A kind of medical suture instruments
Technical field
This utility model relates to medical apparatus and instruments, more specifically, relates to a kind of medical suture instruments adopting single nail lower limb staple.
Background technology
The titanium nail suturing skill that modern medical service suture instruments uses instead of traditional manual suture technology, different according to the scope of application, mainly can be divided into skin stapler, linear anastomat, linear cutting anastomat, circular staplers, rectum coinciding equipment, circular hemorrhoid anastomat, anastomat for circumcision, blood vessel anastomat, hernia anastomat, lung stapler, and Endo-GIA etc. under the mirror of chamber.
For anastomat, its main operational principle is similar to stapler, and the main parts that anastomat is had an effect are titanium nails, also anastomosis staple is claimed, consistent with staple outward appearance, be all be similar to " U " type under unused state, as shown in Figure 1, be in the nail groove of anastomat.Nail supporting base there is the nail groove as stapler, become " B " font after molding, as shown in Figure 2.
In order to good formation " B " type or class " B " type close, anastomosis staple is needed to have enough width.Therefore, traditional anastomosis staple bandpass is 4 millimeters, in order to adapt to the thickness of different tissues, can only change the height of nail lower limb.
In addition, because will reach best closed, anastomosis staple should be closed into symmetrical shape, therefore needs two ends uniform force when closed, needs to make two nail lower limb tips arrive at nail supporting base simultaneously, bend simultaneously when ejector pin block moves.For this reason, ejector pin block needs arrangement at grade, during to guarantee better to excite each anastomosis staple can correctly release, perfect closed.
Meanwhile, the shape of traditional anastomosis staple and closed manners, determining nail supporting base must be 8-shaped shape, as shown in Figure 3.
The section supporting nail groove on nail supporting base as shown in Figure 4.So two nail lower limbs that simultaneously could prop up anastomosis staple, make it bending, reach closed, processing relative complex.
Usually, in anastomat use procedure, relate to clamping tissue to be fixed, pull the trigger staple, make staple run through the applying pressure of grip tissue and staple falls into the processes such as closed relative to the nail geosynclinal concave of nail supporting base.In this process, require that staple can correct forming be " B " font.But, if staple can not correct forming and become " B " font of distortion or other shapes as " C " font, postoperative easy generation Anastomotic bleeding and atrophy.At present, in the nail bin that routine uses, because the crooked radian storing up nail bin two ends is larger, loosening or tilting easily appears in the staple be stored in the relatively large nail bin of such two ends subtended angle, be subject to after percussion is exported nail bin, completely vertically can not aim at the nail groove on nail supporting base, therefore the probability that is correctly shaped of staple is less, can bring post-operative complication like this.Existing staple formation process strength is comparatively large, and not only effort is compared in the operation of doctor, even cause risk and failure because strength does not put in place, and intensity is not high, the postoperative risk having tissue pulling; In addition, the space that this kind of molding takies apparatus is comparatively large, and the perforator that can not enter less than 12 millimeters is sewed up, and is taken by staple shaping mechanism due to a lot of space, causes the insufficient strength of miscellaneous part, causes risk to operation; Meanwhile, the nail groove of current nail supporting base part closely to a certain extent, can not increase nail quantity again, in operation process, likely hemorrhage because certain blood vessel is not pushed down.
Based on above-mentioned defect, need that utility model is a kind of adopts molding more easily and the medical suture instruments of the little staple that takes up room.
Utility model content
The purpose of this utility model is to provide a kind of medical suture instruments, it is easier that above-mentioned medical suture instruments have employed molding, make success rate of operation higher and take the little staple of instrument spatial, at least to solve the defect of the difficult forming caused owing to adopting two nail lower limb staple in prior art.
This utility model is achieved by the following technical solution:
This utility model provides a kind of medical suture instruments, comprises nail supporting base and staple, and above-mentioned staple comprises: staple crossbeam; Singly follow closely lower limb, the first end of above-mentioned single nail lower limb is connected with the first end of above-mentioned staple crossbeam, under above-mentioned staple is in closure state, above-mentioned single nail lower limb bends, above-mentioned single nail the second end of lower limb and the second end in contact of above-mentioned staple crossbeam or adjacent or intersect, under above-mentioned staple is in non-occluded state, above-mentioned single nail above-mentioned second end of lower limb and above-mentioned second end of above-mentioned staple crossbeam are separated.
Optionally, under above-mentioned staple is in above-mentioned non-occluded state, above-mentioned single nail lower limb is linear type, and forms angle with above-mentioned staple crossbeam.
Optionally, above-mentioned angle is 90 degree.
Optionally, under above-mentioned staple is in above-mentioned non-occluded state, above-mentioned single nail lower limb bends.
Optionally, above-mentioned nail supporting base being equipped with one with each above-mentioned staple to following closely groove, above-mentioned single nail lower limb being bent, forms " D " type closed.
Optionally, above-mentioned staple crossbeam is provided with the first projection, for the tissue to be stapled that punctures.
Optionally, under above-mentioned staple is in above-mentioned closure state, above-mentioned first projection is in above-mentioned staple inside, follows closely lower limb do not contact with above-mentioned list.
Optionally, above-mentioned staple crossbeam is provided with the second projection, and the above-mentioned list of the above-mentioned second protruding prevention follows closely lower limb under above-mentioned closure state to above-mentioned first convex curved.
Optionally, the row of above-mentioned staple is less than three rows.
Optionally, above-mentioned medical suture instruments is stapler under anastomat, stapler or chamber mirror.
Term illustrates:
In this utility model, described single nail lower limb refers to that described staple only has one to follow closely lower limb, for two nail lower limbs of staple in prior art.
In this utility model, it is " D " type that described " D " type closes the form after referring to described staple closed moulding, relative to after staple molding in prior art for for " B " type.
In this utility model, described closure state refer to described staple bending by the pressing of described nail supporting base after the completed state that formed, ideally in " D " type, as shown in Figure 5, " D " type in one end open under nonideality, as shown in Figure 6, or " D " type that one end intersects, as shown in Figure 7.
In this utility model, described non-occluded state refers to that described staple is in not by the state of described nail supporting base pressing molding, and namely on described single nail lower limb, staple crossbeam point farthest described in distance is described second end of described single nail lower limb.Now described single nail lower limb linearly type be angle with described staple crossbeam, this angle can equal 90 °; Or described single nail lower limb is arc line type and to described staple crossbeam bend.
This utility model improves stitching and cuts into power, reduces the risk of postoperative infection, improves success rate of operation.
In this utility model, adopt the staple of single nail lower limb, time closed, single nail lower limb is stressed, independent molding, because single nail lower limb bends, no longer require that two nail lower limb props up nail supporting base and two ends uniform force is consistent as traditional staples simultaneously, when therefore allowing ejector pin block and staple to be piled in the nail groove of nail bin, can slight inclination be had.Overcome two nail lower limb staple in prior art and need two ends uniform force when closed, need when ejector pin block moves to make two nail lower limb tips arrive at nail supporting base simultaneously, bend simultaneously, otherwise molding is bad, causes the risk of operative failure or post-operative complication.
In this utility model, single nail lower limb tip is sharp design, on staple crossbeam, design the projection that two other has sharpened tip simultaneously, when suture tissue, staple can be fixed in the tissue by the first projection, staple after closed moulding can be better fixed to " D " type by the second projection, sews up, sealing effect is better.
This utility model staple, by adjustment nail lower limb height, the height that after order is closed, staple covers is 0.5 millimeter to 3 millimeters, thus effectively closed various different-thickness tissue.
This utility model list nail lower limb bends, no longer harsh to the width requirement of staple, multiple change can be had, both the less nail of the wide cooperation of nail that can be narrower is high, adapt to the sewn closed requirement to thin tissue, nail that also can be wider is wide, 4 such as identical with staple in prior art mm in width, coordinate higher nail high, adapt to the sewn closed requirement to thick tissue.
In this utility model, the arrangement mode of staple also can have multiple change.For comparatively thin tissue, narrow nail can be used wide, coordinate tingle high, but arrangement is more tight, add two extra sharp protrusion in each staple again, to tissue penetration, closed effect, even likely only to need row's staple can produce effectively good sewing effect, and be staggered without the need to the double even three row's staples needed in prior art, the row of staple is less than three rows, and the perforator that can enter less than 12 millimeters is sewed up.
Above advantage is more outstanding for bending anastomat, circular staplers advantage, anastomosis staple more the following one's bent of arranged distribution in bending nail groove, adapt to various clinical demand, no longer require that ejector pin block and anastomosis staple are distributed on same plane following closely in groove, and folding face can be distributed in even on curved surface.Still can interact with nail supporting base after staple is pushed out, reach effective " D " shape and close.So, the space that this utility model molding takies apparatus is less, when keeping the columns of staple constant, order nail groove outward appearance is more dainty, more convenient operation technique, particularly for line cutting stitching instrument under linear cutting anastomat under the mirror of chamber or chamber mirror, significantly can reduce nail groove diameter, apparatus is made to insert from the perforator of endoscope-assistant surgery more easily, and change thicker perforator without the need to special again, overcome the defect that perforator that prior art can not enter less than 12 millimeters carries out sewing up.
Because only need single nail lower limb to bend, so nail supporting base is also without the need to " 8 " shape, and one is only needed to support nail groove.Therefore, nail supporting base processing is easier, easy.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of the staple of a kind of anastomat in prior art;
Fig. 2 is the schematic diagram after the staple closed moulding of a kind of anastomat in prior art;
Fig. 3 is the schematic diagram of the nail supporting base of a kind of anastomat in prior art;
Fig. 4 is the side partial schematic diagram of the nail supporting base of a kind of anastomat in prior art;
Fig. 5 is the schematic diagram that under the mirror of a kind of optional chamber of this utility model, the staple of stapler is closed into ideal " D " type;
Fig. 6 is the schematic diagram that under the mirror of a kind of optional chamber of this utility model, the staple of stapler is closed into the one end open of imperfect " D " type;
Fig. 7 is the schematic diagram that under the mirror of a kind of optional chamber of this utility model, the staple of stapler is closed into one end intersection of imperfect " D " type;
Fig. 8 is the schematic diagram of stapler under the mirror of a kind of optional chamber of this utility model;
Fig. 9 is the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is schematic diagram under linear staple non-occluded state;
Figure 10-1 is the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is schematic diagram under linear staple is closed into ideal " D " type state;
Figure 10-2 is the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is schematic diagram under linear staple is closed into imperfect " D " type state of one end open;
Figure 10-3 be stapler under the mirror of a kind of optional chamber of this utility model list nail lower limb be linear staple be closed into one end intersect imperfect " D " type state under schematic diagram;
Figure 11-1 is the partial schematic diagram of the nail bin of stapler under the mirror of a kind of chamber in prior art;
Figure 11-2 is the partial schematic diagram of the nail bin of stapler under the mirror of a kind of optional chamber of this utility model;
Figure 12-1 is the schematic diagram of the nail supporting base of stapler under the mirror of a kind of optional chamber of this utility model;
Figure 12-2 is the schematic diagram with the nail supporting base of single row configuration of stapler under the mirror of a kind of optional chamber of this utility model;
Figure 12-3 is the enlarged diagram supporting nail groove of the nail supporting base of stapler under the mirror of a kind of optional chamber of this utility model;
Figure 12-4 is the generalized section of supporting nail groove of the nail supporting base of stapler under the mirror of a kind of optional chamber of this utility model;
Figure 13 is the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is schematic diagram under the staple non-occluded state of shaped form;
Figure 14-1 is that the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is linear type and schematic diagram under staple crossbeam having a protruding staple non-occluded state;
Figure 14-2 is that the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is shaped form and schematic diagram under staple crossbeam having a protruding staple non-occluded state;
Figure 15-1 is that the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is linear type and schematic diagram under staple crossbeam having a protruding staple closure state;
Figure 15-2 is that the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is shaped form and schematic diagram under staple crossbeam having a protruding staple closure state;
Figure 16-1 is that the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is shaped form and schematic diagram under staple crossbeam having two protruding staple non-occluded state;
Figure 16-2 is that the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is shaped form and staple crossbeam has the schematic diagram in two protruding staple closing course;
Figure 16-3 is that the list nail lower limb of stapler under the mirror of a kind of optional chamber of this utility model is shaped form and schematic diagram under staple crossbeam having two protruding staple closure states;
Detailed description of the invention is used for further illustrating but is not limited to this utility model below, below embodiment be only a kind of optional embodiment of this utility model.Employing is conceived identical technical scheme with this utility model and all will be fallen into protection domain of the present utility model.
Detailed description of the invention
Embodiment 1
Present embodiments provide stapler under the mirror of a kind of optional chamber, as shown in Figure 8, it comprises nail supporting base 2 and nail bin 3, above-mentioned nail bin 3 is built with staple 1, the enlarged drawing of above-mentioned staple 1 as shown in Figure 9, above-mentioned staple 1 comprises staple crossbeam 11 and single nail lower limb 12, the first end 121 of above-mentioned single nail lower limb 12 is connected 111 with the first end of above-mentioned staple crossbeam 11, under above-mentioned staple 1 is in non-occluded state, above-mentioned second end 122 of above-mentioned single nail lower limb 12 is separated with above-mentioned second end 112 of above-mentioned staple crossbeam 11, as shown in Figure 9.
The specification size of above-mentioned nail bin 3 is selected according to the width of above-mentioned staple 1 and the height of above-mentioned single nail lower limb 12, the partial enlarged drawing of above-mentioned nail bin 3 is as shown in Figure 11-1 or Figure 11-2, namely nail bin structure of the prior art can be adopted, as shown in Figure 11-1, also the nail bin structure coordinating this utility model list nail lower limb staple can be adopted, as shown in Figure 11-2.
The enlarged drawing of above-mentioned nail supporting base 2 is as shown in Figure 12-1, above-mentioned nail supporting base 2 is equipped with one with each above-mentioned staple 1 to following closely groove 21, the above-mentioned enlarged drawing to nail groove 21 is as shown in Figure 12-3, the above-mentioned section to nail groove 21 is as shown in Figure 12-4, above-mentioned single nail lower limb 12 is bent, and " D " type that formed closes.Above-mentioned staple 1 coordinates the above-mentioned design supporting nail groove can greatly reduce the inner space of apparatus, makes the diameter and the size that reduce apparatus when staple quantity is constant.
Above-mentioned nail supporting base 2 can also according to the size of tissue to be stapled and thickness degree employing single row configuration as shown in fig. 12-2, reduce apparatus volume greatly, enter the perforator that diameter is less than 12 millimeters, such as, can enter the perforator that diameter is 10 millimeters or 5 millimeters.
Under the mirror of above-mentioned chamber, stapler is in the process of closed-percussion, above-mentioned single nail lower limb 12 bends, above-mentioned single nail the second end 122 of lower limb 12 contacts with the second end 112 of above-mentioned staple crossbeam 11 or adjacent or intersect, as shown in Figure 10-1, Figure 10-2 or Figure 10-3, above-mentioned staple 1 is in closure state, and " D " type that formed is closed or class " D " type is closed.
Embodiment 2
On the basis of embodiment 1, present embodiments provide stapler under the mirror of a kind of optional chamber, under above-mentioned staple 1 is in above-mentioned non-occluded state, above-mentioned single nail lower limb 12 is linear type, and forming angle with above-mentioned staple crossbeam 11, above-mentioned angle is 90 degree, as shown in Figure 9.
Embodiment 3
On the basis of embodiment 1, present embodiments provide stapler under the mirror of a kind of optional chamber, above-mentioned staple adopts staple structure as shown in fig. 13 that, under above-mentioned staple 1 is in above-mentioned non-occluded state, above-mentioned single nail lower limb 12 bends, form certain preforming, bending angle makes above-mentioned single nail lower limb 12 penetrate tissue to be stapled.
Embodiment 4
On the basis of embodiment 2, present embodiments provide stapler under the mirror of a kind of optional chamber, wherein above-mentioned staple 1 adopts the staple structure as shown in Figure 14-1, and above-mentioned staple crossbeam 11 is provided with the first projection 13, for the tissue to be stapled that punctures, above-mentioned staple is fixed in tissue to be stapled.Under above-mentioned staple 1 is in above-mentioned closure state, above-mentioned first projection 13 is in above-mentioned staple 1 inside, follows closely lower limb 12 do not contact, as shown in Figure 15-1 with above-mentioned list.
Embodiment 5
On the basis of embodiment 3, present embodiments provide stapler under the mirror of a kind of optional chamber, wherein above-mentioned staple 1 adopts the staple structure as shown in Figure 14-2, and above-mentioned staple crossbeam 11 is provided with the first projection 13, for the tissue to be stapled that punctures, above-mentioned staple is fixed in tissue to be stapled.Under above-mentioned staple 1 is in above-mentioned closure state, above-mentioned first projection 13 is in above-mentioned staple 1 inside, follows closely lower limb 12 do not contact, as shown in Figure 15-2 with above-mentioned list.
Embodiment 6
On the basis of embodiment 4 or embodiment 5, present embodiments provide stapler under the mirror of a kind of optional chamber, wherein above-mentioned staple crossbeam 11 is provided with the second projection 14, above-mentioned second protruding 14 stops above-mentioned single nail lower limb 12 to bend to above-mentioned first protruding 13 under above-mentioned closure state, as shown in Fig. 5 or Figure 16-3, play the effect of fixing closed staple in desirable " D " type.For the above-mentioned staple such as shown in Figure 16-3, before under the mirror of above-mentioned chamber, stapler closes, above-mentioned staple 1 is in above-mentioned non-occluded state, as shown in Figure 16-1, under the mirror of above-mentioned chamber stapler closed-percussion process in, the state of above-mentioned staple 1 is as shown in Figure 16-2, and final " D " type that formed closes, as shown in Figure 16-3, the height that after closed, above-mentioned staple 1 covers is between 0.5 millimeter to 3 millimeters.
Embodiment 7
Present embodiments provide a kind of optional anastomat, wherein staple adopts above-mentioned staple 1, and nail supporting base and nail bin adopt the above-mentioned nail supporting base 2 and above-mentioned nail bin 3 that match with above-mentioned staple 1 respectively.
Embodiment 8
Present embodiments provide a kind of optional stapler, wherein staple adopts above-mentioned staple 1, and nail supporting base and nail bin adopt the above-mentioned nail supporting base 2 and above-mentioned nail bin 3 that match with above-mentioned staple 1 respectively.
Embodiment 9
On the basis of embodiment 7, present embodiments provide a kind of optional circular staplers or bending anastomat, on the folding face that above-mentioned staple 1 is distributed in the nail bin of above-mentioned circular staplers or above-mentioned bending anastomat or curved surface.Owing to adopting single nail lower limb staple, width is the half of prior art staple " 8 " font width, therefore also reduces the volume of anastomat while can increasing staple number according to actual needs.