CN206612822U - A kind of universal digestive tract stapler - Google Patents

Abstract

The utility model discloses a kind of universal novel enteron stapler, rebuild applied to the alimentary tract anastomosis in pharmaceutical sanitary field surgical operation, the main adjustable apparatus by stapler end realizes that the radial dimension of stapler adjusts to adapt to the situation for also differing the requirement of stapler size caused by different people digest roads diameter differs, overcome traditional stapler postoperative previous anastomotic diameter caused by size is fixed to fix, it is impossible to well adapt to the deficiency of patient's actual state；For needing the thicker patient surgeon of alimentary reconstruction suitably to tune up stapler size, also in art suitable adjustable can be carried out to adapt to concrete condition, according to actual conditions for the relatively fine patient doctor of alimentary canal so as to realize individuation, precision operation.Also ensure that simultaneously it is postoperative will not be backflowed caused by previous anastomotic is too big or too small or the sequelae such as postoperative scar is narrow, improve surgical quality and satisfaction.

Description

A kind of universal digestive tract stapler

Technical field

The technical field of alimentary canal surgery in pharmaceutical sanitary field, is particularly used for the universal new of reconstruction of digestive tract in art The automatic coinciding machine of type

Technical background

Current tumor in digestive tract increasingly becomes the key factor for threatening human health, and surgical operation is undoubtedly and faced at present Bed treatment is early, the most effective means of mid-term tumor in digestive tract；Remaining reconstruction of digestive tract is that every operation must after primary affection excision The major issue that must be faced, coincide compared to conventional craft, at present using the reconstruction technique of the automatic stapler of Digective canal tubular, Because its is simple to operate, speed of coincideing is fast, quality of coincideing is high, postoperative complications are few, having become in domestic and international operative treatment is used for The technical way of reconstruction of digestive tract.And currently for the various of the gastrointestinal cancer patients such as the cancer of the esophagus, stomach cancer, colorectal cancer Stapler, no matter imported product or home products, is produced respectively according to the difference of stapler bore, each stapler Bore with its fixation, such as it is various sizes of identical that 24#, 26#, 30# stapler possesses 24mm, 26mm, 30mm etc. respectively Mouth diameter.But actual operation operation in clinician run into more actual conditions be the alimentary canal true diameter of patient often The size fixed with existing stapler differs larger, it is difficult to completed preferably to coincide completely with existing apparatus, different shaped is used repeatedly Number stapler is attempted not only to greatly increase medical treatment cost respectively in art is also unfavorable for operation safety, can only finally rely on doctor Experience and subjective judgement be that alimentary canal yet to be built selects a suitable coinciding machine relatively to complete reconstruction of digestive tract and coincide.

The content of the invention

Can not be completely the same so as to shadow in identical size with existing stapler in order to solve alimentary canal to be reconstructed in operation The problem of ringing therapeutic effect, the utility model provides one kind and possesses the freely adjustable function of identical bore, so that can be certainly The alimentary canal size to be reconstructed of body adjustable range endoadaptation difference patient therefore the novel enteron stapler for possessing versatility.

The utility model solves the technical scheme that its technical problem used：Tubular using traditional alimentary canal is similar to On the basis of coinciding machine, the structure at the identical end of redesign stapler handheld component and nail anvil end is coincide inside and outside together The heart justifies the double anastomosis staple of structural arrangement, and outermost layer sets 18 anastomosis staples, and internal layer also sets same number anastomosis staple, 18 kisses Dowel is evenly distributed in the nail kit of 6 1/6 arc structures, and each inside and outside layer of nail kit is comprising 3 anastomosis staples, inside and outside two layers The profile for carrying out particular design positioned at same nail kit and by using the art of this patent scheme ensures that 2 layers of anastomosis staple can realized Each anastomosis staple can be staggered and avoid overlapping on the premise of alimentary canal end end tissue completely coincide, it is ensured that quality of coincideing.Outside Layer anastomosis staple is designed as following closely tall and big in the high 0.8mm of internal layer nail, and the high differentiation design of such a inside and outside nail both ensure that internal layer was smaller Follow closely high anastomosis staple and can realize and tightly coincide, again can be because of the part caused by tissue squeezing after the high design alleviation of the higher nail of outer layer coincide Ischemic, enables previous anastomotic to be healed in shorter time, improves success rate of coincideing.Cutting blade is similarly divided into 6 1/6 circular arc knots Structure and on the inside of the internal layer anastomosis staple that closes on, is located in same nail kit, the joint of 6 cutting blades with same-phase anastomosis staple Overlap each other to ensure that all blades remain to be combined into a complete circular cutting body during identical nail kit diameter change.6 nails The outer rim of casket is equipped with the slide rail that along the circumferential direction height changes successively, and being used for diameter change in the outermost of nail kit for one is adjusted Rotating ring, the inner surface that rotating ring is contacted with nail kit is designed with the slide rail in opposite direction with nail kit slide rail height change, works as art When Chinese and foreign department doctor wishes to adjust identical size, by rotating the regulation ring at the identical end of stapler handheld component and nail anvil end, Regulation ring can by the slide rail of oneself height graded by the outer wood side-guide that centrality pressure is carried by nail kit conduct to Nail kit in itself, realizes the continuous dynamic adjustment for size of coincideing.When regulation ring at coincide end and nail anvil end is respectively positioned on " 0 " point, It is aligned with each other that both indicate for the red graduation mark of correction position and alignment respectively, can be used to check two ends to be anastomosed Whether align and with same diameter, also needed after ensureing that adjustment terminates when adjusting size by rotating the regulation ring at two ends in coincideing Two red graduation mark positions unanimously can just make the size at the identical end of handheld component and nail anvil end identical, can now press identical Handle carries out percussion to ensure to coincide successfully.

The beneficial effects of the utility model are：No matter the alimentary canal diameter of different patients has which kind of difference, Shu Zhejun in art The row anastomosis surgical procedure again that coincide after the Reasonable adjustment of end size can be carried out by using the universal stapler of the utility model, is made Final identical size reaches completely the same with people digest road full-size(d), overcome traditional stapler and use fixed The wide or narrow unfavorable situation of postoperative previous anastomotic caused by size, so that operation and treatment are truly realized " individuation " precisely Implement, not only largely improve operative effect and satisfaction rate, moreover it is possible to greatly reduce patient it is postoperative because coincide make a slip of the tongue What width was caused backflows or not smooth symptom is fed caused by narrow, and clinical effectiveness is notable.

Embodiment

After tumor in digestive tract is cut off in surgical procedure, reconstruction of digestive tract is carried out using the utility model, led in art Cross under blank state and connect stapler 7 and nail anvil 10 and adjust coincide end regulation ring 4 and nail anvil end regulation ring 5, slide rail 11 will Radial compression effect is produced to nail kit slide rail 12 during circular-rotation, therefore nail kit 14 drives end regulation ring of coincideing by synchronous 4 is radially contracted in the presence of external force, at the same cutting blade 13 and anastomosis staple 15 also can under the drive of nail kit it is synchronous radially Shrink until reach the degree matched with the actual alimentary canal diameter of patient, the regulation action process of nail anvil end regulation ring 5 and this It is identical.Now stop adjusting and checking whether respective alignment mark 19 is complete in identical end regulation ring 4 and nail anvil end regulation ring 5 Alignment, this is to ensure nail anvil and stapler normal work and two ends diameter identical important step, it is ensured that both sides alignment mark 19 The position of rear lock adjustment ring 4,5 is aligned completely and stapler 7 and nail anvil 10 is separated, and conventional method stitches the bundling type of nail anvil 10 Conjunction is fixed into near-end alimentary canal 20, and stapler main body 7 is implanted into distal end alimentary canal by otch and stapler 7 and nail is again coupled to Anvil 10, the distance of stapler 7 and nail anvil 10 is adjusted by rotary distance adjusting knob, the identical gap observation window 3 of observation Scale, when actual range reach ideal distance after stop the rotation, press coincide excite handle 6 carry out coincide percussion, after the completion of Stapler 7 and nail anvil 10 are exited by distal end alimentary canal 18, so far coincideing completes.

Specifically illustrate visible Figure of description page.Brief description of the drawings

Fig. 1 is the general structure schematic diagram of the universal digestive tract stapler of the utility model；

Fig. 2 is to illustrate schematic diagram to the transverse axis surface construction for the end diameter regulating device 4 that coincide in Fig. 1；

Fig. 3 is the explanation schematic diagram of the universal alimentary tract anastomosis utensil practical application of the utility model

Description of reference numerals

1. distance adjustment knob in figure, 2. power transmission bearing spiders, 3. identical gap observation windows, 4., which coincide, holds regulation rings and bullet Property join domain, 5. nail anvil end regulation rings, 6., which coincide, excites handle, 7. stapler main bodies, 8. inside power transmission bearings, and 9. nail anvils are slided Rail, 10. nail anvils and connection neck, 11. regulation ring slide rails, the outer wood side-guide of 12. nail kits, 13. cutting blades, 14. nail kits, 15. kisses Dowel, 16. support rings, 17. reseting spring leafs, 18. distal end alimentary canals, 19. regulation ring alignment marks, 20. near-end alimentary canals.

Claims (1)

1. a kind of universal digestive tract stapler, it is characterised in that：Including stapler main body and stapler nail anvil two parts, two The markings having in the regulation ring for stapler diameter adjustment, the regulation ring for recognizing alignment are provided with part, The interior survey of described two regulation rings is provided with highly gradient type slide rail can when rotation changes height to the nail kit again with slide rail Apply radial pressure, the nail kit be furnished with double-deck anastomosis staple and cutting blade in conjunction, most medial branch pushing out ring it is useful in Nail kit reset and the reseting spring leaf of fixation, anastomosis staple, which divides two layers, is evenly distributed in circumferential 6 particular designs Nail kit on, each nail kit accounts for 60 degree of phases of circumference together with activity space around, and outer layer staple height is greater than internal layer kiss Staple height 0.8mm, the difference in height of the anastomosis staple can ensure that the existing sufficient blood supply of previous anastomotic has tight stitching, institute again State nail anvil end by nail anvil slide rail and nail anvil carry connection neck be connected with stapler main body, the handle of the stapler main body End has knob to be used for the height for adjusting nail anvil slide rail by internal power transmission bearing, after the nail anvil connection neck is connected with slide rail Ensure just can not freely rotate after position registration in the safe distance that coincide so as to avoid nail from misplacing with anvil perforations, the stapler master Body side surface, which is provided with, to be used to observe the observation window of identical distance, available for identification nail anvil and distal end alimentary tract anastomosis end distance whether Interior in the identical distance of safety, the final rear height of coincideing of the anastomosis staple can realize the difference of different patients under window monitoring Change regulation, the identical firing handle can finally fire after the safeties release of power transmission bearing, send out anastomosis staple and complete Cutting, successfully realizes and coincide.