The not isometric anastomosis staple of a kind of ellipse is renovated sandwich style circular stapler
Technical field
This utility model relates to a kind of surgical apparatus, especially relates to the not isometric anastomosis staple of a kind of ellipse and renovates sandwich style circular stapler.
Background technology
At present, in surgical operation the application of circular stapler very extensive, used decades, but this type of anastomat in clinical use, there is anastomotic leakage, Anastomotic bleeding always and coincide after the problems such as anastomosis staple is residual.The applicant discloses a kind of sandwich stapler-type digestive tract anastomosis cutting closer for suture tissue in Chinese patent CN102813540A.The identical nail kit and the membranoid substance that are provided with flexible handle, are connected from the extended device body of handle end, with device body end; Described identical nail kit is provided with nail kit, nail seat, first group of anastomosis staple and second group of anastomosis staple, and the length of described first group of anastomosis staple is 5%~95% of second group of anastomosis staple length; Described membranoid substance directly contacts nail kit surface; Described membranoid substance is established upper strata membranoid substance and lower floor's membranoid substance, and described upper strata membranoid substance directly contacts nail kit surface, the direct contact stud seating face of described lower floor membranoid substance, and upper strata membranoid substance, intestinal wall and lower floor's membranoid substance form sandwich structure.Although this sandwich stapler-type digestive tract anastomosis cutting closer is obtained better effects in above-mentioned three problems of solution, in animal experiment, find its two problems below existence:
1. because the dilatability of coincideing after blooming lowers, after therefore coincideing, nail bit (seat) is difficult for taking out from intestinal.
2. when identical, due to dynamics, easily grasp is improper, therefore easily causes the intestinal wall disturbance of blood circulation necrosis of anastomotic stoma region.
Summary of the invention
The purpose of this utility model is for the existing deficiency of above-mentioned sandwich stapler-type digestive tract anastomosis cutting closer, provides the not isometric anastomosis staple of a kind of improved ellipse to renovate sandwich style circular stapler.
This utility model is provided with flexible handle, device body, oval nail bit, oval nail bin, upper reinforced membrane, lower reinforced membrane and nail bit bar; The front end of device body is connected with oval nail bit, and the rear end of device body is connected with flexible handle, and described oval nail bin is provided with oval nail kit, oval nail seat, first group of anastomosis staple and second group of anastomosis staple; The top of described oval nail bit is flexibly connected with nail bit bar, the top major axis of described oval nail bit and the angle of nail bit bar are greater than 90 °, the top minor axis of described oval nail bit and the angle of nail bit bar equal 90 °, the length of described first group of anastomosis staple internal ring is 35%~95% of second group of anastomosis staple length, described upper reinforced membrane is located at oval nail kit surface, described lower reinforced membrane is located at oval nail seat surface, and upper reinforced membrane, intestinal wall and lower reinforced membrane form sandwich structure; Oval nail seat is associated with oval nail kit operability, and oval nail seat is coincide and is connected with oval nail kit activity.
The length of described first group of anastomosis staple can be 35%~95% of second group of anastomosis staple length, and the length of described first group of anastomosis staple is preferably 65%~85% of second group of anastomosis staple length.
Described upper reinforced membrane can adopt elliptical annular film, and described lower reinforced membrane can adopt elliptical annular film; The ring width of described elliptical annular film can be 1.5~3.0mm, and the thickness of elliptical annular film can be 0.1~1.0mm.Described upper reinforced membrane can be established at least two-layer.
Described upper reinforced membrane and lower reinforced membrane have elasticity and hardness, and described upper reinforced membrane and lower reinforced membrane can adopt degradable polymer or non-degradable polymer; Described upper reinforced membrane and lower reinforced membrane can be selected from the one in silica gel reinforced membrane, poly-lactonaphthol class reinforced membrane, polylactic acid-based reinforced membrane, polyoxyethylene reinforced membrane, polyester material reinforced membrane etc.
Described first group of anastomosis staple and second group of anastomosis staple can be linear arrangement, and described linear arrangement can adopt and be arranged in parallel or longitudinal arrangement; Described first group of anastomosis staple and second group of anastomosis staple can adopt plug-in type.
Compared with existing sandwich style circular stapler, the utlity model has following outstanding feature:
1. adopt oval nail bit, oval nail bin and corresponding first group of anastomosis staple and second group of anastomosis staple;
2. adopt anastomat nail bit in identical forward and backward double-turning-cover technology; The top of oval nail bit adopts and is flexibly connected with nail bit bar, and therefore, before anastomat coincide, the top major axis of oval nail bit and the angle of nail bit bar are greater than 90 °, and the top minor axis of oval nail bit and the angle of nail bit bar equal 90 °; In coincideing, before percussion, the top of oval nail bit is vertical with nail bit bar; After coincideing, after percussion, on the top of oval nail bit, turn over, the top major axis of oval nail bit and the angle of nail bit bar are greater than 90 °.
3. adopt the mode that adds reinforced membrane and lower reinforced membrane on oval nail bit, oval nail bin surface, make reinforced membrane, intestinal wall and lower reinforced membrane form sandwich structure;
4. double anastomosis staple adopts outer nail to be longer than the not isometric technology of interior nail.
Can obtain thus following corresponding function:
1. oval tubular anastomat, adopt simultaneously coincide before and after double-turning-cover technology can solve " sandwich style " circular stapler nail bit before anastomosis procedures kind is coincide and be difficult for placing in intestinal and the problems such as rear nail bit is not drawn out easily of coincideing.
2. oval tubular anastomat adopts the outer platoon leader of anastomosis staple can solve the identical front and back of " sandwich style " anastomat in interior nail and causes the problems such as the local intestinal wall ischemia of anastomotic stoma (disturbance of blood circulation).
3. oval tubular anastomat adopts " sandwich " formula structure can solve identical rear Anastomotic bleeding, anastomotic leakage is residual three problems of anastomotic stoma anastomosis staple.
Accompanying drawing explanation
Fig. 1 is the structure composition schematic diagram of this utility model embodiment.
Fig. 2 is the structure composition schematic diagram of the oval nail bit of this utility model embodiment, oval nail bin, upper reinforced membrane and lower reinforced membrane.
Fig. 3 is the schematic diagram before the oval nail bit percussion of this utility model embodiment coincide.
Fig. 4 is the schematic diagram during the oval nail bit percussion of this utility model embodiment coincide.
Fig. 5 is the schematic diagram after the oval nail bit percussion of this utility model embodiment coincide.
Fig. 6 is " sandwich " organizational structure design sketch forming after the anastomosis operation stitching of this utility model embodiment.
The specific embodiment
Referring to Fig. 1~5, this utility model embodiment is provided with flexible handle 1, device body 2, oval nail bit 3, oval nail bin 4, upper reinforced membrane 5, lower reinforced membrane 6 and nail bit bar 7; The front end of device body 2 is connected with oval nail bit 3, and the rear end of device body 2 is connected with flexible handle 1, and described oval nail bin 4 is provided with oval nail kit 41, oval nail seat 42, first group of anastomosis staple 43 and second group of anastomosis staple 44; The top of described oval nail bit 3 is flexibly connected with nail bit bar 7, the top major axis 31 of described oval nail bit 3 is 90 ° with the angle of nail bit bar 7, the top minor axis 32 of described oval nail bit 3 is 90 ° with the angle of nail bit bar 7, the length of described first group of anastomosis staple 43 is 70% of second group of anastomosis staple 44 length, described upper reinforced membrane 5 is located at oval nail kit 41 surfaces, described lower reinforced membrane 6 is located at oval nail seat 42 surfaces, and upper reinforced membrane 5, intestinal wall 8 and lower reinforced membrane 6 form sandwich structure; Oval nail seat 42 is associated with oval nail kit 41 operability, and oval nail seat 42 is connected with movable the coincideing of oval nail kit 41.
Described upper reinforced membrane 5 and lower reinforced membrane 6 all adopt elliptical annular film; The ring width of described elliptical annular film is 2mm, and the thickness of elliptical annular film can be 0.5mm.Described upper reinforced membrane 5 is established two-layer.
Described upper reinforced membrane 5 and lower reinforced membrane 6 all adopt silica gel or poly-lactonaphthol class.
Described first group of anastomosis staple 43 and second group of anastomosis staple 44 adopt and are arranged in parallel or longitudinal arrangement; Described first group of anastomosis staple 43 and second group of anastomosis staple 44 adopt plug-in type.
Fig. 6 provides " sandwich " organizational structure design sketch forming after the anastomosis operation stitching of this utility model embodiment.In Fig. 6, when operation, upper reinforced membrane 5 can be arranged in the groove of oval nail anvil 3 (corresponding to the nail position of anastomosis staple stitching), separately lower reinforced membrane 6 is arranged in the groove of oval nail bin 4 (corresponding to the nail position of anastomosis staple stitching).Because the surface of the surface at oval nail bit 3 and oval nail bin 4 is equipped with membranoid substance, therefore make two membranoid substances after stitching (upper reinforced membrane 5 and lower reinforced membrane 6) by first group of anastomosis staple 43 and second group of anastomosis staple 44 stitching the surface at intestinal wall 8, after stitching, form the sandwich structure of reinforced membrane 6 under upper reinforced membrane 5+ intestinal wall 8+, make the closure after intestinal wall 8 stitchings better, stressed more balanced, in surgical operation, can effectively reduce alimentary tract anastomosis stomatorrhagia, tear, the phenomenon such as fistula of operative incision (leakage) and anastomotic stoma tangent plane oozing of blood.First group of anastomosis staple 43 and second group of anastomosis staple 44 can come off with upper reinforced membrane 5 and lower reinforced membrane 6, reach the residual object of anastomotic stoma foreign, and the possibility of narrow and inflammation occurs minimizing anastomotic stoma.
This utility model has structurally been done important improvement, not only overcome existing " sandwich " formula anastomat, after coincideing, nail bit is difficult for taking out and two problems of anastomotic stoma disturbance of blood circulation, and can reach the deficiency that prevents the circular staplers such as anastomotic leakage, Anastomotic bleeding and anastomotic stoma foreign body be residual, therefore this utility model, improving alimentary tract anastomosis, avoids the aspects such as intestinal tract complication to have outstanding technique effect.