CN205795752U - A kind of surgical stapling - Google Patents

A kind of surgical stapling Download PDF

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Publication number
CN205795752U
CN205795752U CN201620474095.5U CN201620474095U CN205795752U CN 205795752 U CN205795752 U CN 205795752U CN 201620474095 U CN201620474095 U CN 201620474095U CN 205795752 U CN205795752 U CN 205795752U
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CN
China
Prior art keywords
handle part
revolving dial
governor motion
handle
surgical stapling
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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.)
Withdrawn - After Issue
Application number
CN201620474095.5U
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Chinese (zh)
Inventor
聂红林
杨光
张析量
石秀凤
李安华
鲍明慧
江洋
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.)
Yat Thinking (suzhou) Medical Technology Co Ltd
SHANGHAI YISI MEDICAL TECHNOLOGY Co Ltd
Yisi Suzhou Medical Technology Co Ltd
Original Assignee
Yat Thinking (suzhou) Medical Technology Co Ltd
SHANGHAI YISI MEDICAL TECHNOLOGY Co Ltd
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Publication date
Application filed by Yat Thinking (suzhou) Medical Technology Co Ltd, SHANGHAI YISI MEDICAL TECHNOLOGY Co Ltd filed Critical Yat Thinking (suzhou) Medical Technology Co Ltd
Priority to CN201620474095.5U priority Critical patent/CN205795752U/en
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Publication of CN205795752U publication Critical patent/CN205795752U/en
Withdrawn - After Issue legal-status Critical Current
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Abstract

This utility model discloses a kind of surgical stapling, and described surgical stapling includes first handle part, second handle part and governor motion;Described first handle part includes nail bin groupware, drives assembly, and second handle portion is divided and included nail supporting base;First handle part puts locking mechanism or/and second handle portion sets up separately, and first handle part, second handle part can pass through axis of rotation, and longitudinally locked by locking mechanism;Between described governor motion is positioned at first handle part and second handle portion divides;Governor motion can make second handle part produce the rotation for first handle part mutually by rotating shaft thereon by regulation.The surgical stapling that the utility model proposes, can make the tissue thickness after clamping proximally and distally reach consistent by the governor motion of handle proximate end, to improve suturing nail shaping yield, reduces the generation sewing up the phenomenon such as stomatorrhagia, fistula of operative incision.

Description

A kind of surgical stapling
Technical field
This utility model belongs to technical field of medical instruments, relates to a kind of anastomat structure, particularly relates to a kind of surgery kiss Clutch.
Background technology
The action principle of surgical stapling, is (to generally include nail supporting base assembly and nail by two corresponding Handlesets Storehouse assembly) Guan Bi is to clamp tissue, then by the suturing nail release shaping in anastomat nail storehouse assembly, by tissue apposition one Rise.In some anastomat, it is also equipped with cutter, for being cut off by the tissue sewed up.
The surgical stapling with above-mentioned functions includes first handle part and second handle part, first handle part bag Include demountable nail bin groupware, securing rod, drive assembly;Nail bin groupware generally comprises nail bin, some suturing nails, some ejector pins Block, nail bin has many rounds, and hole is contained within suturing nail, and the upper surface of nail bin is tissue contact surface.Second handle portion divide include to Nail seat, nail supporting base comprises a nail forming face, nail forming face comprises many nails grooving.
First handle part and second handle part can be connected together, and by being positioned at the securing rod of first handle part Locking, Guan Bi needs the tissue sewed up.
Drive the push jack that assembly comprises wedge shape, when driving assembly to be moved by the proximate of anastomat, nail can be driven Suturing nail in storehouse shapes in the nail grooving of nail supporting base nail forming face.Generally, assembly is driven also to include that one is cut Cutter, after being sewn stapling conjunction at tissue, cutting tissue in the middle of multiple rows of staple line.
In existing anastomat designs, when running into different tissues, because tissue toughness, thickness etc. is not consistent, institute With when anastomat closes thicker tissue, clamped tissue compressed thickness proximally and distally can produce inconsistent phenomenon, Generally can produce the distal compaction thickness phenomenon more than near-end, as it is shown in figure 5, now L2 > L1.This situation can be made Becoming near-end to become staple height inconsistent with the suturing nail of far-end, far-end becomes staple to exceed height, even cob webbing, and then causes sewing up Stomatorrhagia, the generation of the phenomenons such as fistula of operative incision.
In view of this, nowadays in the urgent need to designing a kind of new anastomat, in order to overcome that existing anastomat exists is above-mentioned Defect.
Utility model content
Technical problem to be solved in the utility model is: provide a kind of surgical stapling, and the tissue after clamping can be made thick Degree is proximally and distally reaching consistent, to improve suturing nail shaping yield, reduces and sews up sending out of the phenomenon such as stomatorrhagia, fistula of operative incision Raw.
For solving above-mentioned technical problem, this utility model adopts the following technical scheme that
A kind of surgical stapling, described surgical stapling includes: first handle part, second handle part and regulation machine Structure;
Described first handle part includes staple cartridge tray, dismountable nail bin groupware, securing rod, driving assembly;Second handle Part includes nail supporting base and rotating shaft;
Together with described first handle part is partially assembled into second handle, and by the securing rod in first handle part Longitudinally locking;
Described governor motion is placed in anastomat near-end, is positioned at first handle part and between second handle portion divides;Rotate and adjust Joint mechanism makes second handle part produce the rotation for first handle part mutually by rotating shaft thereon, makes the tissue after clamping Thickness is proximally and distally reaching consistent;
Described governor motion is cam mechanism, including revolving dial, revolving dial button, pin, stage clip, adjusting slider, cunning Untie-sell;Revolving dial is connected with first handle part with stage clip by pin, and adjusting slider passes through sliding pin and second handle portion Split-phase is even;A circular hole is there is, with pin, revolving dial, adjusting slider coaxial cooperation on staple cartridge tray;
The revolving dial button of described governor motion is connected with revolving dial, and revolving dial comprises at least two step surface, adjusts Joint slide block is engaged with arbitrary step surface of revolving dial;When rotating revolving dial button, revolving dial concomitant rotation, make to be engaged therewith Adjusting slider produce and the displacement of step surface vertical direction, thus by sliding pin drive second handle part produce relative to The rotation of first handle part, until the tissue thickness after Jia Chi is proximally and distally reaching consistent.
A kind of surgical stapling, described surgical stapling includes: first handle part, second handle part and regulation machine Structure;
Described first handle part includes nail bin groupware, drives assembly, and second handle portion is divided and included nail supporting base;First handle Part is or/and second handle portion sets up separately puts locking mechanism, and first handle part, second handle part can be turned by rotating mechanism Dynamic, and longitudinally locked by locking mechanism;
Between described governor motion is positioned at first handle part and second handle portion divides;Governor motion can make the by regulation Two handle portions produce the rotation for first handle part mutually by rotating mechanism thereon.
As a kind of preferred version of the present utility model, described governor motion is arranged at the near-end of anastomat, governor motion By regulating the height of self, second handle part is made to produce the rotation relative to first handle part, after making anastomat clamping Tissue thickness proximally and distally reaching consistent.
As a kind of preferred version of the present utility model, described governor motion is cam mechanism.
As a kind of preferred version of the present utility model, described cam mechanism includes revolving dial button, revolving dial and tune Joint slide block;Wherein, revolving dial button is connected with revolving dial, and revolving dial comprises at least two step surface, the one of adjusting slider End is engaged with arbitrary step surface of revolving dial, and the other end is connected by slide mechanism with second handle part;Rotate to rotate and dial During dish button, revolving dial concomitant rotation, make the adjusting slider being engaged therewith produce the displacement with step surface vertical direction, thus logical Crossing slide mechanism drives second handle part to produce the rotation relative to first handle part, until the tissue thickness after Jia Chi exists Proximally and distally reach consistent.
As a kind of preferred version of the present utility model, described governor motion includes revolving dial, revolving dial button, pin Nail, stage clip, adjusting slider, sliding pin;Revolving dial is connected with first handle part with stage clip by pin, and adjusting slider passes through Sliding pin is with second handle portion split-phase even;A circular hole is there is, with pin, revolving dial, adjusting slider coaxial cooperation on staple cartridge tray;
The revolving dial button of described governor motion is connected with revolving dial, and revolving dial comprises at least two step surface, adjusts Joint slide block is engaged with arbitrary step surface of revolving dial;When rotating revolving dial button, revolving dial concomitant rotation, make to be engaged therewith Adjusting slider produce and the displacement of step surface vertical direction, thus by sliding pin drive second handle part produce relative to The rotation of first handle part, until the tissue thickness after Jia Chi is proximally and distally reaching consistent.
As a kind of preferred version of the present utility model, described governor motion includes a wedge block, and wedge block has There is a sliding bevel;Sliding bevel is non-horizontal surface;Wedge block is placed in above staple cartridge tray, and sliding bevel is joined with nail supporting base Close;Sliding bevel has a push button, promotes push button to make wedge block be in diverse location, so that nail supporting base is at sliding bevel Cooperation position changes, and then makes nail supporting base near-end raise/lower, and far-end reduces/raises, and the tissue thickness after clamping is closely End reaches consistent with far-end.
As a kind of preferred version of the present utility model, described governor motion includes screwed regulation screw, regulation The screw thread of screw coordinates with the screwed hole being positioned at first handle part/second handle part, and screw head and second handle part/ First handle part coordinates.
The beneficial effects of the utility model are: the surgical stapling that the utility model proposes, can be by handle proximate end Governor motion, makes the tissue thickness after clamping proximally and distally reach consistent, to improve suturing nail shaping yield, reduces and sews up The generation of the phenomenon such as stomatorrhagia, fistula of operative incision.
Accompanying drawing explanation
Fig. 1 is the structural representation of this utility model surgical stapling in embodiment one.
Fig. 2 is the structural representation of governor motion in this utility model surgical stapling in embodiment one.
Fig. 3 is the structural representation of revolving dial in this utility model surgical stapling in embodiment one.
Fig. 4 is the structural representation of adjusting slider in this utility model surgical stapling in embodiment one.
Fig. 5 is the schematic diagram in embodiment one before the regulation of this utility model surgical stapling.
Fig. 6 is the schematic diagram in embodiment one after the regulation of this utility model surgical stapling.
Fig. 7 is the structural representation of governor motion in this utility model surgical stapling in embodiment two.
Fig. 8 is the structural representation of wedge block in this utility model surgical stapling in embodiment two.
Fig. 9 is the structural representation of this utility model surgical stapling in embodiment three.
Figure 10 is the structural representation regulating screw in embodiment three in this utility model surgical stapling.
Detailed description of the invention
Describe preferred embodiment of the present utility model below in conjunction with the accompanying drawings in detail.
Embodiment one
Referring to Fig. 1 to Fig. 6, this utility model discloses a kind of surgical stapling, and described surgical stapling includes: first Handle portion 10, second handle part 20 and governor motion 30.
In the present embodiment, described first handle part 10 includes that staple cartridge tray 101, dismountable nail bin groupware (include nail bin 107, some ejector pin blocks, some suturing nails), securing rod 105, drive assembly (the present embodiment is push button 103, push jack, cutter); Securing rod 105 is installed in rotation on first handle part 10.Second handle part 20 includes nail supporting base shell 201, nail supporting base 203 With rotating shaft 205 (can also be other rotating mechanisms), nail supporting base 203 has a nail forming face.
Described first handle part 10 and second handle part 20 are assemblied together, and by first handle part 10 Securing rod 105 is longitudinally locking.
Described governor motion 30 is placed in anastomat near-end, between first handle part 10 and second handle part 20 (more particularly between staple cartridge tray 101 and nail supporting base 203);Rotating governor motion 30 makes second handle part 20 by thereon Rotating shaft 205 phase produces the rotation for first handle part 10, makes the tissue thickness after clamping proximally and distally reach consistent.
Referring to Fig. 2, in the present embodiment, described governor motion 30 is cam mechanism.Described cam mechanism includes rotating to be dialled Dish button 305, revolving dial 304, pin 309, stage clip 308, adjusting slider 302, sliding pin 303 (can also be other skate machines Structure).
Wherein, revolving dial 304 is connected with first handle part 10 with stage clip 308 by pin 309, adjusting slider 302 It is connected with second handle part 20 by sliding pin 303.A circular hole is there is, with pin 309, revolving dial on staple cartridge tray 101 304, adjusting slider 302 coaxial cooperation, as shown in Figure 2.
As shown in Figure 3, Figure 4, revolving dial button 305 is connected with revolving dial 304, and revolving dial 304 comprises at least two Step surface 3041,3042,3043,3044,3045 (as shown in Figure 3), one end of adjusting slider 302 is appointed with revolving dial 304 One step surface occlusion, the other end is connected by sliding pin 303 with second handle part 20.When rotating revolving dial button 305, rotate Driver plate 304 concomitant rotation, makes the adjusting slider 302 being engaged therewith (include second coordinated with the step surface of revolving dial 304 Terrace 3021) produce the displacement with step surface vertical direction, thus drive second handle part 20 to produce phase by sliding pin 303 For the rotation of first handle part 10, until the tissue thickness after Jia Chi is proximally and distally reaching consistent, as shown in Figure 6, Now L1 ≈ L2.
Certainly, above-mentioned governor motion can make second handle part produce relative to first handle part in the way of other Rotation, make the tissue thickness after clamping proximally and distally reach consistent.
Embodiment two
The present embodiment is with the difference of embodiment one, in the present embodiment, refers to Fig. 7, Fig. 8, and governor motion includes one Individual wedge block 31, wedge block 31 has a sliding bevel 311, and sliding bevel 311 is non-horizontal surface.Wedge block 31 is put Above staple cartridge tray 101, sliding bevel 311 coordinates with nail supporting base 203.Sliding bevel 311 has a push button 312, promotes push button 312, wedge block 31 can be made to be in diverse location, so that nail supporting base 203 changes at the cooperation position of sliding bevel 311 Becoming, and then make nail supporting base 203 near-end raise (or reduce), far-end reduces (or rising), the tissue thickness after clamping at near-end and Far-end reaches consistent, such as Fig. 6, now L1 ≈ L2.
Embodiment three
The present embodiment is with the difference of embodiment one, in the present embodiment, refer to Fig. 9,10, governor motion include with The regulation screw 32 (including adjusting knob 321, screw thread 322) of screw thread, the screw thread of regulation screw 32 and the spiral shell being positioned at staple cartridge tray 101 Pit coordinates, and screw head coordinates with nail supporting base 203.
Adjusting knob on hand rotation regulation screw, can make the regulation screw head relative position relative to staple cartridge tray Changing, so that nail supporting base 203 near-end raises (or reduction), far-end reduces (or rising), and the tissue thickness after clamping exists Proximally and distally reach consistent, such as Fig. 6, now L1 ≈ L2.
Embodiment four
A kind of surgical stapling, described surgical stapling includes: first handle part, second handle part and regulation machine Structure.Described first handle part includes nail bin groupware, drives assembly, and second handle portion is divided and included nail supporting base;First handle part Or/and second handle portion sets up separately puts locking mechanism, it (can also be it that first handle part, second handle part can pass through rotating shaft His rotating mechanism) rotate, and longitudinally locked by locking mechanism.Described governor motion is positioned at first handle part and Between two handle portions;Governor motion can make second handle part be produced mutually for first-hand by rotating shaft thereon by regulation The rotation of handle portion.
In sum, the surgical stapling that the utility model proposes, can be by the governor motion of handle proximate end, after making clamping Tissue thickness proximally and distally reaching consistent, with improve suturing nail shape yield, reduce sew up stomatorrhagia, fistula of operative incision etc. The generation of phenomenon.
Description the most of the present utility model and application are illustrative, are not wishing to be limited in scope of the present utility model State in embodiment.The deformation of embodiments disclosed herein and change are possible, for the ordinary skill people of those this areas For Yuan, the various parts with equivalence of replacing of embodiment are known.It should be appreciated by the person skilled in the art that and do not taking off In the case of spirit or essential characteristics of the present utility model, this utility model can in other forms, structure, layout, ratio, And realize with other assembly, material and parts.In the case of without departing from this utility model scope and spirit, can be to this In disclosed embodiment carry out other deformation and change.

Claims (8)

1. a surgical stapling, it is characterised in that described surgical stapling includes: first handle part, second handle part And governor motion;
Described first handle part includes staple cartridge tray, dismountable nail bin groupware, securing rod, driving assembly;Second handle part Including nail supporting base and rotating shaft;
Together with described first handle part is partially assembled into second handle, and by the securing rod in first handle part vertical To locking;
Described governor motion is placed in anastomat near-end, is positioned at first handle part and between second handle portion divides;Rotate regulation machine Structure makes second handle part produce the rotation for first handle part mutually by rotating shaft thereon, makes the tissue thickness after clamping Proximally and distally reaching consistent;
Described governor motion is cam mechanism, including revolving dial, revolving dial button, pin, stage clip, adjusting slider, sliding pin; Revolving dial is connected with first handle part with stage clip by pin, and adjusting slider is by sliding pin and second handle portion split-phase Even;A circular hole is there is, with pin, revolving dial, adjusting slider coaxial cooperation on staple cartridge tray;
The revolving dial button of described governor motion is connected with revolving dial, and revolving dial comprises at least two step surface, and regulation is sliding Block is engaged with arbitrary step surface of revolving dial;When rotating revolving dial button, revolving dial concomitant rotation, make the tune being engaged therewith Joint slide block produces the displacement with step surface vertical direction, thus drives second handle part to produce relative to first by sliding pin The rotation of handle portion, until the tissue thickness after Jia Chi is proximally and distally reaching consistent.
2. a surgical stapling, it is characterised in that described surgical stapling includes: first handle part, second handle part And governor motion;
Described first handle part includes nail bin groupware, drives assembly, and second handle portion is divided and included nail supporting base;First handle part Or/and second handle portion sets up separately puts locking mechanism, first handle part, second handle part can be rotated by rotating mechanism, and Longitudinally locked by locking mechanism;
Between described governor motion is positioned at first handle part and second handle portion divides;Governor motion can make second-hand by regulation Handle portion produces the rotation for first handle part mutually by rotating mechanism thereon.
Surgical stapling the most according to claim 2, it is characterised in that:
Described governor motion is arranged at the near-end of anastomat, and governor motion, by regulating the height of self, makes second handle part Produce the rotation relative to first handle part, make the tissue thickness after anastomat clamping proximally and distally reach consistent.
Surgical stapling the most according to claim 2, it is characterised in that:
Described governor motion is cam mechanism.
Surgical stapling the most according to claim 4, it is characterised in that:
Described cam mechanism includes revolving dial button, revolving dial and adjusting slider;Wherein, revolving dial button and revolving dial phase Even, revolving dial comprises at least two step surface, and one end of adjusting slider is engaged with arbitrary step surface of revolving dial, the other end It is connected by slide mechanism with second handle part;When rotating revolving dial button, revolving dial concomitant rotation, make to be engaged therewith Adjusting slider produces and the displacement of step surface vertical direction, thus by slide mechanism drive second handle part produce relative to The rotation of first handle part, until the tissue thickness after Jia Chi is proximally and distally reaching consistent.
Surgical stapling the most according to claim 2, it is characterised in that:
Described governor motion includes revolving dial, revolving dial button, pin, stage clip, adjusting slider, sliding pin;Revolving dial leads to Crossing pin to be connected with first handle part with stage clip, adjusting slider is by sliding pin with second handle portion split-phase even;On staple cartridge tray There is a circular hole, with pin, revolving dial, adjusting slider coaxial cooperation;
The revolving dial button of described governor motion is connected with revolving dial, and revolving dial comprises at least two step surface, and regulation is sliding Block is engaged with arbitrary step surface of revolving dial;When rotating revolving dial button, revolving dial concomitant rotation, make the tune being engaged therewith Joint slide block produces the displacement with step surface vertical direction, thus drives second handle part to produce relative to first by sliding pin The rotation of handle portion, until the tissue thickness after Jia Chi is proximally and distally reaching consistent.
Surgical stapling the most according to claim 2, it is characterised in that:
Described governor motion includes a wedge block, and wedge block has a sliding bevel;Sliding bevel is non-horizontal surface; Wedge block is placed in above staple cartridge tray, and sliding bevel coordinates with nail supporting base;Sliding bevel has a push button, promotes push button to make wedge shape Slide block is in diverse location, so that nail supporting base changes at the cooperation position of sliding bevel, and then makes nail supporting base near-end liter High/to reduce, far-end reduces/raises, and the tissue thickness after clamping is proximally and distally reaching consistent.
Surgical stapling the most according to claim 2, it is characterised in that:
Described governor motion includes screwed regulation screw, the screw thread of regulation screw be positioned at first handle part/the second The screwed hole of handle portion coordinates, and screw head coordinates with second handle part/first handle part.
CN201620474095.5U 2016-05-23 2016-05-23 A kind of surgical stapling Withdrawn - After Issue CN205795752U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832372A (en) * 2016-05-23 2016-08-10 上海逸思医疗科技有限公司 Surgical stapler
EP3666200A4 (en) * 2017-08-11 2021-05-05 Ezisurg Medical Co., Ltd. Linear stapler with adjustment mechanism

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832372A (en) * 2016-05-23 2016-08-10 上海逸思医疗科技有限公司 Surgical stapler
WO2017202392A1 (en) * 2016-05-23 2017-11-30 上海逸思医疗科技有限公司 Surgical stapler
CN105832372B (en) * 2016-05-23 2018-06-15 上海逸思医疗科技有限公司 A kind of surgical stapling
EP3666200A4 (en) * 2017-08-11 2021-05-05 Ezisurg Medical Co., Ltd. Linear stapler with adjustment mechanism

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GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20161214

Effective date of abandoning: 20180615

AV01 Patent right actively abandoned