CN202920270U - Closer for endoscopic gastrointestinal anastomosis surgery - Google Patents

Closer for endoscopic gastrointestinal anastomosis surgery Download PDF

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Publication number
CN202920270U
CN202920270U CN 201220499048 CN201220499048U CN202920270U CN 202920270 U CN202920270 U CN 202920270U CN 201220499048 CN201220499048 CN 201220499048 CN 201220499048 U CN201220499048 U CN 201220499048U CN 202920270 U CN202920270 U CN 202920270U
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CN
China
Prior art keywords
support arm
closer
base
gastrointestinal anastomosis
pressing plate
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 - Fee Related
Application number
CN 201220499048
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Chinese (zh)
Inventor
余佩武
赵永亮
石彦
郝迎学
唐波
钱锋
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Third Military Medical University TMMU
First Affiliated Hospital of TMMU
Original Assignee
First Affiliated Hospital of TMMU
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of TMMU filed Critical First Affiliated Hospital of TMMU
Priority to CN 201220499048 priority Critical patent/CN202920270U/en
Application granted granted Critical
Publication of CN202920270U publication Critical patent/CN202920270U/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model discloses a closer for an endoscopic gastrointestinal anastomosis surgery. The closer for the endoscopic gastrointestinal anastomosis surgery comprises a support arm, a stapling mechanism and an actuating mechanism, wherein the stapling mechanism is arranged at the front end of the support arm, and the actuating mechanism used for controlling pressing of the stapling mechanism is arranged at the rear end of the support arm. The stapling mechanism comprises a base, a nail box and a pressing plate, wherein the nail box and the pressing plate are connected on the base in a hinged mode, and share a same articulated shaft, the nail box is placed between the base and the pressing plate, when in use, titanium nails are placed into the nail box, the stapling mechanism is enabled to be extended to the position of an extending inlet of apparatus, two sides of the extending inlet are clamped, closing of titanium nail suturing extending inlet is enabled to be achieved by pressing the pressing plate, the nail box and the base through the actuating mechanism, and a doctor can confirm the usage number of titanium nails according to the size of the extending inlet. Compared with the traditional way, the closer for the endoscopic gastrointestinal anastomosis surgery is capable of effectively improving closing efficiency, closing safety and closing accuracy.

Description

Gastrointestinal anastomosis operation closer under the mirror of chamber
Technical field
This utility model relates to medical instruments field, particularly is used for the device of anastomotic stoma closure in a kind of gastrointestinal anastomosis operation.
Background technology
After the gastrointestinal Partial Resection, need carry out reconstruction of digestive tract, as esophagus intestinal anastomosis, anastomose esophagus stomach, gastroduodenal coincide, stomach intestinal anastomosis and jejunum end-to-side anastomosis etc.A kind of method comparatively commonly used in gastrointestinal anastomosis is to offer apparatus on the Weishang to stretch into mouth, and anastomat stretches into mouth by apparatus and extends the gastrointestinal anastomosis position and coincide, coincide complete after, need to stretch into mouth to apparatus and carry out closure.
Traditional anastomotic stoma closure mainly contains Hand-sewn and the closed dual mode of sickle, wherein, time-consuming, unreliable, unsafe shortcoming that Hand-sewn exists, be difficult for grasping closed accurate degree and adopt sickle to carry out closed the existence, when closed, clamping too much easily causes closed stenostomy, and clamping is crossed can not realize closure or closed unreliable at least.
For above-mentioned deficiency, need to explore a kind of device for the gastrointestinal anastomosis closure, improving closed efficient, safety, and guarantee closed accurate degree.
The utility model content
In view of this, this utility model provides gastrointestinal anastomosis operation closer under the mirror of a kind of chamber, this closer utilizes stapler structure, carries out closure by squeezing into the medical titanium nail at closed mouth, and the closed efficient of traditional closed manners is low to solve, poor stability and the technical problem such as closed precision is poor.
This utility model solves the problems of the technologies described above by following technological means:
Gastrointestinal anastomosis operation closer under the mirror of chamber of the present utility model, comprise support arm, be arranged at the binder mechanism of supporting arm front end and be arranged at the actuator that the support arm rear end is used for controlling the binder mechanism pressing, described binder mechanism comprises base, is articulated on base and staple cartridge and the pressing plate of shared same jointed shaft, and described staple cartridge is between base and pressing plate.
Further, described actuator comprises sleeve pipe and be used for promoting the ejector sleeve assembly that sleeve pipe moves on support arm, pressing when described base and pressing plate are inserted in sleeve pipe, described ejector sleeve assembly comprises with the casing seat of handle and ejector sleeve trigger, be provided with collar aperture on described casing seat, described support arm stretches in collar aperture and is fixedly connected with casing seat, and described sleeve pipe sliding outer cover is slidably matched on support arm and with collar aperture, and the resistance end of described ejector sleeve trigger withstands the sleeve pipe tail end.
Further, described support arm is fixedly connected with casing seat by screw, is provided with vertically the screw slot to make way on described sleeve pipe.
Further, be provided with stage clip between described support arm tail end and sleeve pipe tail end.
Further, be provided with on described jointed shaft two act on respectively staple cartridge and pressing plate open the return torsion spring.
Further, be provided with trigger return torsion spring on described ejector sleeve trigger.
Further, described base and support arm are made one.
the beneficial effects of the utility model: gastrointestinal anastomosis operation closer under the mirror of chamber of the present utility model, comprise support arm, be arranged at the binder mechanism of supporting arm front end and be arranged at the actuator that the support arm rear end is used for controlling the binder mechanism pressing, described binder mechanism comprises base, be articulated on base and staple cartridge and the pressing plate of shared same jointed shaft, described staple cartridge is between base and pressing plate, during use, the titanium of packing in staple cartridge nail, binder mechanism is extended apparatus to be stretched the porch and will stretch into a mouthful sandwich, operate the pressing pressing plate by actuator, staple cartridge and base, the titanium nail is sewed up stretched into the existing closure of mouthful cause for gossip, the doctor can determine to use according to the size that stretches into mouth the quantity of titanium nail, compare with traditional approach, this closer can effectively improve closed efficient, closed safety and closed precision.
Description of drawings
Below in conjunction with drawings and Examples, this utility model is further described.
Fig. 1 is structural representation of the present utility model;
Fig. 2 is the A place enlarged drawing of Fig. 1.
The specific embodiment
below with reference to accompanying drawing, this utility model is elaborated, as shown in the figure: gastrointestinal anastomosis operation closer under the chamber mirror of the present embodiment, comprise support arm 1, be arranged at the binder mechanism of support arm 1 front end and be arranged at the actuator that support arm 1 rear end is used for controlling the binder mechanism pressing, support arm is mainly used in binder mechanism is delivered to the anastomotic stoma position, described binder mechanism comprises base 2, be articulated on base 2 and staple cartridge 4 and the pressing plate 5 of shared same jointed shaft 3, described staple cartridge 4 is between base 2 and pressing plate 5, staple cartridge adopts the structure identical with having the stapler staple cartridge now, can automatically push forward the titanium nail by spring, during use, the coat of the stomach that apparatus is stretched into mouthful both sides is clamped between base and staple cartridge, by the pressing of actuating mechanism controls pressing plate, make the titanium nail order to close as stapler and stretch into mouth, compare with the Hand-sewn mode, has efficient high, safe advantage, in addition, when using this closer closed, support arm is perpendicular to stretching into mouth, can adjust exactly required titanium nail quantity according to the closed degree that stretches into mouth, compare with the sickle closed manners, closed precision is higher.
as further improvement in the technical proposal, described actuator comprises sleeve pipe 6 and be used for promoting the ejector sleeve assembly that sleeve pipe 6 moves on support arm 1, pressing when described base 2 and pressing plate 5 are inserted in sleeve pipe 6, push pressing plate and base makes both pressings by internal surface of sleeve pipe, described ejector sleeve assembly comprises with the casing seat 8 of handle 7 and ejector sleeve trigger 9, be provided with collar aperture 10 on described casing seat 8, described support arm 1 stretches in collar aperture 10 and is fixedly connected with casing seat 8, in the present embodiment, described support arm 1 is fixedly connected with casing seat 8 by screw 11, be provided with vertically screw slot to make way 6a on described sleeve pipe 6, screw passes support arm is connected with the screw slot to make way and is connected with casing seat, realize that sleeve pipe can be slidably matched with support arm and can be slidably matched with casing seat, simple and reasonable, described sleeve pipe 6 sliding outer covers are slidably matched on support arm 1 and with collar aperture 10, the resistance end of described ejector sleeve trigger 9 withstands sleeve pipe 6 tail ends, when pulling the ejector sleeve trigger, its resistance end promotes forward sleeve pipe, sleeve pipe is inserted in outside pressing plate and base, pressing pressing plate base, the bookbinding action realizes coincideing.
As further improvement in the technical proposal, be provided with stage clip 12 between described support arm 1 tail end and sleeve pipe 6 tail ends, so that the sleeve pipe self-return, more convenient operation.
As further improvement in the technical proposal, be provided with on described jointed shaft 3 two act on respectively staple cartridge 4 and pressing plate 5 open return torsion spring 13, after the sleeve pipe return, staple cartridge and pressing plate open under the torsion spring effect, order and close conveniently to carry out next place.
As further improvement in the technical proposal, be provided with trigger return torsion spring 14 on described ejector sleeve trigger 9, but make the trigger self-return.
As further improvement in the technical proposal, described base 2 is made one with support arm 1, and is simple in structure, easily manufactured.
Explanation is at last, above embodiment is only unrestricted in order to the technical solution of the utility model to be described, although with reference to preferred embodiment, this utility model is had been described in detail, those of ordinary skill in the art is to be understood that, can modify or be equal to replacement the technical solution of the utility model, and not breaking away from aim and the scope of technical solutions of the utility model, it all should be encompassed in the middle of claim scope of the present utility model.

Claims (7)

1. gastrointestinal anastomosis operation closer under a chamber mirror, it is characterized in that: comprise support arm (1), be arranged at the binder mechanism of support arm (1) front end and be arranged at the actuator that support arm (1) rear end is used for controlling the binder mechanism pressing, described binder mechanism comprises base (2), is articulated in same jointed shaft (3) were gone up and shared to base (2) staple cartridge (4) and pressing plate (5), and described staple cartridge (4) is positioned between base (2) and pressing plate (5).
2. gastrointestinal anastomosis operation closer under the mirror of chamber according to claim 1, it is characterized in that: described actuator comprises sleeve pipe (6) and is used for promoting sleeve pipe (6) at the upper mobile ejector sleeve assembly of support arm (1), pressing when described base (2) and pressing plate (5) are inserted in sleeve pipe (6), described ejector sleeve assembly comprises with the casing seat (8) of handle (7) and ejector sleeve trigger (9), be provided with collar aperture (10) on described casing seat (8), described support arm (1) stretches in collar aperture (10) and is fixedly connected with casing seat (8), described sleeve pipe (6) sliding outer cover is gone up and is slidably matched with collar aperture (10) in support arm (1), the resistance end of described ejector sleeve trigger (9) withstands sleeve pipe (6) tail end.
3. gastrointestinal anastomosis operation closer under the mirror of chamber according to claim 2, it is characterized in that: described support arm (1) is fixedly connected with casing seat (8) by screw (11), is provided with vertically screw slot to make way (6a) on described sleeve pipe (6).
4. under the mirror of chamber according to claim 3, closer is used in the gastrointestinal anastomosis operation, it is characterized in that: be provided with stage clip (12) between described support arm (1) tail end and sleeve pipe (6) tail end.
5. under the mirror of chamber according to claim 4, closer is used in the gastrointestinal anastomosis operation, it is characterized in that: be provided with on described jointed shaft (3) two act on respectively staple cartridge (4) and pressing plate (5) open return torsion spring (13).
6. under the mirror of chamber according to claim 5, closer is used in the gastrointestinal anastomosis operation, it is characterized in that: be provided with trigger return torsion spring (14) on described ejector sleeve trigger (9).
7. under according to claim 1-6 any one described chamber mirrors, closer use in the gastrointestinal anastomosis operation, and it is characterized in that: described base (2) and support arm (1) are made one.
CN 201220499048 2012-09-27 2012-09-27 Closer for endoscopic gastrointestinal anastomosis surgery Expired - Fee Related CN202920270U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 201220499048 CN202920270U (en) 2012-09-27 2012-09-27 Closer for endoscopic gastrointestinal anastomosis surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 201220499048 CN202920270U (en) 2012-09-27 2012-09-27 Closer for endoscopic gastrointestinal anastomosis surgery

Publications (1)

Publication Number Publication Date
CN202920270U true CN202920270U (en) 2013-05-08

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Application Number Title Priority Date Filing Date
CN 201220499048 Expired - Fee Related CN202920270U (en) 2012-09-27 2012-09-27 Closer for endoscopic gastrointestinal anastomosis surgery

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108338815A (en) * 2018-03-15 2018-07-31 无锡市神康医疗器械设备有限公司 The anastomosis staple pusher of blood vessel anastomat
CN110074914A (en) * 2019-04-19 2019-08-02 刘山平 A kind of stapling type iris stitching instrument

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108338815A (en) * 2018-03-15 2018-07-31 无锡市神康医疗器械设备有限公司 The anastomosis staple pusher of blood vessel anastomat
CN108338815B (en) * 2018-03-15 2023-10-27 无锡市神康医疗器械设备有限公司 Anastomotic nail pushing device of vascular anastomat
CN110074914A (en) * 2019-04-19 2019-08-02 刘山平 A kind of stapling type iris stitching instrument

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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: 20130508

Termination date: 20150927

EXPY Termination of patent right or utility model