CN209360787U - A kind of bracing wire auxiliary device for circular staplers - Google Patents
A kind of bracing wire auxiliary device for circular staplers Download PDFInfo
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- CN209360787U CN209360787U CN201821822371.8U CN201821822371U CN209360787U CN 209360787 U CN209360787 U CN 209360787U CN 201821822371 U CN201821822371 U CN 201821822371U CN 209360787 U CN209360787 U CN 209360787U
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- bracing wire
- connector sleeve
- auxiliary device
- wire connector
- circular staplers
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Abstract
The utility model provides a kind of bracing wire auxiliary device for stapler, it is used in anus hemorrhoid anastomosis operation, for assisting circular staplers, by the structure that can fix bracing wire, it solves operative doctor and the non-uniform technical problem of pulling force is applied to bracing wire in the course of surgery, and can reduce the burden of operative doctor finger.
Description
Technical field
The utility model relates to a kind of auxiliary devices of surgical operating instrument, particularly for one kind of anus hemorrhoid anastomosis operation
The bracing wire auxiliary device of stapler.
Background technique
Anal and bowel pile is commonly called as hemorrhoid, is the distinctive common disease of the mankind, frequently-occurring disease.Show anus according to related reconnaissance information
The disease incidence of recial disease is 59.1%, and hemorrhoid account for 87.25% in all anorectal diseases, and wherein most commonly seen with internal piles,
Account for the 52.19% of all anorectal diseases.Men and women can fall ill, and the disease incidence of women is 67%, and the disease incidence of male is 53.9%,
Any age can all fall ill, and gradually aggravate with the increase at age, therefore it is said that nine out ten suffer from hemorrhoids.General operative treatment includes
The traditional operations such as desmurgia, Barron ligation, hemorrhoid resection and anastomosis method.
In hemorrhoid resection and anastomosis method, there is a kind of referred to as PPH operation method, i.e., glued in hemorrhoid with the help of tubular stapler
Film procedure.Its principle is: in the case where retaining anus pad hoc scenario, by mucous membrane, submucosa tissue circular resection in internal piles and hemorrhoid
About 3-4cm, while the both ends that coincide reach while blocking hemorrhoid supply vascular flow by the upward Suspending fixation of tissue of slippage
Purpose the anorectal region of pathological state is restored to normal anatomic status.Have with PPH operative treatment severe hemorrhoids
Mitigate postoperative pain.
PPH operation in, using common Anus piles anastomat, in clinical operation application process, when with pocket pinhock prick anus
After road mucous membrane simultaneously completes ligation pocket, it is necessary to using hook line needle by the slit-like through-holes that are located on osculating casing outer circle wall,
The surgical thread for ligaturing pocket is drawn to osculating casing, then pull purse wire by the anal passage mucous membrane with haemorrhoids draw into
Osculating head member inner cavity, property completes the excision of anus hemorrhoid and anastomosis operation again after.
In order to realize this purpose, a kind of anastomosis ring applicator is disclosed in United States Patent (USP) 6102271, in one, head
Empty nail barrel.It is located near its rod handle through-hole there are two opening on the side of hollow nail barrel.Through-hole make purse string suture line thus to
It is pierced by outside.Therefore the suture can be pulled to outside hollow nail barrel above, to the mucous membrane of volume as big as possible be drawn in hollow
In nail barrel.Then, mucous membrane is cut off by the annular blade being fixed on nail barrel edge.At the same time, the axis being arranged in nail barrel moves
Dynamic hammering block applies suturing nail, and hammering block is on the end that hollow nail barrel adjacent edges are fixed on axis.However, the kiss of above structure
There are such problems for clutch: operative doctor needs rule of thumb to extend to from hollow nail barrel in operative process
Suture apply pullout forces, during pullling, suture is wound on the finger of operative doctor, certain discomfort can be generated, and
Since a hand needs to carry out anastomosis procedure, suture can only be pullled using one hand, will lead to tissue and pull in the intracorporal part of cylinder
Unevenly.It can cause directly to adversely affect to the quality of the speed and operation of completing operation in this way, and this adverse effect
It is sometimes very serious.For this purpose, operative doctor needs a kind of novel auxiliary device, solve to draw for cooperating Anus piles anastomat
The technical issues of line generates.
Summary of the invention
The utility model provides a kind of bracing wire auxiliary device for circular staplers, is used in anus hemorrhoid anastomosis operation,
For assisting circular staplers, by the way that the structure of bracing wire can be fixed, solves operative doctor and bracing wire is applied in the course of surgery
The non-uniform technical problem of pulling force, and can reduce the burden of operative doctor finger.The technical solution of the utility model is this
What sample was realized:
The bracing wire auxiliary device that stapler is used in operation is cut in anus hemorrhoid, wherein stapler includes the nail anvil of distalmost end, nail
Anvil section is circle, and overall appearance is mushroom, and nail anvil is fixedly connected with center-pole, and center-pole passes through nail bin, and nail bin is hollow
Structure, for accommodating the tissue being drawn into, the staple hole of nail bin is arranged along nail bin circumference uniform distribution, and nail bin cross section is annulus,
Outer diameter, which is connected smoothly, outer tube, and outer tube proximal end is connected with handle casing, and handle casing is with outer tube coupling part
Outer surface is also cylinder, and the other end is then equipped with actuation handle.There is on the inside of nail bin hollow portion, have on the outside of nail bin uniformly distributed more
A bracing wire hole, generally 2-6, preferably 4, hollow portion is connected with bracing wire hole, after more bracing wires connect tissue, by group
The hollow portion for pulling in nail bin is knitted, bracing wire is then pulled out from bracing wire hole.
Bracing wire auxiliary device includes bracing wire connector sleeve, for connecting the bracing wire stretched out from bracing wire hole, bracing wire connector sleeve with
Many different forms are set on stapler, and under normal circumstances, bracing wire connector sleeve is at least partly set in outer tube sleeve or hand
On handle shell.Specifically, bracing wire connector sleeve can be cyclic structure, it is set on outer tube, can be fixed with respect to outer tube, more
Good selection is can to slide with respect to outer tube, and such doctor can control the tightness of bracing wire as usual, thus control group
Knit the degree for pulling in hollow structure；And due to the presence of bracing wire connector sleeve, doctor can not have to directly catch on bracing wire with finger, from
And reduce the damage of finger.Under normal circumstances, the outer diameter of the distal end of handle casing is greater than the outer diameter of outer tube sleeve, draws in order to prevent
Line connector sleeve falls off, and the size of the minimum position of its internal diameter can be set as to the outer diameter more than or equal to outer tube and be less than handle
The outer diameter of shell distal end.If the minimum diameter position of bracing wire connector sleeve is the bracing wire at the middle part or top of bracing wire connector sleeve
When connector sleeve is located at lowermost position, part is set on outer tube, and another part is set on the distal end of handle casing.It is real
A kind of existing method is to set step in bracing wire fixing sleeve middle inside, the inner ring diameter of step is more than or equal to the outer diameter of outer tube
And it is less than the outer diameter of handle casing distal end.
Further, fixed bracing wire, bracing wire connector sleeve have at least one bracing wire fixed part for convenience.
Bracing wire fixed part can be set to more universal in the hook being uniformly arranged along bracing wire connector sleeve periphery, doctor general
Bracing wire is set on hook after being knotted into coil respectively, can be relatively fixed by bracing wire on hook by tying up for winding.
Another method is that bracing wire fixed part is specially the bracing wire fixed block uniformly distributed along bracing wire connector sleeve outer shaft, and bracing wire is solid
Determining block inner surface is inclined-plane, and at least one section of the distance of bracing wire fixed block inner surface to housing tube outer surface is become by proximate
Small, setting in this way, during the winding process, due to the gradient of bracing wire fixed block inner surface, bracing wire is clamped on interior for bracing wire
In the slope of side, the frictional force provided is bigger, is more easier fixed bracing wire.Bracing wire fixed block distal end also has wire casing, cooperation
Coiling is more convenient.
It in order to facilitate doctor's gripping, is equipped in the lower end of bracing wire fixing sleeve and holds convex block, held convex block and be equipped with surface radian,
So that holding, feeling is better.Bracing wire fixed block and gripping convex block can also be can be integrated, while realize fixed bracing wire and gripping.
Bracing wire connector sleeve can be integrated molding, before stapler assembly, first be set on outer tube, then install shell
Handle can also be considered as the configuration of easy disassembly.
The configuration of easy disassembly specifically has following several forms:
In the first configuration, bracing wire connector sleeve is made of first shell and second shell, and first shell and second shell can
It is fixedly connected by connection buckle.During installation, two shells are merged on outer tube, it is relatively fixed by connection buckle,
It only needs to unlock connection buckle when disassembly.
In second in configuration, bracing wire connector sleeve is made of elastic material, and bracing wire connector sleeve has from distalmost end to most proximal end
One run through surfaces externally and internally crack, C font lantern ring.When installation, bracing wire connector sleeve is broken into two with one's hands to more than housing along crack
The size of pipe outside diameter is packed into, and bracing wire connector sleeve is replied under the effect of elasticity, is stuck on outer tube.It is broken into two with one's hands again i.e. when disassembly
It can.
Above technical scheme is used, the utility model has the following beneficial effects:
(1) by pulling bracing wire auxiliary device after doctor ties up bracing wire on bracing wire auxiliary device, instead of previous direct
By the way of finger bracing wire, damage of the bracing wire to doctor's finger is reduced.
(2) bracing wire auxiliary device is equipped with the anchorage shoe that is evenly arranged, is separately connected and pulls out in corresponding outlet hole
Bracing wire, so that each section can uniformly pull in nail bin hollow space when tissue drop-down.
Detailed description of the invention
Attached drawing 1 is that the utility model bracing wire auxiliary device is assemblied in the structural schematic diagram on stapler；
Attached drawing 2 is the utility model bracing wire connecting jacket structure schematic diagram；
Attached drawing 3 is the front view after the utility model bracing wire connector sleeve is radially splitted；
The structural schematic diagram that buckle unclamps before attached drawing 4 is the assembly of the utility model bracing wire connector sleeve.
Specific embodiment
Corresponding appended drawing reference indicates corresponding component in the drawings.The utility model shows this reality in one form
With novel preferred embodiment, and such embodiment should be construed as in no instance to the utility model model
The limitation enclosed.It will be appreciated by those skilled in the art that the device and method be described in detail and be shown in the accompanying drawings herein are non-limits
The exemplary embodiment of property processed, and the range of the various embodiments of the utility model is limited only by claim.
A kind of feature that exemplary embodiment shows and describes can be in conjunction with the feature of other embodiment, it is intended that repairs such
Change and variation includes in the scope of the utility model.
The utility model provides a kind of bracing wire auxiliary device for circular staplers, is used in anus hemorrhoid anastomosis operation,
For assisting circular staplers, by the way that the structure of bracing wire can be fixed, solves operative doctor and bracing wire is applied in the course of surgery
The non-uniform technical problem of pulling force, and can reduce the burden of operative doctor finger.The utility model specific embodiment is as follows:
As shown in Figs 1-4, the bracing wire auxiliary device in operation for stapler is cut in anus hemorrhoid, wherein stapler includes most
The nail anvil 1 of distal end, 1 section of nail anvil are circle, and overall appearance is that 2 nail anvil of mushroom is fixedly connected with center-pole 2, and 2 bar of center is worn
Nail bin 3 is crossed, nail bin 3 is hollow structure, and for accommodating the tissue being drawn into, the staple hole of nail bin 3 is set along 3 circumference uniform distribution of nail bin
It sets, 3 cross section of nail bin is annulus, and outer diameter, which is connected smoothly, outer tube 4, and 4 proximal end of outer tube is connected with handle casing 5,
Handle casing 5 and 4 coupling part of outer tube are that outer surface is also cylinder, and the other end is then equipped with actuation handle 6.3 inside of nail bin
With hollow portion 31, there are uniformly distributed multiple bracing wire holes 32 on the outside of nail bin 3, is 4 in the present embodiment, hollow portion 31 and bracing wire hole
32 are connected, and after more bracing wires connect tissue, pull tissue into the hollow portion 31 of nail bin 3, bracing wire is then drawn from bracing wire hole 32
Out.
Bracing wire auxiliary device includes bracing wire connector sleeve 7, for connecting the bracing wire stretched out from bracing wire hole, bracing wire connector sleeve 7
It is set on stapler with many different forms, in the present embodiment, bracing wire connector sleeve 7 is cyclic structure, is set in outer tube 4
On, it can be slided with respect to outer tube 4, the outer diameter of the distal end of handle casing 5 is greater than the outer diameter of outer tube sleeve 4, and bracing wire connects in order to prevent
Female connector 7 falls off, and internal diameter least part is greater than the outer diameter of outer tube 4 and is less than the outer diameter of the distal end of handle casing 5.Wherein most
The position of small internal diameter this at middle part, step is made of 71 outer surface of connection buckle, bracing wire connector sleeve 7 is stopped to fall off.
Further, fixed bracing wire, bracing wire connector sleeve 7 are provided with bracing wire fixed part for convenience.
By attached drawing 3 as it can be seen that bracing wire fixed part is specially the 4 bracing wire fixed blocks 72 uniformly distributed along 7 outer shaft of bracing wire connector sleeve, draw
72 inner surface of line fixed block is inclined-plane, and at least one section of the distance of 72 inner surface of bracing wire fixed block to housing tube outer surface by proximal end
To distally becoming smaller, setting in this way, bracing wire during the winding process, due to the gradient of 72 inner surface of bracing wire fixed block, bracing wire
It is clamped in the slope of inside, the frictional force provided is bigger, is more easier fixed bracing wire.72 distal end of bracing wire fixed block also has
There is wire casing 73, cooperation coiling is more convenient.
In another embodiment, bracing wire fixed part can be set to more universal uniformly distributed along bracing wire connector sleeve periphery
The hook of setting, doctor are set on hook after bracing wire is knotted into coil respectively, can be incited somebody to action on hook by tying up for winding
Bracing wire is relatively fixed.
It in order to facilitate doctor's gripping, is equipped in the lower end of bracing wire fixing sleeve 7 and holds convex block 74, held convex block and be equipped with arcing surface
Degree, so that holding, feeling is better.
In other embodiments, bracing wire fixed block can not also be set, bracing wire fixed block and gripping convex block can be set as one
Body, while realizing fixed bracing wire and gripping.
Bracing wire connector sleeve can be integrated molding, before stapler assembly, first be set on outer tube, then install shell
Handle can also be considered as the configuration of easy disassembly.In the present embodiment, to be divided into two-part detachable structure.Specific configuration
For bracing wire connector sleeve 7 is made of first shell 75 and second shell 76, and first shell 75 and second shell 76 can pass through connection card
Button 71 is fixedly connected.During installation, two shells are merged on outer tube, it is relatively fixed by connection buckle 71, when disassembly
It only needs to unlock connection buckle 71.
Referring to attached drawing 4, before the assembly of bracing wire connector sleeve 7, need to open buckle 71, bracing wire connector sleeve 7 may be split into the
One shell 75 and second shell 76, will be in the clamping installation to outer tube sleeve of bracing wire connector sleeve 7 to facilitate.
In another embodiment, bracing wire connector sleeve is made of elastic material, and bracing wire connector sleeve is from distalmost end to most proximal end
With one run through surfaces externally and internally crack, C font lantern ring.When installation, bracing wire connector sleeve broken into two with one's hands along crack to more than
The size of housing pipe outside diameter is packed into, and bracing wire connector sleeve is replied under the effect of elasticity, is stuck on outer tube.It is broken again when disassembly
It opens.
As described above, we are illustrated fully according to the objective of the utility model, but the utility model not limits to
In above-described embodiment and implementation method.The range that the practitioner of correlative technology field can permit in the technical idea of the utility model
It is interior to carry out different variation and implementation.
Claims (8)
1. a kind of bracing wire auxiliary device for circular staplers, the stapler includes nail anvil, center-pole, nail bin, outer tube sleeve,
Handle casing, actuation handle；The center-pole connects the nail anvil and passes through the nail bin；Have on the inside of the nail bin hollow
Portion, the nail bin outside have bracing wire hole, and the hollow portion is connected with the bracing wire hole；
It is characterized in that, the bracing wire auxiliary device includes bracing wire connector sleeve, the bracing wire connector sleeve is at least partly set in
In the outer tube sleeve or the handle casing, the bracing wire connector sleeve has at least one bracing wire fixed part.
2. a kind of bracing wire auxiliary device for circular staplers according to claim 1, which is characterized in that the bracing wire
Connector sleeve can be mobile relative to the outer tube sleeve or the handle casing.
3. a kind of bracing wire auxiliary device for circular staplers according to claim 1, which is characterized in that the bracing wire
Fixed part is specially to be located at the hook being uniformly arranged along bracing wire connector sleeve periphery.
4. a kind of bracing wire auxiliary device for circular staplers according to claim 1, which is characterized in that the bracing wire
Fixed part is specially the bracing wire fixed block uniformly distributed along bracing wire connector sleeve outer shaft, and the bracing wire fixed block inner surface is inclined-plane, described
At least one section of distance of bracing wire fixed block inner surface to housing tube outer surface is become smaller by proximate.
5. a kind of bracing wire auxiliary device for circular staplers according to any one of claims 1-4, feature exist
In minimum diameter is more than or equal to the outer diameter of the outer tube sleeve and is less than the handle casing distalmost end on the inside of the bracing wire connector sleeve
Outer diameter.
6. a kind of bracing wire auxiliary device for circular staplers according to any one of claims 1-4, feature exist
In bracing wire connector sleeve outer surface, which is equipped with, holds convex block.
7. a kind of bracing wire auxiliary device for circular staplers according to any one of claims 1-4, feature exist
In the bracing wire connector sleeve is made of first shell and second shell, and first shell and second shell can be solid by connection buckle
Fixed connection.
8. a kind of bracing wire auxiliary device for circular staplers according to any one of claims 1-4, feature exist
In the bracing wire connector sleeve is made of elastic material, and the bracing wire connector sleeve has one to run through inside and outside from distalmost end to most proximal end
The crack on surface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821822371.8U CN209360787U (en) | 2018-11-06 | 2018-11-06 | A kind of bracing wire auxiliary device for circular staplers |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821822371.8U CN209360787U (en) | 2018-11-06 | 2018-11-06 | A kind of bracing wire auxiliary device for circular staplers |
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| CN209360787U true CN209360787U (en) | 2019-09-10 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109276286A (en) * | 2018-11-06 | 2019-01-29 | 苏州法兰克曼医疗器械有限公司 | A kind of bracing wire auxiliary device for circular staplers |
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2018
- 2018-11-06 CN CN201821822371.8U patent/CN209360787U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109276286A (en) * | 2018-11-06 | 2019-01-29 | 苏州法兰克曼医疗器械有限公司 | A kind of bracing wire auxiliary device for circular staplers |
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