Anastomat auxiliary device, the anastomat with this auxiliary device and operating theater instruments
Technical field
This utility model relates to technical field of medical instruments, particularly a kind of anastomat auxiliary device, also relates to a kind of anastomat and the operating theater instruments that comprise this auxiliary device.
Background technology
In medical science applied surgical operation, since first staple series products appears in the sixties in 20th century, Medical stapler has become the requisite a kind of medical apparatus and instruments aided in edge of a knife sewing process.Along with development and the new-product development of medical science, more and more multi-functional staple series products is applied to clinical.The scope of application has related to the every field such as gastrointestinal surgery, Genneral Surgery, thoracic surgery, Urology Surgery, department of obstetrics and gynecology, becomes one of requisite instrument of doctor.Anastomat and staple is used to sew up, have that intraoperative hemorrhage is few, operating time is short, replace the manual thus error reducing manual operations and cause with apparatus, avoid infection, postoperative function recovers the multiple advantage such as fast, usually need to use chamber endoscopic stapler device in endoscopic procedures.
When using chamber endoscopic stapler device in endoscopic procedures, doctor is difficult to the thickness precisely determining the tissue that they will cut usually.And the thickness of tissue determines the size of required nail bin/staple.Usually, doctor must observe estimated thickness according to the organization factors that monitor shows and follow closely high nail bin to select having suitable staple.Chinese patent CN101273879B discloses a kind of laparoscopic tissue thickness and clamp load measuring devices, induction installation can be set on two of a clamp jaw, thus before surgery tissue thickness is measured, but in the arthroscopic diagnosis of chamber, after organizing two jaws being through chamber mirror anastomat to carry out pressure bundle, carry out staple percussion again, now by the tissue thickness of pressure bundle, jaw obviously cannot be tested, thus the staple size selected is still accurate not, thus the nail bin selected is not accurate enough, easily causes malpractice.
Therefore, how before suture operation, judging tissue thickness more accurately to select having suitable staple accurately following closely high nail bin, is those skilled in the art's technical issues that need to address.
Utility model content
The purpose of this utility model is to provide a kind of anastomat auxiliary device and applies anastomat and the operating theater instruments of this auxiliary device, the thickness that this auxiliary device can assess tissue to be stapled more accurately follows closely high nail bin to select having suitable staple, provides a kind of anastomat and the operating theater instruments that comprise this auxiliary device in addition.
To achieve these goals, this utility model provides a kind of anastomat auxiliary device, comprise auxiliary device body, be arranged on described auxiliary device body interior and the thrust unit be connected with described adapter far-end with the adapter that its near-end is connected with anastomat body is connected with described thrust unit far-end and closeable moving jaw and regular jaw, be arranged on pressure-bearing device between described moving jaw and described regular jaw, and described pressure-bearing device is made up of one or more pressure-bearing unit.
Preferably, described pressure-bearing device is dismountable is arranged on described regular jaw.
Preferably, described regular jaw comprises base plate and two sidewalls, and described base plate is provided with at least one through hole, at least one sidewall is provided with at least one groove; Described pressure-bearing unit comprises bearing plate, foundation and is socketed in the pressure-bearing spring on described foundation, described pressure-bearing spring is connected between the described through hole edge of the described base plate of described bearing plate and correspondence, and at least one end of described bearing plate to be contained in described groove and can lengthwise movement in described groove.
Preferably, described regular jaw comprises base plate and two sidewalls, when described pressure-bearing device is made up of multiple pressure-bearing unit, described base plate has the through hole corresponding respectively with multiple described foundation and by pressure-bearing spring, described bearing plate is abutted with the edge of described through hole, two sidewalls have the groove holding corresponding described bearing plate two ends respectively facing each other, and two of described bearing plate ends can lengthwise movement in the groove of correspondence.
Preferably, connected by elastic cable between multiple described pressure-bearing unit.
Preferably, also comprise the base plate place that is arranged on described regular jaw and slidably indicator, described indicator abuts with described thrust unit, and the base plate place of described regular jaw has also marked nail bin sign.
Preferably, described indicator only can unidirectionally be slided.
Preferably, described nail bin sign can be and the colour code that corresponding nail bin Color pair is answered or the sizing corresponding with corresponding nail bin size.
Preferably, the described thrust unit stage clip that comprises push pedal, pressing plate and be connected between described push pedal and described pressing plate.
Preferably, the maximum compressibility of described stage clip is greater than the range of described adapter.
Preferably, described thrust unit also comprises the flexible cable be connected between described push pedal and described pressing plate.
Preferably, also comprise safety block, safety plug and torsion spring, described safety block there is ratchet and by described safety plug and described torsion spring and described regular jaw pivotally connected, described safety block is also connected to the far-end of described elastic cable, and described pressing plate is provided with the ratchet that can abut with described ratchet.
Preferably, at least one pressure-bearing unit described is provided with sensor, and described sensor is connected with blood processor and display device.
Preferably, described sensor is pressure transducer or tissue thickness's sensor.
Preferably, described connection is wireless connections or wired connection.
This utility model also provides a kind of anastomat, comprise anastomat body, firing lock, propulsive mechanism, resetting-mechanism, detachable actuating station, also comprise anastomat auxiliary device described above, the dismountable and described anastomat body of described anastomat auxiliary device is connected.
This utility model also provides a kind of operating theater instruments, comprising: operating theater instruments body and the above-mentioned anastomat auxiliary device removably connected with described operating theater instruments body.
The anastomat auxiliary device that this utility model provides, comprise auxiliary device body, be arranged on described auxiliary device body interior and the thrust unit be connected with described adapter far-end with the adapter that its near-end is connected with anastomat body is connected with described thrust unit far-end and closeable moving jaw and regular jaw, be arranged on pressure-bearing device between described moving jaw and described regular jaw, and described pressure-bearing device is made up of one or more pressure-bearing unit.In use, this auxiliary device is connected with anastomat body, the moving jaw of auxiliary device is opened relative to regular jaw, clamp tissue, then the flexible handle on anastomat body is pulled the trigger, moving jaw closes and applies pressure to tissue, pressure-bearing device has pressure-bearing marginal value, this marginal value can not be exceeded by applied pressure to thinner tissue, thus the gap that can close according to jaw or indicating device judge the nail bin be suitable for after percussion, and for thicker tissue, the pressure that percussion produces can start safety block and continue percussion to stop when exceeding marginal value, thus avoid tissue to be caused damage by excessive pressure bundle.Use this anastomat auxiliary device, precisely can judge to need the suitable staple that has selected to follow closely high nail bin before suture operation, thus reduce the risk of operation.
Accompanying drawing explanation
Fig. 1 is the structural representation be assembled together according to anastomat auxiliary device and the anastomat body of this utility model embodiment;
Fig. 2 is the structural representation of anastomat body in Fig. 1;
Fig. 3 is the axonometric chart of anastomat auxiliary device in Fig. 1;
Fig. 4 is the explosive view of the auxiliary device of anastomat shown in Fig. 3;
Fig. 5 is the structural representation of the moving jaw open mode of the auxiliary device of anastomat shown in Fig. 3;
Fig. 6 is for the auxiliary device of anastomat shown in Fig. 5 is to the structural representation closed compared with thin tissue under the non-trigger state of rear safety block;
Fig. 7 is for the auxiliary device of anastomat shown in Fig. 5 is to the structural representation under safety block trigger state after thicker tissue closure;
Structural representation under the indicating device indicating status that Fig. 8 A is the auxiliary device of anastomat shown in Fig. 5;
Structural representation under the indicating device indicating status that Fig. 8 B is the auxiliary device of anastomat shown in Fig. 5.
Detailed description of the invention
Core of the present utility model is to provide a kind of anastomat auxiliary device, and this auxiliary device can assess tissue thickness more accurately to select suitable nail bin, provides a kind of anastomat and the operating theater instruments that comprise this auxiliary device in addition.
In order to make those skilled in the art understand the technical solution of the utility model better, below in conjunction with the drawings and specific embodiments, the utility model is described in further detail.
Referring to figs. 1 to Fig. 8 B, the anastomat auxiliary device that this utility model provides, comprise auxiliary device body 2, be arranged on the inner and thrust unit be connected with adapter 201 far-end with the adapter 201 that its near-end is connected with anastomat body 1 of auxiliary device body 2 and be connected with thrust unit far-end and closeable moving jaw 4 and regular jaw 3, be arranged on pressure-bearing device 5 between moving jaw 4 and regular jaw 3, and pressure-bearing device 5 is made up of one or more pressure-bearing unit 501.Thrust unit far-end is pressing plate 203 and near-end is push pedal 202, and pressing plate 203 has sliding pin 2031, and is connected with moving jaw 4 by sliding pin, moving jaw 4 has the passage that can hold sliding pin 2031 and pressing plate 203 motion.In use, as shown in Figure 1, this auxiliary device is connected with anastomat body 1, now due to the effect of spring 401, the moving jaw 4 of auxiliary device opens relative to regular jaw 3, again tissue 8 is placed in therebetween, then the flexible handle 103 on anastomat body 1 is pulled the trigger, the pressing plate 203 being then provided with sliding pin 2031 distally moves, along with the movement of pressing plate 203, moving jaw 4 closes and applies pressure to tissue 8, the pressure-bearing device 5 be arranged on regular jaw 3 has the pressure-bearing marginal value preset, when the pressure that tissue 8 bears is in this critical value range, the pressure be applied on tissue 8 both can press bundle tissue 8 tissue thickness to be more evenly distributed so that sew up, nail bin can be carried out again and select anticipation, namely different tissue thicknesses makes the degree varies sample that jaw is closed, staple nail Gao Yuegao (namely nail bin size is larger) of the closed larger selection in gap, and when pressure is greater than pressure-bearing marginal value, pressure-bearing device 5 has the cushioning effect of certain force and can produce deformation (as elastic deformation), thus excessive pressure can not prick tissue 8, protective tissue avoids damage.Above-mentioned pressure-bearing device 5 can compact with the sidewall 302 of regular jaw 3 and abut, and is namely arranged in regular jaw 3 with larger frictional force, and pressure-bearing unit 501 is when being subject to larger pressure to the lower end motion of regular jaw 3, thus pressure-bearing device 5 produces deformation.In addition, in operation, doctor can use this auxiliary device first to carry out precompressed bundle to tissue 8, and then sews up, and owing to organizing 8 by pressure evenly, thus when making stitching, the staple molding of anastomat is better.Above-mentioned pressure-bearing device 5 can be fixed on regular jaw 3, also can dismountablely be arranged on regular jaw 3.
Further, the base plate 303 of regular jaw 3 is provided with at least one through hole 301, at least one sidewall 302 of regular jaw 3 is provided with at least one groove 3021.The pressure-bearing spring 502 that pressure-bearing unit 501 comprises bearing plate 5011, foundation 5012 and is socketed on foundation 5012, and pressure-bearing spring 502 is connected between through hole 301 edge of bearing plate 5011 bottom surface and base plate 303 vertically corresponding with it, therefore when bearing plate 5011 is subject to the pressure exceeding pressure-bearing marginal value, foundation 5012 can pass through hole 301 to lower end lengthwise movement, and at least one end of bearing plate 5011 to be contained in groove 3021 and can lengthwise movement in groove 3021.Pressure-bearing unit 501 can lengthwise movement under the active force of pressure-bearing spring thus; in operation, doctor can use this auxiliary device first to carry out precompressed bundle to tissue 8; then close gap according to jaw and assess tissue thickness to select the nail bin be suitable for; sew up again; due to the existence of pressure-bearing spring 502; make pressure-bearing device 5 have certain cushioning effect, protective tissue 8 is not pricked by excessive pressure when larger pressure.Further, the end of above-mentioned bearing plate 5011 is buckle projection 503, and above-mentioned groove 3021 is block button hole 3021, and buckle projection 503 can be contained in block button hole 3021 and can lengthwise movement.
Preferably, pressure-bearing device 5 is made up of multiple pressure-bearing unit 501, base plate 303 has the through hole 301 corresponding respectively with multiple foundation 5012 and respectively by pressure-bearing spring 502, bearing plate 5011 is abutted with the edge of through hole 301, two sidewalls 302 have groove 3021 facing each other, and two of bearing plate 5011 ends all can be contained in corresponding groove 3021 and can lengthwise movements.
Further, according to another embodiment of the present utility model, also comprise safety block 7, safety plug, elastic cable 1 and torsion spring 702.Safety block 7 there is ratchet and by safety plug and torsion spring 702 pivotally connected with regular jaw 3, elastic cable 701 is connected with multiple pressure-bearing unit 501 and is connected to safety block 7 with its far-end, and pressing plate 203 is provided with the ratchet that can abut with ratchet.Slidably indicator 6 and base tub 3031 is also provided with at base plate 303 place of regular jaw 3, also have in pressing plate 203 bottom and to abut with it and can by its spacer 206 driven (particularly, spacer 206 has opening, the bottom of pressing plate 203 enters in opening, and can abut with the edge of this opening, namely pressing plate 203 can drive spacer 206 to move), indicator 6 abuts with spacer 206, and at the base plate 303 bottom surface place of regular jaw 3, also mark has nail bin sign, namely the position that indicator 6 stops on sign indicates the nail bin that need select.As shown in Figure 8 A and 8 B, sign can be the indicator with different colours, such as black, green, blue, white, represent the nail bin of respective color respectively, when tissue thickness is suitable for, by percussion flexible handle 103, pressure-bearing marginal value is no more than to the percussion force that tissue applies, pressure-bearing unit can not produce lengthwise movement, but the tissue of different-thickness can make pincers 3 different from the closed gap before jaw 4, therefore thrust unit move distance distally can be caused different, when percussion flexible handle 103 until pressure-bearing unit 501 will moment of lengthwise movement, stop percussion, now thrust unit stop motion, i.e. spacer 206 stop motion, indicator 6 is also no longer moved.Restart SR (not shown), center-pole 102 withdraws, band movement connector 201 and push pedal 202 withdraw, push pedal 202 is with dynamic pressure plate 203 to withdraw, pressing plate 203 drives spacer 206 to withdraw, because spacer 206 abuts with indicator 6, after therefore spacer 206 withdraws, indicator 6 can not along with withdrawing but resting on original place, and the color that now indicator 6 region is corresponding is the color need selecting nail bin.Further, indicating area also can mark staple height or nail bin size, makes instruction situation more very clear.And when organizing the pressure born to be greater than marginal value, more specifically, even if the effect that precompressed is pricked is good again, the thickness distribution of tissue also may be uneven, when the pressure now organizing any point to bear exceedes marginal value, the pressure-bearing unit 501 at this place all can to lower end lengthwise movement, foundation 5012 is from the through hole 301 outstanding (operator's applied pressure now can be indicated to exceed marginal value) the base plate 303 of regular jaw 3, thus pull elastic cable 701, elastic cable 701 pulls safety block 7 around safety plug pivot, the ratchet of safety block 7 abuts with the ratchet of pressing plate 203, restriction pressing plate 203 continues distally to move, make operator cannot continue percussion, thus prevent from organizing the pressure born to exceed marginal value, protect tissue.
Further, thrust unit also comprises the stage clip 204 be connected between push pedal 202 and pressing plate 203, and the maximum compressibility of stage clip 204 is greater than the range of adapter 201, is namely greater than the range of center-pole 102.When pressing plate 203 is insured after the ratchet of block 7 props up and can not continue motion, if operator continues to apply pressure, then excessive pressure only can impel stage clip 204 compression movement, but excessive power is applied on parts, thus avoids damaging parts.Further, thrust unit also comprises the flexible cable 205 be connected between push pedal 202 and pressing plate 203, and when pulling the trigger, flexible cable 205 does not stress, and when resetting, flexible cable 205 can pull pressing plate 203 to withdraw, and regular jaw 3 is opened relative to moving jaw 4.
Further, at least one pressure-bearing unit 501 of the anastomat auxiliary device that this utility model provides is provided with sensor, sensor is connected with blood processor and display device, pressure information or tissue thickness's information can be passed to processor by sensor, and the pressure after processor processes information or tissue thickness or out of Memory can be observed by display device.
Further, sensor is pressure transducer or tissue thickness's sensor, can also be other induction installation certainly.
Further, the connection of sensor and blood processor and display device can be wired connection.Preferably, be wireless connections, load and transport and use more flexible.
This utility model also provides a kind of anastomat, and comprise anastomat body 1, firing lock, propulsive mechanism, resetting-mechanism, detachable actuating station, also comprise above-mentioned anastomat auxiliary device, above-mentioned anastomat auxiliary device is dismountable to be connected with anastomat body 1.
This utility model also provides a kind of operating theater instruments, comprising: operating theater instruments body and the above-mentioned anastomat auxiliary device removably connected with operating theater instruments body.
Near-end herein, far-end limited according to industry practice, and be namely near-end from person close to doctor during operation, opposite end is far-end.
Above anastomat auxiliary device provided by the utility model is described in detail.Apply concrete example herein to set forth principle of the present utility model and embodiment, but the explanation of above embodiment just understands principle of the present utility model and core concept thereof for helping, the restriction not to this utility model protection domain.Should be understood that; for those skilled in the art; under the prerequisite not departing from this utility model principle, can also carry out some improvement and modification to this utility model, these improve and modify and also fall in the protection domain of this utility model claim.