CN205569001U - Organize closing device , organize closure assembly and medical instrument - Google Patents
Organize closing device , organize closure assembly and medical instrument Download PDFInfo
- Publication number
- CN205569001U CN205569001U CN201521081445.3U CN201521081445U CN205569001U CN 205569001 U CN205569001 U CN 205569001U CN 201521081445 U CN201521081445 U CN 201521081445U CN 205569001 U CN205569001 U CN 205569001U
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- China
- Prior art keywords
- nail
- closing device
- guan
- accommodation space
- tissue
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Abstract
The utility model discloses an organize closing device, organize closure assembly and medical instrument. Organize closing device include the base, with base complex clamp plate, and ejector pin piece, the clamp plate sets up to can be relative the base rotates, and it includes opens a position and a closed position, works as when the clamp plate is located closed position, the clamp plate with but the base cooperation forms the first accommodation space of holding part tubulose tissue, the ejector pin piece includes an initial position and a percussion position, initial position is located the percussion position with the near -end of first accommodation space, organize closing device still including putting nail portion, put nail portion set up in the base distal end just is used for placing closed nail, the ejector pin piece with put the structure that closed nail that nail portion set up as the nail portion of putting that is located that can order about with cooperating warp. The utility model discloses a pocket tied in a bundle of organizing the closing device centralize to draw in in reduces the risk and operation cost that produce the fistula after follow -up circular tube anastomat coincide.
Description
Technical field
This utility model relates to technical field of medical instruments, particularly relates to a kind of tissue closing device, tissue closure assembly and is furnished with the medical apparatus and instruments of this tissue closing device.
Background technology
In existing gastral anastomosis operation, the detachment the most first using linear type or arc line type anastomat that tubular tissue carries out multi-angle is coincide, and re-uses circular-pipe anastomat and the tissue after detachment carries out docking coincide.
But, after when using linear type or arc line type anastomat to carry out tubular tissue, detachment coincide, owing to anastomotic stoma is wire, especially doing low rectal position when, owing to being limited by working place at the bottom of human body basin and the limiting of linear type apparatus pivot angle, it may appear that intersect nail phenomenon, so, re-use and can exist " cat ear " when circular-pipe anastomat coincide, the most only the risk of fistula, and it is relatively costly to perform the operation.
Summary of the invention
The purpose of this utility model is provide a kind of tissue closing device, tissue closure assembly and be furnished with the medical apparatus and instruments of this tissue closing device.
For realizing one of above-mentioned utility model purpose, this utility model one embodiment provides a kind of tissue closing device, including base and the pressing plate of base engagement, and pushing slice of nail, wherein,
Described pressing plate be set to can the most described base rotation, it includes an open position and a make position, and when described pressing plate is positioned at make position, described pressing plate and described base engagement form first accommodation space that can house part tubular tissue；
Described pushing slice of nail includes an initial position and a firing position, and described initial position is positioned at described firing position and the near-end of described first accommodation space；
Described tissue closing device also includes putting nail portion, described in put nail portion and be arranged at described base far-end and for placing at least one Guan Bi nail, described pushing slice of nail and described nail portion of putting are set to order about ordinatedly the structure being positioned at the Guan Bi nail deformation putting nail portion.
As the further improvement of this utility model one embodiment, described in put nail portion and form one second accommodation space, described second accommodation space connect with described first accommodation space, and the height of described second accommodation space is more than the height of described first accommodation space.
As the further improvement of this utility model one embodiment, described in put nail portion one-body molded with described base and described in put nail portion the inner side diapire of inner side diapire and described base seamlessly transit.
As the further improvement of this utility model one embodiment, described second accommodation space includes that at least one nailed groove, each nailed groove can house at least some of of a Guan Bi nail, with fixing described Guan Bi nail and the described relative position putting nail portion.
Further improvement as this utility model one embodiment, when described pushing slice of nail by described initial position during described firing position moves, it is located at the tubular tissue in described first accommodation space gradually to draw in described second accommodation space, and is finally all contained in described second accommodation space.
As the further improvement of this utility model one embodiment, the far-end end face of described pushing slice of nail is set to the forming tank of arc；
When described pushing slice of nail from initial position to firing position moving process, first the curved end of described forming tank touches with described Guan Bi nail joint, and apply pressure to the open end of described Guan Bi nail in the movement that described pushing slice of nail is lasting, make the open end bending of described Guan Bi nail；
When described pushing slice of nail arrives firing position, described forming tank forms the 3rd accommodation space, organizes with accommodating part tubular.
Further improvement as this utility model one embodiment, described tissue closing device also includes nail kit, described nail kit connects with the described nailed groove putting nail portion, is provided with nail pushing structure in described nail kit, loads to described nailed groove the Guan Bi in described nail kit to be followed closely.
As the further improvement of this utility model one embodiment, described nail kit be arranged at described in put in nail portion.
For realizing one of above-mentioned utility model purpose, this utility model one embodiment provides a kind of tissue closure assembly, described tissue closure assembly includes the tissue closing device described in any one technical scheme above-mentioned, and the Guan Bi nail of described tissue closing device can be assembled to, in closing course, when described pushing slice of nail is positioned at initial position, the free end of described Guan Bi nail is relative with described pushing slice of nail, when described pushing slice of nail is positioned at firing position, the free end of described Guan Bi nail is bent by pushing slice of nail effect.
As the further improvement of this utility model one embodiment, described Guan Bi nail has peristome, the bottom relative with peristome, and the sidewall being connected with bottom, and the end of described sidewall is set to spininess.
As the further improvement of this utility model one embodiment, the bottom of described Guan Bi nail is provided with at least one sharp portion.
As the further improvement of this utility model one embodiment, the sidepiece of described Guan Bi nail is provided with at least one end points barb towards described bottom.
For realizing one of above-mentioned utility model purpose, this utility model one embodiment provides a kind of medical apparatus and instruments, including instrument body, the percussion handle that connects described instrument body, it is characterized in that, described medical apparatus and instruments also includes the tissue closing device described in any one technical scheme above-mentioned, and described tissue closing device is removably connected described instrument body.
Compared with prior art, the beneficial effects of the utility model are: form, by tissue closing device, the boundling pocket that center is drawn in, reduce and produce " cat ear " and the risk of fistula, simultaneously after follow-up circular-pipe anastomat coincide, simple to operate, easy to use, decrease operation cost.
Accompanying drawing explanation
Fig. 1 is the schematic perspective view of medical apparatus and instruments in this utility model one embodiment；
Fig. 2 is the schematic perspective view of tissue closing device in this utility model one embodiment；
Fig. 3 is the sectional view of tissue closing device in this utility model one embodiment；
Fig. 4 is the schematic perspective view of tissue closing device in this utility model one embodiment；
Fig. 5 is the schematic perspective view of tissue closing device in another embodiment of this utility model；
Fig. 6 a is the schematic perspective view that in this utility model one embodiment, the pressing plate of tissue closing device is in an open position；
Fig. 6 b is the schematic perspective view that in this utility model one embodiment, the pressing plate of tissue closing device is in the close position；
Fig. 6 c be in this utility model one embodiment the pushing slice of nail of tissue closing device by initial position schematic perspective view in firing position motor process；
Fig. 6 d is the schematic perspective view of the pushing slice of nail arrival firing position of tissue closing device in this utility model one embodiment；
Fig. 7 a is the schematic perspective view closing nail in this utility model one embodiment；
Fig. 7 b is the schematic perspective view after the Guan Bi nail bending shown in Fig. 7 a；
Fig. 7 c is the schematic perspective view closing nail in another embodiment of this utility model.
Detailed description of the invention
Below with reference to detailed description of the invention shown in the drawings, this utility model is described in detail.But these embodiments are not limiting as this utility model, structure, method or conversion functionally that those of ordinary skill in the art is made according to these embodiments are all contained in protection domain of the present utility model.
For clearly expressing position described in this utility model and direction, using exercises on apparatus author as reference, being near-end near one end of operator, the one end away from operator is far-end.
As shown in Figure 1, the utility model discloses the embodiment of a kind of medical apparatus and instruments, described medical apparatus and instruments can be used in gastral anastomosis operation, it includes instrument body 10, it is pivotally connected to the percussion handle 20 of described instrument body 10, and is removably connected the tissue closing device 30 of described instrument body 10.Usually, described tissue closing device 30 is arranged at the far-end of described instrument body 10.
The structure of described instrument body 10, can continue to use the instrument body structure of existing linear type or arc line shaped anastomat, it is also possible to individually designed, it is to be understood that as long as the structure of this instrument body 10 can coordinate tissue closing device 30 to work.In the following description, the instrument body structure using existing linear type or arc line type anastomat is illustrated as instrument body 10 structure in present embodiment.
It addition, the invention also discloses the embodiment of a kind of tissue closure assembly, described tissue closure assembly includes tissue closing device 30 and can be assembled to the Guan Bi nail 50 of described tissue closing device 30.Described tissue closing device 30 and the structure of described Guan Bi nail 50 and occupation mode will be described in detail following.
As shown in Figure 2 and Figure 3, described tissue closing device 30 includes connecting portion 301, pressing plate 305 that base 303 coordinates with base 303, pushing slice of nail 307, and puts nail portion 309.
Wherein, described connecting portion 301 is used for connecting described instrument body 10.Described base 303 is arranged at the far-end of described connecting portion 301, and it can be integrally formed with the base of connecting portion 301.
The described base of connection 303 of described pressing plate 305 rotor, so that described pressing plate 305 can rotate relative to described base 303.
Described nail portion 309 of putting is arranged at the far-end of described base 303.
Further, described pressing plate 305 includes an open position and a make position, the most described pressing plate 305 pivotally supported two extreme positions or close to extreme position (error occurred because of mechanical engagement causes), when described pressing plate 305 is positioned at make position, described pressing plate 305 and described base 303 can cooperatively form one for housing the first accommodation space 401 of part tubular tissue, and this first accommodation space 401 is the cavity of both ends open.When operation, tubular tissue (such as intestinal etc.) can be included in when open position, at make position part tubular tissue between described pressing plate 305 and described base 303.
Further, described pushing slice of nail 307 includes an initial position and a firing position, and described initial position is positioned at described firing position and the near-end (as shown in 6a) of described first accommodation space 401.Usually, when described pushing slice of nail 307 is positioned at described initial position, it can act on the far-end of described pressing plate 305 away from described base 303, arrives the open position of described pressing plate 305；When described pushing slice of nail 307 moves to described firing position from described initial position, it can act on the far-end of described pressing plate 305 near described base 303, arrive the make position (as shown in 6b) of described pressing plate 305, its operation principle can join I-shaped cutter and nail bin, the fit structure of nail anvil in linear type or arc line shaped anastomat, does not repeats them here.
Further, put nail portion 309 described in can be used for placing at least one Guan Bi nail.Described pushing slice of nail 307 and described put nail portion 309 be set to order about ordinatedly be positioned at described in put the structure of Guan Bi nail deformation in nail portion 309.
Wherein, described pushing slice of nail 307 may be configured as variously-shaped, if its can coordinate put nail portion order about Guan Bi nail deform to organize Guan Bi.The distal end of the pushing slice of nail 307 in a kind of mode is set to plane forming tank, so, when described pushing slice of nail 307 by described initial position during described firing position moves (as shown in 6c), it is located at the tubular tissue in described first accommodation space 401 gradually to draw in described second accommodation space 403, and is finally all contained in described second accommodation space 403.It is understandable that, when operation, when described pushing slice of nail 307 is in initial position, tubular tissue all it is placed with in the most described first accommodation space 401 and in described second accommodation space 403, the most only in the first accommodation space 401, it is placed with tubular tissue, when described pushing slice of nail by initial position in firing position moving process, the tubular tissue being located at the first accommodation space 401 all will be pushed in the second accommodation space 403, so that when described pushing slice of nail 307 arrives firing position, the tubular tissue drawn in the second accommodation space 403 is played boundling pocket.
The far-end end face of pushing slice of nail 307 in a further mode of operation may be configured as the forming tank of arc.So, when described pushing slice of nail 307 from initial position to firing position moving process, first the curved end of described forming tank touches with described Guan Bi nail joint, and apply pressure to the open end of described Guan Bi nail 50 in the movement that described pushing slice of nail 307 is lasting, make the open end bending of described Guan Bi nail 50, the tubular tissue drawn in is played boundling pocket.Wherein, described forming tank can form the 3rd accommodation space 405, organize with accommodating part tubular, when described pushing slice of nail 307 arrives firing position, described 3rd accommodation space 405 can close described second accommodation space 403(in the axial direction of described assembly closing device as shown in 6d), add the receiving space size of tubular tissue.It is understood that a part for the most described first accommodation space 401 of described 3rd accommodation space 405.
It is understood that when the forming tank of pushing slice of nail is arranged to difformity, the shape of the nail of institute's molding changes, such as the most therewith: the nail of " B " font can also be formed after Guan Bi by setting.
In this utility model one embodiment, described nail portion 309 of putting is formed with one second accommodation space 403, described second accommodation space 403 connects with described first accommodation space 401, the opening of the most described second accommodation space 403 is towards described pushing slice of nail 307, wherein, the height of described second accommodation space 403 more than the height of described first accommodation space 401, is i.e. described base 303 to the distance of described pressing plate 305 less than the bore of described second accommodation space 403 opening.
Further, put described in nail portion 309 one-body molded with described base 303 and described in put the inner side diapire 3031 of the inner side diapire 3091 in nail portion and described base and seamlessly transitted by cambered surface or inclined-plane 3033.
In the present embodiment, the cross section putting nail portion 309 described in is set to U-shaped.
As shown in Figure 4, Figure 5, wherein Fig. 4 is to put nail portion once to put into the example of a Guan Bi nail, and Fig. 5 is to put nail portion once to put into the example of two Guan Bi nails.Described second accommodation space 403 includes at least one nailed groove 3093, and described nailed groove can be formed by described nail portion 309 inwall of putting, it is possible to puts on the inwall in nail portion 309 described in being arranged at,
Further, described tissue closing device 30 also includes nail kit, described nail kit connects with the described nailed groove 3093 putting nail portion 309, described nail kit is provided with nail pushing structure (such as back-moving spring), load to described nailed groove 3093 so that the Guan Bi in described nail kit is followed closely, can realize, when in described nailed groove 3093 without Guan Bi nail (such as firing complete, after tissue is removed), being automatically filled in described nailed groove 3093 by next Guan Bi nail.
Further, described nail kit be arranged at described in put in nail portion 3093, be arranged at as described in put nail portion opening relative the basis putting nail portion 3093 internal.Certainly, this nail kit can also be flexibly connected described in put nail portion 3093, be convenient for changing and load Guan Bi nail.
As shown in Figure 7a, in this utility model one embodiment, the Guan Bi nail 50 in described tissue closure assembly has peristome 501, the bottom 503 relative with peristome, and sidewall 505a, the 505b being connected with bottom, described sidewall 505a, 505b form the free end of described Guan Bi nail 50.
In the present embodiment, the end of described sidewall 505a, 505b is set to spininess, in order to penetrates the tubular tissue after gathering and closes.
In closing course, when described pushing slice of nail 307 is positioned at initial position, the free end of described Guan Bi nail 50 is relative with described pushing slice of nail 307, when described pushing slice of nail 307 is positioned at firing position, the free end of described Guan Bi nail 50 penetrate gathering after tubular tissue and bent by pushing slice of nail effect, form shape after Guan Bi as shown in Figure 7b.
Further, the bottom 503 of described Guan Bi nail 50 is provided with at least one sharp portion 507(Fig. 7 a, 7b and illustrates to be provided with the situation of a sharp portion), grab histozoic dynamics to increase after Guan Bi tissue, pierce through the mucous layer of tissue, prevent tissue from slipping.
As shown in Figure 7 c, in another embodiment of this utility model, sidewall 505a, 505b of described Guan Bi nail 50 is additionally provided with at least one end points barb 509 towards described bottom 503.It is understood that in the present embodiment, the bottom 503 of described Guan Bi nail 50 also can be provided with at least one sharp portion 507(Fig. 7 c and illustrate to be provided with the situation of two sharp portions).Certainly, present embodiment also can not arrange sharp portion 507 in the bottom 503 of described Guan Bi nail 50.
Described Guan Bi nail can be peg, it is also possible to had some strength and elastic other materials to make by other.
In sum, tissue closing device of the present utility model, tissue closure assembly, medical apparatus and instruments, the boundling pocket that center is drawn in can be formed, reduce after follow-up circular-pipe anastomat coincide and produce " cat ear " and the risk of fistula, it addition, when Guan Bi tissue, it is only necessary to once-through operation, easy to use, decrease operation cost.
It is to be understood that, although this specification is been described by according to embodiment, but the most each embodiment only comprises an independent technical scheme, this narrating mode of description is only for clarity sake, those skilled in the art should be using description as an entirety, technical scheme in each embodiment can also form, through appropriately combined, other embodiments that it will be appreciated by those skilled in the art that.
The a series of detailed description of those listed above is only for illustrating of feasibility embodiment of the present utility model; they are also not used to limit protection domain of the present utility model, within all equivalent implementations made without departing from this utility model skill spirit or change should be included in protection domain of the present utility model.
Claims (13)
1. a tissue closing device, including base and the pressing plate of base engagement, and pushing slice of nail, it is characterised in that
Described pressing plate be set to can the most described base rotation, it includes an open position and a make position, and when described pressing plate is positioned at make position, described pressing plate and described base engagement form first accommodation space that can house part tubular tissue；
Described pushing slice of nail includes an initial position and a firing position, and described initial position is positioned at described firing position and the near-end of described first accommodation space；
Described tissue closing device also includes putting nail portion, described in put nail portion and be arranged at described base far-end and for placing at least one Guan Bi nail, described pushing slice of nail and described nail portion of putting are set to order about ordinatedly the structure being positioned at the Guan Bi nail deformation putting nail portion.
Tissue closing device the most according to claim 1, it is characterized in that, described nail portion of putting forms one second accommodation space, and described second accommodation space connects with described first accommodation space, and the height of described second accommodation space is more than the height of described first accommodation space.
Tissue closing device the most according to claim 2, it is characterised in that described in put nail portion one-body molded with described base and described in put nail portion the inner side diapire of inner side diapire and described base seamlessly transit.
Tissue closing device the most according to claim 2, it is characterised in that described second accommodation space includes that at least one nailed groove, each nailed groove can house at least some of of a Guan Bi nail, with fixing described Guan Bi nail and the described relative position putting nail portion.
Tissue closing device the most according to claim 2, it is characterized in that, when described pushing slice of nail by described initial position during described firing position moves, it is located at the tubular tissue in described first accommodation space gradually to draw in described second accommodation space, and is finally all contained in described second accommodation space.
Tissue closing device the most according to claim 1, it is characterised in that the far-end end face of described pushing slice of nail is set to the forming tank of arc；
When described pushing slice of nail from initial position to firing position moving process, first the curved end of described forming tank touches with described Guan Bi nail joint, and apply pressure to the open end of described Guan Bi nail in the movement that described pushing slice of nail is lasting, make the open end bending of described Guan Bi nail；
When described pushing slice of nail arrives firing position, described forming tank forms the 3rd accommodation space, organizes with accommodating part tubular.
Tissue closing device the most according to claim 1, it is characterized in that, described tissue closing device also includes that nail kit, described nail kit connect with the described nailed groove putting nail portion, described nail kit is provided with nail pushing structure, loads to described nailed groove so that the Guan Bi in described nail kit is followed closely.
Tissue closing device the most according to claim 7, it is characterised in that described nail kit be arranged at described in put in nail portion.
9. a tissue closure assembly, it is characterized in that, described tissue closure assembly includes the tissue closing device in claim 1 to 8 described in any one, and the Guan Bi nail of described tissue closing device can be assembled to, in closing course, when described pushing slice of nail is positioned at initial position, the free end of described Guan Bi nail is relative with described pushing slice of nail, when described pushing slice of nail is positioned at firing position, the free end of described Guan Bi nail is bent by pushing slice of nail effect.
Tissue closure assembly the most according to claim 9, it is characterised in that described Guan Bi nail has peristome, and the bottom relative with peristome, and the sidewall being connected with bottom, the end of described sidewall is set to spininess.
11. tissue closure assemblies according to claim 10, it is characterised in that be provided with at least one sharp portion on the bottom of described Guan Bi nail.
12. according to the tissue closure assembly described in claim 10 or 11, it is characterised in that the sidepiece of described Guan Bi nail is provided with at least one end points barb towards described bottom.
13. a medical apparatus and instruments, including instrument body, the percussion handle that connects described instrument body, it is characterized in that, described medical apparatus and instruments also includes that tissue closing device as claimed in any of claims 1 to 8 in one of claims, described tissue closing device are removably connected described instrument body.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521081445.3U CN205569001U (en) | 2015-12-22 | 2015-12-22 | Organize closing device , organize closure assembly and medical instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521081445.3U CN205569001U (en) | 2015-12-22 | 2015-12-22 | Organize closing device , organize closure assembly and medical instrument |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN205569001U true CN205569001U (en) | 2016-09-14 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201521081445.3U Withdrawn - After Issue CN205569001U (en) | 2015-12-22 | 2015-12-22 | Organize closing device , organize closure assembly and medical instrument |
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| Country | Link |
|---|---|
| CN (1) | CN205569001U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106901787A (en) * | 2015-12-22 | 2017-06-30 | 苏州天臣国际医疗科技有限公司 | Tissue closing device, tissue closure component and the medicine equipment equipped with the tissue closing device |
| WO2022110249A1 (en) * | 2020-11-30 | 2022-06-02 | 苏州英途康医疗科技有限公司 | Stapler |
-
2015
- 2015-12-22 CN CN201521081445.3U patent/CN205569001U/en not_active Withdrawn - After Issue
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106901787A (en) * | 2015-12-22 | 2017-06-30 | 苏州天臣国际医疗科技有限公司 | Tissue closing device, tissue closure component and the medicine equipment equipped with the tissue closing device |
| CN106901787B (en) * | 2015-12-22 | 2019-07-09 | 苏州天臣国际医疗科技有限公司 | Tissue closing device, tissue closure component and the medical instrument equipped with the tissue closing device |
| WO2022110249A1 (en) * | 2020-11-30 | 2022-06-02 | 苏州英途康医疗科技有限公司 | Stapler |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20160914 Effective date of abandoning: 20190709 |
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| AV01 | Patent right actively abandoned |