位于所述钉排中最远端的钉孔的最远端点。
优选的，所述三个垂直钉孔内的垂直推钉片与位于所述钉孔排内的最远端的钉孔内的推钉片一体制造并紧密结合。
本实用新型的有益效果主要体现在：结构简单，使缝合端部发生缝合口瘘的几率大大降低，能很好地适用于先进的“T形缝合术”。
附图说明
图1是本实用新型的直线型缝切器钉仓组件的爆炸示意图。
图2是本实用新型的直线型缝切器的钉仓的主视图。
图3是本实用新型的直线型缝切器的推钉片的立体图。
具体实施方式
本实用新型提供了一种直线型缝切器的钉仓组件，与现有技术一致，所述直线型缝切器包括可相互闭合或打开的上、下钳夹，上钳夹的远端设有钉砧，下钳夹的远端设有钉仓组件，如图1所示，所述钉仓组件包括钉仓1和置于其内的推钉片2。当然，上下钳夹的位置可以互换，本实用新型为了表达清楚才如此定义。所述下钳夹为∪形，其远端可滑动地设有推钉杆和推刀杆，分别用于击发位于钉仓内的推钉片和切割组织。使用时，将组织放在钉砧与钉仓之间，然后对合上、下钳夹，闭合把手，使上、下钳夹夹紧组织，然后推动设置在上下钳夹近端的击发推钮，即可实施组织的缝合和切割。
结合图2和图3所示，所述钉仓1的表面10上向内凹设有一组钉孔11，所述每个钉孔11内均设有一个推钉片2和缝合钉（未示出）。所述钉仓的表面10沿其轴线开设有一刀槽12，所述钉孔11与钉孔11按序排列形成钉孔排，每个钉孔的轴线均与所述刀槽12的轴线13平行，所述钉孔排的轴线14也与所述刀槽12的轴线13平行。
本实用新型的特定在于：所述钉仓表面10上设有至少一个临近于刀槽最远端15的垂直钉孔16，所述垂直钉孔的轴线17垂直于所述刀槽12的轴线13。所述垂直钉孔16的轮廓形状与平行于刀槽的钉孔11的轮廓形状一致。所述垂直钉孔16内设有垂直推钉片3和缝合钉，所述垂直推钉片3的轴线与所述刀槽的轴线13垂直，同样也与设于钉孔内的推钉片2的轴线垂直。
本优选实施例中，所述钉仓表面上三个垂直钉孔16，每个所述垂直钉孔内均设有垂直推钉片和3缝合钉；临近于刀槽处设有一个垂直钉孔，远离刀槽处设有两个共轴的垂直钉孔。所述临近于刀槽处的垂直钉孔的轴线穿过位于所述钉排中最远端的钉孔的最远端点。这样就能更好对缝合口进行进一步地缝合加强。优选的，所述三个垂直钉孔16内的垂直推钉片3与位于所述钉孔排内的最远端的钉孔内的推钉片2一体制造并紧密结合。这样当推钉杆推动推钉片使其推出于钉仓表面10时，推动最远端的推钉片2时可以将垂直推钉片3一起推出于所述钉仓表面10。
本实用新型的钉仓在其最远端增设有垂直钉孔16和置于其内的垂直推钉片3，可以使缝合口更加坚固，大大降低了缝合口瘘的风险。而且由于这些垂直推钉片3和最远端的推钉片形成一个整体，使本实用新型的操作与现有技术一致，确保医生的手术习惯性。
本实用新型尚有多种实施方式，凡采用等同变换或者等效变换而形成的所有技术方案，均落在本实用新型的保护范围之内。

Claims (6)

1.一种直线型缝切器的钉仓组件，包括钉仓和内置其中的推钉片，所述钉仓的表面上向内凹设有一组钉孔，所述每个钉孔内均设有推钉片和缝合钉，所述钉仓的表面沿其轴线开设有一刀槽，所述钉孔与钉孔按序排列形成钉孔排，每个钉孔的轴线均与所述刀槽的轴线平行，所述钉孔排的轴线也与所述刀槽的轴线平行，其特征在于：所述钉仓表面上设有至少一个临近于刀槽最远端的垂直钉孔，所述垂直钉孔的轴线垂直于所述刀槽的轴线。
2.根据权利要求1所述的直线型缝切器的钉仓组件，其特征在于：所述垂直钉孔的轮廓形状与平行于刀槽的钉孔的轮廓形状一致。
3.根据权利要求1所述的直线型缝切器的钉仓组件，其特征在于：所述垂直钉孔内设有垂直推钉片和缝合钉，所述垂直推钉片的轴线与所述刀槽轴线垂直。
4.根据权利要求3所述的直线型缝切器的钉仓组件，其特征在于：所述垂直推钉片与位于所述钉孔排内的最远端的钉孔内的推钉片一体制造并紧密结合。
5.根据权利要求1所述的直线型缝切器的钉仓组件，其特征在于：所述钉仓表面上三个垂直钉孔，每个所述垂直钉孔内均设有垂直推钉片和缝合钉；临近于刀槽处设有一个垂直钉孔，远离刀槽处设有两个共轴的垂直钉孔，所述临近于刀槽处的垂直钉孔的轴线穿过位于所述钉排中最远端的钉孔的最远端点。
6.根据权利要求5所述的直线型缝切器的钉仓组件，其特征在于：所述三个垂直钉孔内的垂直推钉片与位于所述钉孔排内的最远端的钉孔内的推钉片一体制造并紧密结合。
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