CN208784823U - The convertible stapler of abnormity - Google Patents

The convertible stapler of abnormity Download PDF

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Publication number
CN208784823U
CN208784823U CN201721855465.0U CN201721855465U CN208784823U CN 208784823 U CN208784823 U CN 208784823U CN 201721855465 U CN201721855465 U CN 201721855465U CN 208784823 U CN208784823 U CN 208784823U
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CN
China
Prior art keywords
resist
nailed seat
convertible
stapler
anastomosis
Prior art date
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Withdrawn - After Issue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
CN201721855465.0U
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Chinese (zh)
Inventor
林志雄
莫易凡
林聪杰
胡林锋
邱木旺
马盼盼
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.)
Shi Aide (xiamen) Medical Equipment Co Ltd
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Shi Aide (xiamen) Medical Equipment Co Ltd
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Publication date
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Priority to CN201721855465.0U priority Critical patent/CN208784823U/en
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Publication of CN208784823U publication Critical patent/CN208784823U/en
Withdrawn - After Issue legal-status Critical Current
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Abstract

The utility model relates to a kind of convertible staplers of abnormity, it includes nail bin, the resist-nailed seat component on front side of nail bin, control resist-nailed seat component along the driving assembly and anastomosis procedure component that nail bin central axis is flexible and rotates;The resist-nailed seat component includes flat-shaped resist-nailed seat, set on resist-nailed seat rear side and the circlip pipe being hinged with resist-nailed seat and the overturning trigger member being connected between resist-nailed seat and circlip pipe, and resist-nailed seat articulated shaft is parallel with resist-nailed seat short axle.The purpose of this utility model is to provide a kind of convertible staplers of abnormity, can effectively avoid the bad problem of the suture such as suture mouth fistula.Utility model has the advantages that resist-nailed seat uses flat-shaped design in the utility model, there are length differences for its long axis and short axle, overturn resist-nailed seat along short axle after the completion of suture, and its short axle is turned to the long axis position of seaming loop, smoothly resist-nailed seat can be deviate from, the tissue without scratching stitching.

Description

The convertible stapler of abnormity
Technical field
The utility model relates to medical instruments field, especially a kind of convertible stapler of abnormity.
Background technique
Stapler be medically using the equipment to substitute manual suture, main operational principle be using titanium nail to organize into Row detachment is coincide, and stapler is similar to.
It is frequently accompanied by the complication such as anastomotic leakage, bleeding in gastrointestinal stapler operation at present to occur, these complication Some are conditions of patients factors, also have greatly be stapler itself cutting stitching it is bad caused by.
Summary of the invention
The purpose of this utility model is to provide a kind of convertible staplers of abnormity, can effectively avoid the sutures such as suture mouth fistula Bad problem.
The purpose of this utility model is achieved through the following technical solutions: a kind of convertible stapler of abnormity, it include nail bin, Resist-nailed seat component, control resist-nailed seat component on front side of nail bin is along the driving assembly and kiss that nail bin central axis is flexible and rotates Closing operation component;The resist-nailed seat component includes flat-shaped resist-nailed seat, is hinged on rear side of the resist-nailed seat and with resist-nailed seat Circlip pipe and the overturning trigger member being connected between resist-nailed seat and circlip pipe, and resist-nailed seat articulated shaft is equal with resist-nailed seat short axle Row;The nail bin front end is equipped with several anastomosis staples pressed from anastomosis procedure Component driver to resist-nailed seat trailing flank, described to coincide It follows closely annular spread and forms seaming loop, and seaming loop long axis length is greater than resist-nailed seat minor axis length.
For the prior art, utility model has the advantages that
1. there are length differences using flat-shaped design, long axis and short axle for resist-nailed seat in the utility model, will after the completion of suture Resist-nailed seat is overturn along short axle, and its short axle is turned to the long axis position of seaming loop, can smoothly be deviate from resist-nailed seat, without scraping Hurt the tissue of stitching.
2. resist-nailed seat trailing flank is equipped with upper anastomosis ring, nail bin front end is equipped with lower anastomosis ring, and upper anastomosis ring and lower anastomosis ring are logical Anastomosis staple is crossed to fix, traditional stapler carries out tissue suture using metal suture nail, and the suture such as easy generation suture mouth fistula is bad etc. Problem, by the pressing suture of continuous anastomosis ring between organizing in the utility model, can solve tradition suture mouth fistula etc. suture it is bad Problem can reach preferable sewing effect.
Anastomosis ring, lower anastomosis ring and anastomosis staple are human body absorbable material on 3., and after organization healing, identical material can quilt Tissue absorbs.
Detailed description of the invention
Fig. 1 is a kind of structural schematic diagram of the convertible stapler embodiment of abnormity of the utility model.
Fig. 2 is the structural schematic diagram of resist-nailed seat component.
Fig. 3 is structural schematic diagram of the resist-nailed seat component along resist-nailed seat long axis direction cutting.
Fig. 4 is structural schematic diagram of the resist-nailed seat component along resist-nailed seat short-axis direction cutting.
Fig. 5 is the structural schematic diagram of resist-nailed seat.
Fig. 6 is the structural schematic diagram of central tube.
Fig. 7 is the structural schematic diagram of stop collar.
Fig. 8 is the structural schematic diagram of resilient snubber.
Fig. 9 is the operation principle schematic diagram (closed state) of the convertible stapler of abnormity.
Figure 10 is the operation principle schematic diagram (osculating, stitching state) of the convertible stapler of abnormity.
Figure 11 is the operation principle schematic diagram (will move out state) of the convertible stapler of abnormity.
Figure 12 is the structural schematic diagram that the convertible stapler of abnormity will move out state.
Figure 13 is the structural schematic diagram after tissue suture.
Figure 14 is the structural schematic diagram of anastomosis staple and upper and lower anastomosis ring matching relationship.
Label declaration: 1 nail bin, 2 resist-nailed seat components, 21 resist-nailed seats, 211 guide posts, 22 circlip pipes, 221 sliding pins, 23 limits Ring, 231 spacer pins, 232 top spleniums, 24 top striking jacks, 25 elastic anti-falling pieces, 26 resilient snubbers, 261 claw type elastic portions, 27 are turned over Turn before torsional spring, 28 knife washers, 3 driving assemblies, 31 guiding axis, 32 central tubes, 33 guiding grooves, 331 straightway behind straightway, 332, 333 spiral sections, 4 anastomosis procedure components, 5 anastomosis staples, anastomosis ring, 7 lower anastomosis rings, 8 tissues on 6.
Specific embodiment
The content of the present invention is described in detail with embodiment with reference to the accompanying drawings of the specification:
As Fig. 1 to 14 show a kind of embodiment schematic diagram of convertible stapler of abnormity provided by the utility model.
A kind of convertible stapler of abnormity, it includes nail bin 1, the resist-nailed seat component 2 set on 1 front side of nail bin, control to nail Holder assembly 2 is along the driving assembly 3 and anastomosis procedure component 4 that nail bin central axis is flexible and rotates;
The resist-nailed seat component 2 includes flat-shaped resist-nailed seat 21, is set to 21 rear side of resist-nailed seat and mutually cuts with scissors with resist-nailed seat 21 The circlip pipe 22 connect and the overturning trigger member being connected between resist-nailed seat 21 and circlip pipe 22, and 21 articulated shaft of resist-nailed seat with support 21 short axle of nail seat is parallel;
1 front end of nail bin drives the anastomosis staple pressed to 21 trailing flank of resist-nailed seat from anastomosis procedure component 4 equipped with several 5,5 annular spread of anastomosis staple forms seaming loop, and seaming loop long axis length is greater than 21 minor axis length of resist-nailed seat.
Resist-nailed seat 21 is using flat-shaped design (such as ellipse), the seaming loop and 21 trailing flank of resist-nailed seat that anastomosis staple 5 encloses Outer profile match, be similarly flat-shaped, there are length differences for the long axis and short axle of flat-shaped structure, by resist-nailed seat 21 after the completion of suture It is overturn along short axle, and the short axle of resist-nailed seat 21 is turned to the long axis position of seaming loop, can smoothly deviate from resist-nailed seat 21, without The tissue of stitching can be scratched.
The driving component 3 includes being plugged on the guiding axis 31 of 22 rear end of circlip pipe and being set in 22 peripheral side of circlip pipe Central tube 32;
32 side wall of central tube offers guiding groove 33, and the guiding groove 33 includes before extending along 32 direction of central tube Straightway 331, rear straightway 332 and the spiral section 333 being connected between preceding straightway 331 and rear straightway 332;The card The side wall of reed pipe 22 is equipped with the sliding pin 221 being located in guiding groove 33.
Preceding straightway 331, rear straightway 332 are used for controlling the distance between resist-nailed seat 21 and nail bin 1, spiral section 333 In the steering of control resist-nailed seat 21.
The overturning trigger member includes stop collar 23 and is pushed up stop collar 23 to front side by the driving of anastomosis procedure component 4 The top striking jack 24 pushed away;
Stop collar 23 is equipped with the spacer pin 231 protruded into circlip pipe 22, and is equipped between spacer pin 231 and circlip pipe 22 Elastic anti-falling piece 25;Guide post 211 is equipped on rear side of the resist-nailed seat 21, the sliding of stop collar 23 is set on guide post 211.
The elasticity anti-falling piece 25 is V-type spring, and V-type spring one end is fixed on 22 inner tubal wall of circlip pipe, other end press In 231 side wall of spacer pin, when spacer pin 231 is driven by top striking jack 24 is detached from circlip pipe 22, V-type spring restores elasticity, from 231 bottom of spacer pin is moved to by end, spacer pin 231 is prevented to be again introduced into circlip pipe 22.
When top striking jack 24 by stop collar 23 to front side pushing tow when, spacer pin 231 is detached from circlip pipe 22, and resist-nailed seat 21 can at this time It is overturn along articulated shaft.
Resilient snubber 26 is additionally provided between the stop collar 23 and resist-nailed seat 21.
The resilient snubber 26 is ring segment, and the ring segment periphery is equipped with several claw type elastic portions 261, the limit Ring 23 is equipped with the top splenium 232 cooperated with claw type elastic portion 261.
26 original state of resilient snubber is that several claw type elastic portions 261 are stretched out, and when osculating operates, stop collar 23 pushes bullet Property 26 overall deformation of bolster be permanent sheet.
In osculating, stitching operation, resist-nailed seat 21 and nail bin 1 are remained stationary, and resilient snubber 26 is arranged so that stop collar 23 have the shift length of opposite resist-nailed seat 21, guarantee the abjection of spacer pin 231, without influencing anastomosis procedure.
Overturning torsional spring 27 is additionally provided on articulated shaft between resist-nailed seat 21 and circlip pipe 22.
It overturns torsional spring 27 to be arranged so that after the disengaging circlip pipe 22 of spacer pin 231, resist-nailed seat 21 can automatic turning.
The top striking jack 24 is the cutting edge for cutting off excess tissue, and 23 trailing flank of stop collar is additionally provided with matches with cutting edge The knife washer 28 of conjunction.Above-mentioned setting is so that cutting edge can be completed at the same time osculating and trigger action.
In one embodiment, top striking jack 24 and cutting edge can be independently arranged, and respectively complete different operation, i.e. top striking jack 24 is complete At overturning trigger action, cutting edge completes excision excess tissue operation.
Top striking jack 24 and the ejector pin bar for pushing tow anastomosis staple 5 are relatively fixed, move synchronously.
The convertible stapler of abnormity further includes set on the upper anastomosis ring 6 of 21 trailing flank of resist-nailed seat and set on 1 front end of nail bin Lower anastomosis ring 7, upper anastomosis ring 6 and lower 7 corresponding matching of anastomosis ring, and lower anastomosis ring 7 is located at the seaming loop that anastomosis staple 5 encloses On;The upper anastomosis ring 6 and lower anastomosis ring 7 are made of human body absorbable material.Anastomosis staple 5 is equally also human body absorbable material It is made.
Traditional stapler carries out tissue suture only with anastomosis staple, and there are gap between anastomosis staple, sewing effect is undesirable. The utility model cooperates 5 mode of anastomosis staple using upper anastomosis ring 6 and lower anastomosis ring 7, is pressed between tissue by continuous anastomosis ring, There is no above-mentioned suture gaps, and then reach preferable sewing effect.
Above-mentioned suture way, upper anastomosis ring 6, lower anastomosis ring 7 and anastomosis staple 5 form one, and resist-nailed seat is taken off using traditional It from mode, is easy to pull entire suture site, so that wound is torn, the abnormity overturning structure design of resist-nailed seat 21 can be effective gram Take the abjection problem that anastomosis ring mode sutures.
Several through-holes for holding anastomosis staple 5 and passing through of corresponding distribution in the upper anastomosis ring 6 and lower anastomosis ring 7.
Traditional anastomosis staple is generally " u "-shaped nail, and suture principle is similar to stapler.Bar shaped can be directlyed adopt in the application Staple is passed through when suture and corresponds to through-hole in anastomosis ring fixation can be realized by nail.
The overall more curved surfaces of upper anastomosis ring 6 and lower 7 structure of anastomosis ring, can be poroid, netted.After organization healing, kiss can be improved The infiltration rate of cyclization.
The periphery of knife washer 28 is equipped with annular nosing, and the inner circumferential side of upper anastomosis ring 6 is set to mutually matched with annular nosing Groove, the outer of resist-nailed seat 21 are equipped with annular lip, and annular lip is discontinuous lip, and upper anastomosis ring 6 is fastened on annular lip Between annular nosing.
1 front end outer of nail bin is equipped with continuous lip, and lower anastomosis ring 7 is located in continuous lip.
The upper anastomosis ring 6 and lower anastomosis ring 7 be it is flat-shaped, be put together for monoblock type or by several segmental arcs.Or Lower anastomosis ring 7 and anastomosis staple 5 are also made of one formula by person.
31 rear end of guiding axis of driving assembly 3 is equipped with screw thread, anastomat tail be equipped with the adjusting nut that is threadedly engaged, lead to Crossing rotation adjusting nut can control the elastic of guiding axis 31.
Guiding axis 31 is rotatably connected on 22 rear end of circlip pipe.
The convertible stapler operating process of abnormity is as follows:
1. taking out resist-nailed seat component 2, upper 6 clamping of anastomosis ring is placed in group in 21 trailing flank of resist-nailed seat, and by resist-nailed seat 21 It knits in pocket;Lower 7 clamping of anastomosis ring is placed in tissue pocket in the storehouse lip of nail bin 1.
2. adjusting nut to the guiding axis 31 for rotating anastomat tail stretches out nail bin 1, guiding axis 31 is inserted into resist-nailed seat group 22 rear end of circlip pipe on part 2 is pulled circlip pipe 22 in central tube 32 by guiding axis 31, the sliding pin on circlip pipe 22 221 under the constraint of guiding groove 33, and resist-nailed seat component 2 is driven to rotate into nail bin 1;
During this, resist-nailed seat component 2 is successively realized: 1. being moved along a straight line;2. straight line accompanying rotation moves;3. moving along a straight line;
1. 21 long axis of resist-nailed seat is parallel with 1 short axle of nail bin in linear motion;2. in straight line accompanying rotation motion process 21 long axis of resist-nailed seat is rotated to parallel with 1 long axis of nail bin, during which synchronizes the linear motion of resist-nailed seat component 2;Rotation adjusts spiral shell Mother, until resist-nailed seat 21 and nail bin 1 are closed, upper anastomosis ring 6 and lower 7 grip tissue of anastomosis ring.
3. controlling anastomosis procedure component 4, driving ejector pin bar pushes anastomosis staple 5, and the pointed portion of 5 front end of anastomosis staple is smoothly worn Cross down anastomosis ring 7, tissue, into upper anastomosis ring 6, the pointed portion of 5 front end of anastomosis staple shift onto after resist-nailed seat 21 pressed it is blunt, will not Stab skin;
During this, cutting edge cuts off tissue simultaneously, and pushes 23 forward end of stop collar mobile, and stop collar 23 is pressed on to nail Claw type elastic portion 261 on seat 21 on built-in resilient snubber 26, until claw type elastic portion 261 and 21 bottom surface of resist-nailed seat are neat Flat, spacer pin 231 is detached from circlip pipe 22, and V-type spring restores elasticity, and free end is moved to 231 bottom of spacer pin, prevents limit Pin 231 is again introduced into circlip pipe 22, and when cutting edge is withdrawn and after retracting, spacer pin 231 is restricted to outside circlip pipe 22, above-mentioned Movement synchronously completes during osculating, two gasket stitchings.
4. after excitation, rotating adjusting nut controls guiding axis 31 and stretches out, and circlip pipe 22 drives resist-nailed seat 21 at center It successively realizes in pipe 32: 3. moving along a straight line;2. straight line accompanying rotation moves;1. moving along a straight line, the above process is inverse in step 2 Process, wherein 3. linear motion in increase resist-nailed seat 21 along its short axle flip-flop movement (spacer pin 231 be detached from circlip pipe 22, Overturning torsional spring 27 drives resist-nailed seat 21 to overturn);After exiting, nail is supported in the overturning of resist-nailed seat 21 to state as depicted in figs. 11-12 The short axle of seat 21 is parallel with 1 long axis of nail bin, and the long axis and 1 long axis of nail bin of resist-nailed seat 21 are near normal state.
5. stapler and resist-nailed seat component 2 can be easily from stitching and the engaging tissue rings of osculating at this time after completing step 4 In exit, terminate coincide work.

Claims (10)

1. a kind of convertible stapler of abnormity, it is characterised in that: it includes nail bin (1), the resist-nailed seat group on front side of nail bin (1) Part (2), control resist-nailed seat component (2) are along the driving assembly (3) and anastomosis procedure component that nail bin central axis is flexible and rotates (4);
The resist-nailed seat component (2) include flat-shaped resist-nailed seat (21), be set to resist-nailed seat (21) on rear side of and with resist-nailed seat (21) phase Mutual hinged circlip pipe (22) and the overturning trigger member being connected between resist-nailed seat (21) and circlip pipe (22), and resist-nailed seat (21) articulated shaft is parallel with resist-nailed seat (21) short axle;
Nail bin (1) front end drives what is pressed to resist-nailed seat (21) trailing flank to coincide equipped with several from anastomosis procedure component (4) It follows closely (5), anastomosis staple (5) annular spread forms seaming loop, and seaming loop long axis length is greater than resist-nailed seat (21) minor axis length.
2. the convertible stapler of abnormity according to claim 1, it is characterised in that: the driving component (3) includes planting Circlip pipe (22) rear end guiding axis (31) and be set in the central tube (32) of circlip pipe (22) peripheral side;
Central tube (32) side wall offers guiding groove (33), and the guiding groove (33) includes extending along central tube (32) direction Preceding straightway (331), rear straightway (332) and the spiral being connected between preceding straightway (331) and rear straightway (332) Section (333);The side wall of the circlip pipe (22) is equipped with the sliding pin (221) being located in guiding groove (33).
3. the convertible stapler of abnormity according to claim 1, it is characterised in that: the overturning trigger member includes stop collar (23) and by anastomosis procedure component (4) driving by stop collar (23) to the top striking jack (24) of front side pushing tow;
Stop collar (23), which is equipped with, protrudes into spacer pin (231) in circlip pipe (22), and spacer pin (231) and circlip pipe (22) it Between be equipped with elastic anti-falling piece (25);Guide post (211) are equipped on rear side of the resist-nailed seat (21), stop collar (23) sliding is set to guide post (211) on.
4. the convertible stapler of abnormity according to claim 3, it is characterised in that: the stop collar (23) and resist-nailed seat (21) resilient snubber (26) are additionally provided between.
5. the convertible stapler of abnormity according to claim 4, it is characterised in that: the resilient snubber (26) is annular Piece, the ring segment periphery are equipped with several claw type elastic portions (261), and the stop collar (23) is equipped with and claw type elastic portion (261) top splenium (232) cooperated.
6. the convertible stapler of abnormity according to claim 3, it is characterised in that: resist-nailed seat (21) and circlip pipe (22) it Between articulated shaft on be additionally provided with overturning torsional spring (27).
7. the convertible stapler of abnormity according to claim 3, it is characterised in that: the top striking jack (24) is for cutting off The cutting edge of excess tissue, stop collar (23) trailing flank are additionally provided with the knife washer (28) with cutting edge cooperation.
8. the convertible stapler of abnormity described in -7 any one according to claim 1, it is characterised in that: it further includes being set to support The upper anastomosis ring (6) of nail seat (21) trailing flank and the lower anastomosis ring (7) for being set to nail bin (1) front end, upper anastomosis ring (6) and lower kiss Cyclization (7) corresponding matching, and lower anastomosis ring (7) is located on the seaming loop that anastomosis staple (5) encloses;
The upper anastomosis ring (6) and lower anastomosis ring (7) are made of human body absorbable material.
9. the convertible stapler of abnormity according to claim 8, it is characterised in that: the upper anastomosis ring (6) and it is lower coincide Several through-holes for holding anastomosis staple (5) and passing through of corresponding distribution on ring (7).
10. the convertible stapler of abnormity according to claim 9, it is characterised in that: the upper anastomosis ring (6) and it is lower coincide Ring (7) be it is flat-shaped, monoblock type or to be put together by several segmental arcs.
CN201721855465.0U 2017-12-26 2017-12-26 The convertible stapler of abnormity Withdrawn - After Issue CN208784823U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201721855465.0U CN208784823U (en) 2017-12-26 2017-12-26 The convertible stapler of abnormity

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721855465.0U CN208784823U (en) 2017-12-26 2017-12-26 The convertible stapler of abnormity

Publications (1)

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CN208784823U true CN208784823U (en) 2019-04-26

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CN201721855465.0U Withdrawn - After Issue CN208784823U (en) 2017-12-26 2017-12-26 The convertible stapler of abnormity

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108143458A (en) * 2017-12-26 2018-06-12 施爱德(厦门)医疗器材有限公司 The convertible stapler of abnormity
CN108143458B (en) * 2017-12-26 2024-04-30 施爱德(厦门)医疗器材有限公司 Special-shaped overturning type anastomat

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108143458A (en) * 2017-12-26 2018-06-12 施爱德(厦门)医疗器材有限公司 The convertible stapler of abnormity
CN108143458B (en) * 2017-12-26 2024-04-30 施爱德(厦门)医疗器材有限公司 Special-shaped overturning type anastomat

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Granted publication date: 20190426

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