CN209751137U - Suturing nail forming part and surgical anastomat - Google Patents

Abstract

A suturing nail forming part and a surgical anastomat are provided, the suturing nail forming part comprises a body extending along the longitudinal direction, the body is provided with a forming surface, a plurality of forming parts are formed by respectively sinking downwards from the forming surface, and each forming part comprises a forming groove; the molding groove comprises a first molding groove, and the first molding groove comprises a first side wall and a second side wall; the lateral distance between at least a portion of the first sidewall and at least a portion of the second sidewall gradually decreases in a downward direction. The utility model discloses guide to suturing the nail by first, second lateral wall, it follows the downward direction and gets into first shaping groove to be convenient for sew the nail to improve the shaping effect.

Description

Suturing nail forming part and surgical anastomat

Technical Field

The utility model relates to a surgical operation device especially relates to a sew up nail formed part and surgery anastomat, belongs to the medical instrument field.

Background

various surgical anastomats and endoscopic surgical anastomats are used for replacing the needle-thread freehand suture operation in the surgical operation, are widely used for suturing human digestive tract organs, respiratory tract organs and urogenital organs in the surgical operation, can reduce the operation time and improve the operation quality.

The components of the stapling mechanism of the surgical stapler include: a nail bin component and a nail anvil component. The nail bin assembly comprises a nail bin, a nail bin frame for containing the nail bin, a nail pushing block, a suturing nail and a cutting knife, wherein the nail pushing block, the suturing nail and the cutting knife are installed in the nail bin, and the cutting knife can be installed according to the use requirement. The nail anvil component comprises a nail anvil and a nail anvil frame for accommodating the nail anvil, and the suturing nail forming grooves are arranged on the end surface of the nail anvil and correspond to the suturing nail positions in the nail bin. In use of the surgical stapler, the closure mechanism is operated to achieve a desired clamping thickness between the anvil and the staple cartridge in order to clamp tissue to be stapled between the anvil and the staple cartridge. After the sutured tissue is clamped, the firing mechanism can be operated to push out the suturing nails in the nail bin, so that the purpose of suturing the tissue is achieved. For the operation needing to cut the sutured tissue, the cutting knife can be pushed out to cut the clamped tissue to be sutured while the firing mechanism is operated to push out the suturing nails in the nail bin, and the surgical knife can also be used for cutting the sutured tissue. Upon completion of the stapling operation, the closure mechanism is operated to release the stapled tissue for withdrawal of the surgical stapler. The suturing mechanism of the surgical stapler has the following functions in the using process of the surgical stapler: the tissue to be sutured is clamped between the nail anvil and the nail bin, and then the suturing nail is pushed out from the nail bin and penetrates through the clamped tissue to be sutured to directly abut against the suturing nail forming groove on the nail anvil, so that the U-shaped suturing nail is bent into a B shape, and the purpose of suturing the tissue is achieved.

FIG. 1 is a schematic view of a prior art anvil. As shown in fig. 1, the anvil 10 has a body 11, the body 11 has a forming surface 12, a plurality of forming portions 13 are disposed on the forming surface 12, each forming portion 13 includes two forming recesses 14, a spacing portion 15 is disposed between the two forming recesses 14, and the spacing portion 15 makes the two forming recesses 14 independent from each other. The molding recess 14 has an opening 141, the opening 141 having a uniform width W1, W1 being about 0.9 mm; the staples (not shown) are inserted into the forming recess 14 from the opening 141 and bent. However, the conventional staple has a leg diameter of 0.2 mm, and since the difference in size between the two is significant, the staple tends to shake and is not formed well when it is bent and formed in the forming dented portion 14.

In view of the above, the present invention provides a new suturing nail forming member (or nail anvil) to improve the problem of poor forming of suturing nails in the forming concave portion.

SUMMERY OF THE UTILITY MODEL

The utility model aims to provide a novel sew up nail formed part and surgery anastomat thereof, set up to two big centre little by the shaping portion that will sew up the nail formed part to solve and sew up the nail and because of rocking the not good problem of shaping that causes in the shaping recess when bending forming. The utility model discloses a following technical scheme realizes:

A suturing nail forming piece comprises a body extending along the longitudinal direction, wherein the body is provided with a forming surface, a plurality of forming parts are formed by respectively sinking downwards from the forming surface, and each forming part comprises a forming groove; the molding groove comprises a first molding groove, and the first molding groove comprises a first side wall and a second side wall; a lateral distance between at least a portion of the first sidewall and at least a portion of the second sidewall gradually decreases in a downward direction.

Further, each forming part comprises a spacing part and two forming grooves, and the spacing part is located between the two forming grooves.

Furthermore, each forming groove further comprises a second forming groove, the second forming groove is communicated with the first forming groove, and the second forming groove is arranged between the first forming groove and the spacing part; wherein the second forming groove comprises a third sidewall and a fourth sidewall.

further, a lateral distance between at least a portion of the third sidewall and at least a portion of the fourth sidewall is less than or equal to a minimum of a lateral distance between at least a portion of the first sidewall and at least a portion of the second sidewall.

Further, a lateral distance between at least a portion of the first sidewall and at least a portion of the second sidewall is less than or equal to 0.9 millimeters and greater than or equal to 0.2 millimeters.

Further, a lateral distance between at least a portion of the third sidewall and at least a portion of the fourth sidewall is equal in a direction toward the spacer.

Further, a lateral distance between at least a portion of the third sidewall and at least a portion of the fourth sidewall is greater than or equal to 0.2 millimeters.

Further, in the longitudinal direction, the first forming groove has a first length, and the second forming groove has a second length, and the second length is greater than or equal to the first length.

Further, the two molding grooves are in mirror symmetry with the spacing part as a center.

Furthermore, the first forming groove and the second forming groove are provided with bottom walls, the bottom wall of the first forming groove extends downwards in an inclined mode towards the direction of the spacing portion, the bottom wall of the second forming groove extends downwards in an inclined mode towards the direction far away from the spacing portion, and the bottom wall of the first forming groove and the bottom wall of the second forming groove are smoothly connected at the position where the first forming groove and the second forming groove are communicated with each other.

Further, the body comprises two side portions and a groove located between the two side portions, the molding surface of the side portion comprises a first surface and a second surface, the first surface is closer to the groove relative to the second surface, and the first surface protrudes out of the second surface.

the utility model also provides a surgical stapler, including sewing up nail formed part and nail storehouse, the nail storehouse holding sews up the nail, sew up the nail formed part and make and obtain from the nail storehouse is released sew up nail bending type, sew up the nail formed part and be as above arbitrary one sew up the nail formed part.

Compared with the prior art, the first forming groove of the suturing nail forming part comprises a first side wall and a second side wall; the transverse distance between at least one part of the first side wall and at least one part of the second side wall is gradually reduced along the downward direction, so that the stitching nail is favorably guided into the first forming groove from the outside of the forming groove along the downward direction.

Drawings

FIG. 1 is a schematic view of a prior art anvil construction;

FIG. 2 is a schematic structural view of a staple forming member according to the present invention;

FIG. 3 is an enlarged view of the circled portion of FIG. 2;

FIG. 4 is a schematic view of the staple former of FIG. 2 shown in another perspective;

Fig. 5 is an enlarged view of the circled portion in fig. 4.

Detailed Description

Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings. In the description of the present invention, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implying any number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature. In the description of the present invention, "a plurality" means at least two, e.g., two, three, etc., unless specifically limited otherwise. The meaning of "a number" is at least one.

The embodiments described below with reference to the drawings are exemplary and intended to be used for explaining the present invention, and should not be construed as limiting the present invention.

As shown in fig. 2 to 5, the suturing nail forming member 20 provided by the present invention includes a body 21 extending along a longitudinal direction, the body 21 has a forming surface 22, and a plurality of forming portions 23 are formed by respectively recessing downward from the forming surface 22. The body 21 includes two side portions 211 and a groove 212 located between the two side portions 211, the molding surface 22 of the side portion 211 includes a first surface 221 and a second surface 222, the first surface 221 is closer to the groove 212 than the second surface 222, and the first surface 221 protrudes from the second surface 222. The staple former 20 is adapted to cooperate with a magazine (not shown) having a knife slot for a cutting knife to travel therein, the recess 212 of the staple former 20 being adapted to receive the top of the cutting knife which travels within the recess 212 of the staple former 20 as the cutting knife travels within the knife slot. Before suturing and cutting, the tissue needs to be clamped and squeezed to discharge tissue fluid of the tissue to be sutured; the first surface 221 protrudes from the second surface 222 such that the distance between the first surface 221 and the cartridge is less than the distance between the second surface 222 and the cartridge, the pressing force at the first surface 221 being greater than the pressing force at the second surface 222, thereby creating a fluid gradient from the first surface 221 towards the second surface 222, causing interstitial fluid to drain within the tissue from the first surface 221 towards the second surface 222 and from the second surface 222 towards the tissue not being pressed. The plurality of forming portions 23 are arranged in a row in the longitudinal direction. The plurality of forming portions 23 are arranged in a plurality of rows in a transverse direction perpendicular to the longitudinal direction. Staple former 20 mates with the cartridge. The number of profiles 23 of the staple profiles 20 is greater than or equal to the number of staples contained in the cartridge. When the staple forming member 20 is suitable for the staple cartridges with various specifications, the number of the staples accommodated in the staple cartridges with different specifications is different, and the number of the forming parts 23 of the staple forming member 20 is larger than or equal to the number of the staples accommodated in the staple cartridge with any specification.

each forming portion 23 has a spacer portion 28 and two forming grooves 231. The spacing portion 28 is located between the two forming grooves 231, the spacing portion 28 makes the two forming grooves 231 not communicated with each other, that is, the two forming grooves 231 are independent from each other, and the two forming grooves 231 are mirror-symmetrical with the spacing portion 28 as a center.

The forming groove 231, the first forming groove 24 and the second forming groove 25 include opposite first and second ends, the first end is defined as the end far away from the spacing portion 28, and the second end is defined as the end close to the spacing portion 28. The body 21 has a molding surface 22 and a bottom surface opposite thereto, and defines a downward direction as a direction from the molding surface 22 toward the bottom surface. The body 21 extends in a longitudinal direction, a direction perpendicular to the longitudinal direction is defined as a transverse direction, and a transverse distance is defined as a distance between two portions of the body 21 in the transverse direction.

The molding groove 231 includes a first molding groove 24 and a second molding groove 25 which are communicated with each other, one end of the second molding groove 25 is connected to the spacer 28, and the other opposite end of the second molding groove 25 is communicated with the first molding groove 24, that is, the second molding groove 25 is disposed between the spacer 28 and the first molding groove 24. The first profiled slot 24 includes a first guide which guides the staples from outside the profiled recess 231 into the first profiled slot 24. The first forming groove 24 includes opposing first and second sidewalls 243 and 244. The lateral distance between at least a portion of the first sidewall 243 and at least a portion of the second sidewall 244 is equal in a direction toward the spacer 28. The lateral distance between at least a portion of the first sidewall 243 and at least a portion of the second sidewall 244 gradually decreases in a downward direction, i.e., the first sidewall 243 forms a first guide surface in the downward direction and the second sidewall 244 forms a second guide surface in the downward direction, whereby the first guide surface and the second guide surface form a first guide which guides the staples in the downward direction into the first forming grooves 24. The second shaped groove 25 includes opposing third and fourth sidewalls 253, 254, and a lateral distance between at least a portion of the third sidewall 253 and at least a portion of the fourth sidewall 254 is equal or gradually decreases in a direction toward the spacer 28. In the present embodiment, the lateral distance between at least a portion of the third sidewall 253 and at least a portion of the fourth sidewall 254 gradually decreases in a direction toward the spacer 28. At the intersection of the first profiled groove 24 and the second profiled groove 25, the transverse distance between the third 253 and fourth 254 side walls is equal to the transverse distance between the first 243 and second 244 side walls. The first and third sidewalls 243 and 253 are smoothly transitioned at the intersection of the first forming groove 24 and the second forming groove 25, and the second and fourth sidewalls 244 and 254 are also smoothly transitioned at the intersection of the first forming groove 24 and the second forming groove 25 to facilitate the entry of staples from the first forming groove 24 into the second forming groove 25. Thus, the lateral distance between the third edge 251 and the fourth edge 252 of the second profiled groove 25 close to the first profiled groove 24 is greater than the lateral distance between the third edge 251 and the fourth edge 252 of the second profiled groove 25 remote from the first profiled groove 24. The staples are guided by the first guide into the first profiled groove 24 and then into the second profiled groove 25 in a direction towards the spacer 28, thus being profiled in the profiled groove 231. The first forming groove 24 has a first opening portion having a first edge 241 and a second edge 242 opposite to the first edge 241, wherein the first edge 241 is an upper edge of the first sidewall 243, and the second edge 242 is an upper edge of the second sidewall 244. The second forming groove 25 has a second opening portion having a third edge 251 and a fourth edge 252 opposite to each other, wherein the third edge 251 is an upper edge of a third sidewall 253, and the fourth edge 252 is an upper edge of a fourth sidewall 254. The first edge 241 and the second edge 242 have a first distance W2 therebetween in the transverse direction, and the third edge 251 and the fourth edge 252 have a second distance W3 therebetween in the transverse direction, preferably, the second distance W3 is smaller than or equal to the first distance W2, wherein the first distance W2 can be regarded as a first width of the first opening portion, and the second distance W3 can be regarded as a second width of the second opening portion, that is, the second width is smaller than or equal to the first width. Fig. 5 shows the minimum value of the second spacing W3. Wherein the first spacing W2 is less than or equal to 0.9 mm, and the first spacing W2 is greater than 0.2 mm; the second spacing W3 is less than or equal to 0.9 millimeters, and the second spacing W3 is greater than or equal to 0.2 millimeters. In other words, the first width is less than or equal to 0.9 millimeters, and the first width is greater than 0.2 millimeters; in other words, the second width is less than or equal to 0.9 millimeters, and the second width is greater than or equal to 0.2 millimeters. The first forming groove 24 has a first bottom wall 245, the second forming groove 25 has a second bottom wall 255, and both the first bottom wall 245 and the second bottom wall 255 are a guiding surface extending obliquely downwards, and the guiding surface is a curved surface. The first bottom wall 245 adjoins the molding surface 22 at a first end thereof, the first bottom wall 245 extending obliquely downward from the first end thereof toward a second end, i.e., the first bottom wall 245 extending obliquely downward in a direction toward the partition 28. The second bottom wall 255 is adjacent to the top surface of the partition portion 28 at the second end thereof, and the second bottom wall 255 extends obliquely downward from the second end thereof toward the first end, i.e., the second bottom wall 255 extends obliquely downward in a direction away from the partition portion 28. The first bottom wall 245 and the second bottom wall 255 are smoothly connected at a place where the first forming groove 24 and the second forming groove 25 communicate with each other. The term "at least a portion" in the present invention includes a part and a whole.

as described above, the first width of the first opening portion of the first forming groove 24 in the forming groove 231 of the present invention is greater than the second width of the second opening portion of the second forming groove 25, when the suturing nail (not shown) enters the forming groove 231, the leg end portion of the suturing nail can enter the first forming groove 24 from the first opening portion with the larger first width, the first forming groove 24 is a guiding groove, and the larger first opening portion is favorable for the leg end portion of the suturing nail to enter; in the process of suturing the nail in the bending and forming process, the limit function of the second opening part with the smaller second width reduces the moving freedom degree of the suturing nail leg in the second forming groove 25 in the bending and forming process, and further can effectively avoid the abnormal forming problem caused by the rocking of the suturing nail. Therefore, the present invention provides a suturing nail forming member 20, which can make the suturing nail easily enter the forming groove 231, and can prevent abnormal forming caused by the suturing nail swaying (or too large displacement of the suturing nail) in the larger forming concave part 14 (as shown in fig. 1) during the suturing nail forming process.

In order to obtain a better forming effect, in the longitudinal extension direction of the staple forming member 20, the first opening portion of the first forming groove 24 has a first length h1, and the second opening portion of the second forming groove 25 has a second length h2, wherein the second length h2 is greater than or equal to the first length h 1. The first profiled groove 24 provides for a preliminary bending and shaping of the legs of the staple and the second profiled groove 25 provides for a sufficient bending and shaping of the legs. Thus, the longer length of the second profiled groove 25 provides a more fully profiled area, which may provide better profiling of the staple legs.

The utility model also provides a surgical stapler, including sewing up nail formed part and nail storehouse, the nail storehouse holding sews up the nail, sews up the nail formed part and makes the nail bending type that sews up that releases from the nail storehouse, sews up nail formed part and nail storehouse cooperation in order to sew up the tissue from this, sew up the nail formed part and be as above the nail formed part that sews up.

To sum up, the staple forming member of the present invention has the forming portion 23, the forming portion 23 includes two forming grooves 231 and the spacing portion 28 located between the two forming grooves 231, the forming grooves 231 include the first forming groove 24 and the second forming groove 25 which are communicated with each other, the second forming groove 25 is disposed between the spacing portion 28 and the first forming groove 24, the first forming groove 24 has the first sidewall 243 and the second sidewall 244, the transverse distance between at least one portion of the first sidewall 243 and at least one portion of the second sidewall 244 gradually decreases along the downward direction, and the first sidewall 243 and the second sidewall 244 cooperate to guide the staple to enter the first forming groove 24 from the outside of the forming grooves 231 along the downward direction.

Although the embodiment of the present invention has been shown and described, it is understood that the above embodiment is illustrative and not to be construed as limiting the present invention, and those skilled in the art can make changes, modifications, substitutions and variations to the above embodiment within the scope of the present invention, and all such changes, modifications, substitutions and variations are within the scope of the present invention.

Claims (12)

1. a suturing nail former comprising a body extending in a lengthwise direction, the body having a profiled surface from which a plurality of profiled portions are respectively formed by downwardly recessing, the forming surface characterized in that:

Each forming part comprises a forming groove; the molding groove comprises a first molding groove, and the first molding groove comprises a first side wall and a second side wall; a lateral distance between at least a portion of the first sidewall and at least a portion of the second sidewall gradually decreases in a downward direction.

2. The staple former of claim 1, wherein each forming portion includes a spacer portion and two forming grooves, the spacer portion being located between the two forming grooves.

3. The staple former of claim 2, wherein each of the forming grooves further comprises a second forming groove, the second forming groove being in communication with the first forming groove, and the second forming groove being disposed between the first forming groove and the spacer; wherein the second forming groove comprises a third sidewall and a fourth sidewall.

4. The staple former of claim 3, wherein a lateral distance between at least a portion of the third sidewall and at least a portion of the fourth sidewall is less than or equal to a minimum of a lateral distance between at least a portion of the first sidewall and at least a portion of the second sidewall.

5. The staple former of claim 1, wherein a lateral distance between at least a portion of the first sidewall and at least a portion of the second sidewall is less than or equal to 0.9 millimeters and greater than or equal to 0.2 millimeters.

6. The staple former of any one of claims 3, 4, wherein the lateral distance between at least a portion of the third sidewall and at least a portion of the fourth sidewall is equal in a direction toward the spacer.

7. The staple former of any one of claims 3-4, wherein a lateral distance between at least a portion of the third sidewall and at least a portion of the fourth sidewall is greater than or equal to 0.2 mm.

8. The staple former of any one of claims 3-4, wherein the first shaped slot has a first length and the second shaped slot has a second length in the longitudinal direction, the second length being greater than or equal to the first length.

9. The staple former of claim 2, wherein two of the forming grooves are mirror images centered on the spacer.

10. The staple former of claims 3 or 4, wherein the first and second grooves each have a bottom wall, the bottom wall of the first groove extending obliquely downward toward the spacer, the bottom wall of the second groove extending obliquely downward away from the spacer, the bottom wall of the first groove and the bottom wall of the second groove being smoothly connected where the first and second grooves communicate with each other.

11. The staple former of claim 1, wherein the body includes two sides and a recess between the two sides, the contoured surfaces of the sides including a first surface and a second surface, the first surface being closer to the recess than the second surface, the first surface being raised from the second surface.

12. A surgical stapler comprising a staple former and a cartridge, said cartridge accommodating staples and said staple former bending-forming said staples pushed out from said cartridge, characterized in that said staple former is a staple former as claimed in any one of claims 1-11.