CN209847263U - Laparoscope abdominal wall anastomat - Google Patents
Laparoscope abdominal wall anastomat Download PDFInfo
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- CN209847263U CN209847263U CN201920476496.8U CN201920476496U CN209847263U CN 209847263 U CN209847263 U CN 209847263U CN 201920476496 U CN201920476496 U CN 201920476496U CN 209847263 U CN209847263 U CN 209847263U
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Abstract
A laparoscope abdominal wall anastomat comprises a handle, wherein a handle central cavity is arranged in the center of the height direction of the handle, and finger hook handles are arranged on the outer walls of the left side and the right side of the handle; the lower end of the button is inserted into the central cavity of the handle and matched with the cavity wall of the central cavity of the handle, the upper end of the button extends out of the central cavity of the handle, the button return spring is arranged in the central cavity of the handle, the upper end of the button return spring is supported on the end surface of the lower end of the button, and the lower end of the button return spring is supported on the cavity bottom wall of the central cavity of the handle; the upper end of the anastomotic needle is fixed with the lower end of the handle and is provided with an anastomotic needle central hole; the upper end of the wire clamping pin steel wire is fixed with the lower end of the button after sequentially penetrating through the center hole of the anastomosis needle and the button return spring, the lower end of the wire clamping pin steel wire is provided with a wire clamping pin, and the wire clamping pin extends out of or retracts into an orifice at the lower end of the center hole of the anastomosis needle; the guide sleeve is inserted into the abdominal wall puncture part of the laparoscopic patient, and the anastomotic needle passes through the guide sleeve and is anastomosed to the abdominal wall of the laparoscope. The structure is simple, the volume is small, the manufacture is convenient and the cost is low; the operation is convenient, and the anastomosis operation efficiency is high.
Description
Technical Field
The utility model belongs to the technical field of the medical treatment clinical operation instrument of sewing up, concretely relates to peritoneoscope stomach wall anastomat.
Background
With the continuous maturation of laparoscopy, diagnostic and therapeutic laparoscopes are widely used in surgical clinics, and suturing, knotting, hemostasis and the like under laparoscopes are always concerned by medical staff. At present, the incision of the abdominal puncture part is still mostly closed by using a conventional surgical instrument for suture treatment, however, the puncture hole is small and deep, the operative field is small, and the radian of a suture needle is relatively large, so that on one hand, the suture is difficult, on the other hand, the suture time is long, and the efficiency of the whole operation is influenced. In particular, the suture manner of closing the incision of the puncture site by using the conventional surgical instrument is difficult to or even impossible to play a role of simultaneously suturing the epidermis and the intima, and in a group of puncture holes, the confusion that the last puncture hole cannot be sutured often occurs.
Technical information of laparoscopic staplers capable of substantially complementing the above technical problems is found in published chinese patent documents, such as CN106214196B (a deep fascia stapler), CN106725672A (abdominal wall suturing device and method of using the same), and CN101557764B (laparoscopic suturing device), etc. Typical "laparoscopic suture knotter" as recommended in CN101449989B and "a laparoscopic knot pusher suturing device" as provided in CN 104434238B.
The laparoscopic suture instruments or suture devices disclosed in the above-mentioned patents, which are not limited to the above-mentioned patent publications, have unique technical effects, but have disadvantages of complicated structure, troublesome manufacturing, high cost, inconvenience for the surgeon to increase the operation speed, and poor operation efficiency due to the large number of parts. In view of this need for reasonable improvements, the solutions described below have been created in this context.
Disclosure of Invention
The utility model aims to provide a peritoneoscope stomach wall anastomat which is beneficial to obviously simplifying the structure, reducing the volume, facilitating the manufacture, reducing the manufacturing cost and obviously improving the operation efficiency of an operator.
The utility model has the advantages that the celioscope abdominal wall anastomat comprises a handle, a handle central cavity is formed at the central position of the handle in the height direction, and finger hook handles are respectively extended on the outer walls of the left side and the right side of the handle and at the corresponding positions; the lower end of the button is inserted into the handle central cavity and is in sliding fit with the cavity wall of the handle central cavity, the upper end of the button extends out of the handle central cavity, the button return spring is arranged in the handle central cavity at a position corresponding to the lower end of the button, the upper end of the button return spring is supported on the end surface of the lower end of the button, and the lower end of the button return spring is supported on the cavity bottom wall of the handle central cavity; the upper end of the anastomosis needle is fixed with the lower end of the handle and is provided with an anastomosis needle central hole which penetrates from the upper end to the lower end of the anastomosis needle and is communicated with the handle central cavity; the upper end of the wire clamping pin steel wire is fixed with the lower end of the button after sequentially passing through the center hole of the anastomosis needle and the button return spring in a sliding state, and the lower end of the wire clamping pin steel wire is provided with a wire clamping pin which extends out of or retracts into an orifice at the lower end of the center hole of the anastomosis needle; the guide sleeve is inserted into the abdominal wall puncture site of a laparoscopic patient in a use state, and the anastomosis needle passes through the guide sleeve to perform anastomosis on the laparoscopic abdominal wall.
In a specific embodiment of the present invention, a button press cap having a diameter greater than that of the button is formed at an upper end of the button.
In another embodiment of the present invention, a sharp portion is formed at the opening of the central hole of the anastomotic needle.
In another embodiment of the present invention, the handle and the button are made of non-metal.
In another specific embodiment of the present invention, the non-metal is plastic.
In yet another embodiment of the present invention, the guiding sleeve is formed with a guiding sleeve cavity with an upper opening, the bottom wall of the guide sleeve cavity is provided with a guide sleeve left guide pin hole and a guide sleeve right guide pin hole, an abdominal wall puncture part inserting guide rod extends from the central position of one side of the bottom wall of the guide sleeve cavity back to the guide sleeve cavity, a guide rod left guide pin groove is formed at the left upper part of the abdominal wall puncture part inserted into the guide rod and at the position corresponding to the guide sleeve left guide pin hole, a guide rod right guide pin groove is formed at the position corresponding to the guide sleeve right guide pin hole, the guide sleeve left guide pin hole is communicated with the guide rod left guide pin groove, and the guide sleeve right guide pin hole is communicated with the guide rod right guide pin groove, and the anastomosis needle passes through the guide sleeve left guide pin hole and the guide sleeve right guide pin hole in an alternating state and then passes through the guide rod left guide pin groove and the guide rod right guide pin groove in an alternating state to be anastomotic with the abdominal wall of the laparoscope.
In a more specific embodiment of the present invention, the abdominal wall puncturing part insertion guide rod is formed in an inverted cone shape.
In yet another specific embodiment of the present invention, the guide sleeve is molded from plastic.
In a still more specific embodiment of the present invention, the plastic is a medical plastic.
In yet another specific embodiment of the present invention, the medical plastic is medical grade ABS.
The technical scheme provided by the utility model the technical effect lie in: the medical surgical instrument has the advantages that the number of parts is small, the structure is simple, the size is small, so that the medical surgical instrument is convenient to manufacture, the cost is reduced, and excessive waste of resources of the disposable medical surgical instrument can be avoided; since the finger hook handle is formed on the handle, the middle finger and the index finger of the operator hook the finger hook handle and the thumb presses or releases the button during the operation, thereby facilitating the operation and remarkably improving the efficiency of the anastomosis operation.
Drawings
Fig. 1 is a structural diagram of an embodiment of the present invention.
Fig. 2 is a detailed view of the lower end of the staple pin and the lower end of the leg wire shown in fig. 1.
Fig. 3 is a schematic view of the anastomosis of the laparoscopic abdominal wall of the present invention.
Detailed Description
In order to make the technical essence and advantages of the present invention more clear, the applicant below describes in detail the embodiments, but the description of the embodiments is not a limitation of the present invention, and any equivalent changes made according to the inventive concept, which are only formal and not essential, should be considered as the technical scope of the present invention.
In the following description, unless otherwise specified, all the concepts related to the directions or orientations of up, down, left, right, front and rear are based on the position state shown in fig. 1, and thus should not be interpreted as a specific limitation to the technical solution provided by the present invention.
Referring to fig. 1, there is shown a handle 1, a handle central cavity 11 is formed at a central position in a height direction of the handle 1, and finger grips 12 extend on outer walls of left and right sides of the handle 1 at positions corresponding to each other; a button 2 and a button return spring 3 are shown, the lower end of the button 2 is inserted into the aforementioned handle central cavity 11 and is in sliding fit with the cavity wall of the handle central cavity 11, while the upper end of the button 2 protrudes out of the handle central cavity 11, the button return spring 3 is disposed in the aforementioned handle central cavity 11 at a position corresponding to the lower end of the button 2, the upper end of the button return spring 3 is supported on the lower end face of the button 2, and the lower end of the button return spring 3 is supported on the cavity bottom wall of the handle central cavity 11; showing a needle 4, the upper end of the needle 4 being fixed to the lower end of the handle 1 and the needle having a needle central bore 41, the needle central bore 41 passing from the upper end to the lower end of the needle 4 and the needle central bore 41 being in communication with the handle central lumen 11; a clamping leg wire 5 is shown, the upper end of the clamping leg wire 5 is fixed with the lower end of the button 2 after passing through the center hole 41 of the anastomotic needle and the button return spring 3 in order in a sliding state, and a clamping leg 51 is formed at the lower end of the clamping leg wire 5, the clamping leg 51 is extended or retracted into an opening 411 at the lower end of the center hole 41 of the anastomotic needle 4; a guide sleeve 6 is shown, which guide sleeve 6 in a situation of use is introduced into a puncture site in the abdominal wall of a laparoscopic patient and the aforementioned stapling needle 4 is passed through the guide sleeve 6 to be anastomosed (i.e. sutured) to a laparoscopic abdominal wall 7 (shown in fig. 3).
In the use state, the middle finger and the index finger of the operator are hooked below the finger hook handle 12, and the thumb is used for operating the button 2, specifically: when the button 2 is pressed, the button return spring 3 is compressed to store energy, the wire clamping pin steel wire 5 is driven to move downwards along with the downward movement of the button 2, so that the wire clamping pin 51 extends out of the hole 411, and when the thumb of an operator releases the button, namely releases the pressing on the button 2, the button 2 is reset upwards under the restoring force of the button return spring 3, the wire clamping pin steel wire 5 is driven to correspondingly move upwards, and the wire clamping pin 51 retracts into the hole 411.
As shown in fig. 1, a button pressing cap 21 for pressing the thumb is formed at the upper end of the button 2, and has a diameter larger than that of the button 2.
Referring to fig. 2, a sharp portion 42 is formed at the aperture 411 of the needle center hole 41 of the needle 4. Since the clamping leg 51 formed at the lower end of the clamping leg wire 5 has good elasticity, it automatically opens when it protrudes out of the opening 411, and vice versa.
In the present embodiment, the handle 1 and the button 2 are made of non-metal, and the non-metal is plastic.
Continuing to refer to fig. 1, the guiding sleeve 6 is formed with a guiding sleeve cavity 61 with an upper opening, a guiding sleeve left guiding pin hole 6111 and a guiding sleeve right guiding pin hole 6112 are arranged on the guiding sleeve cavity bottom wall 611 of the guiding sleeve cavity 61, an abdominal wall puncture part inserting guide rod 6113 extends from the central position of one side of the bottom wall 611 of the guide sleeve cavity, which is back to the guide sleeve cavity 61, a guide bar left guide pin groove 61131 is formed at the upper left part of the abdominal wall puncture part inserted into the guide bar 6113 and at the position corresponding to the guide sleeve left guide pin hole 6111, a guide rod right guide pin groove 61132 is formed at the position corresponding to the guide sleeve right guide pin hole 6112, the guide sleeve left guide pin hole 6111 is communicated with the guide rod left guide pin groove 61131, the guide sleeve right guide pin hole 6112 is communicated with the guide rod right guide pin groove 61132, and the anastomotic needle 4 passes through the guide sleeve left guide pin hole 6111 and the guide sleeve right guide pin hole 6112 in an alternating state and further passes through the guide rod left guide pin groove 61131 and the guide rod right guide pin groove 61132 in an alternating state to be anastomotic with the abdominal wall of the laparoscope.
As shown in fig. 1, the abdominal wall puncturing part insertion guide bar 6113 has an inverted cone shape.
In this embodiment, the guide sleeve 6 is molded from plastic, which is medical plastic, and the medical plastic is medical grade ABS.
Referring to fig. 3 in conjunction with fig. 1 and 2, fig. 3 illustrates a puncture hole 71 left or formed in the laparoscopic abdominal wall 7 at the time of surgery, and also illustrates an anastomosis wire 8 (also referred to as a "suture", hereinafter) for anastomosis of the puncture hole 71 by the anastomosis needle 4. The procedure for anastomosis of puncture 71 is as follows:
firstly, as shown in fig. 3, firstly, the abdominal wall puncture part insertion guide rod 6113 of the guide sleeve 6 is inserted into the body of the patient according to the structure shown in fig. 3, and then the abdominal wall puncture needle 3 is inserted into the abdominal wall puncture part insertion guide rod 6113 and is inserted into the abdominal wall 7 of the laparoscope in alignment with the puncture hole 71;
secondly, the suture clamping foot 51 of the suture clamping foot steel wire 5 clamps the anastomotic suture 8, and under the action of the anastomotic needle 4, the anastomotic suture is inserted into the lower part of the puncture hole 71 through the guide sleeve right guide pin hole 6112 and the guide rod right guide pin groove 61132 on the guide sleeve cavity bottom wall 611 of the guide sleeve cavity 61, namely, enters the abdominal wall 7 of the laparoscope;
thirdly, the button pressing cap 21 of the button 2 is pressed, the clamping pin 51 is loosened according to the applicant's above, namely the clamping pin 51 releases the anastomotic line 8, and then the anastomotic needle 4 is pulled out;
fourthly, inserting the anastomosis needle 4 into the abdominal wall 7 of the laparoscope from the guide sleeve left guide pin hole 6111 and the guide rod left guide pin groove 61131 on the bottom wall 611 of the guide sleeve cavity, then operating the button 2, clamping the anastomosis wire 8 by the wire clamping pin 51, releasing the button 2, fixing the wire end of the anastomosis wire 8 on the needle point by the wire clamping pin 51, pulling out the anastomosis needle 4, and taking the anastomosis wire 8 out of the body;
and fifthly, pulling out the guide sleeve 6, knotting the anastomosis thread 8 on the abdominal wall 7 of the laparoscope, namely forming an anastomosis thread knot 81 in the abdominal wall 7 of the laparoscope, and realizing the suture of the intimal wound 72.
To sum up, the technical solution provided by the present invention remedies the defects in the prior art, successfully completes the invention task, and faithfully embodies the technical effects mentioned in the above technical effect column by the applicant.
Claims (10)
1. A laparoscope abdominal wall anastomat is characterized by comprising a handle (1), wherein a handle central cavity (11) is formed at the central position of the handle (1) in the height direction, and finger hook handles (12) respectively extend on the outer walls of the left side and the right side of the handle (1) at the corresponding positions; a button (2) and a button return spring (3), the lower end of the button (2) is inserted into the handle central cavity (11) and is in sliding fit with the cavity wall of the handle central cavity (11), the upper end of the button (2) extends out of the handle central cavity (11), the button return spring (3) is arranged in the handle central cavity (11) at a position corresponding to the lower end of the button (2), the upper end of the button return spring (3) is supported on the lower end face of the button (2), and the lower end of the button return spring (3) is supported on the cavity bottom wall of the handle central cavity (11); the upper end of the anastomosis needle (4) is fixed with the lower end of the handle (1) and the anastomosis needle is provided with an anastomosis needle central hole (41), the anastomosis needle central hole (41) penetrates from the upper end to the lower end of the anastomosis needle (4) and the anastomosis needle central hole (41) is communicated with the handle central cavity (11); the upper end of the stitch clamping steel wire (5) is fixed with the lower end of the button (2) after sequentially passing through the anastomosis needle central hole (41) and the button return spring (3) in a sliding state, and the lower end of the stitch clamping steel wire (5) is provided with a stitch clamping pin (51), and the stitch clamping pin (51) extends out of or retracts into an orifice (411) at the lower end of the anastomosis needle central hole (41) of the anastomosis needle (4); a guide sleeve (6), wherein the guide sleeve (6) is inserted into the abdominal wall puncture site of a laparoscopic operator in a use state, and the anastomosis needle (4) is anastomosed to the laparoscopic abdominal wall through the guide sleeve (6).
2. The laparoscopic abdominal wall stapler according to claim 1, characterized in that a button pressing cap (21) having a diameter larger than that of the button (2) is formed at the upper end of the button (2).
3. The laparoscopic abdominal wall stapler according to claim 1, characterized in that a sharp portion (42) is formed at the site of the aperture (411) of the stapling needle central hole (41) of said stapling needle (4).
4. The laparoscopic abdominal wall stapler according to claim 1, characterized in that said handle (1) and said push button (2) are made of non-metal.
5. The laparoscopic abdominal wall stapler of claim 4, wherein said non-metal is plastic.
6. The laparoscopic abdominal wall stapler according to claim 1, wherein the guide sleeve (6) is formed with a guide sleeve cavity (61) having an upper portion opened, a guide sleeve left guide pin hole (6111) and a guide sleeve right guide pin hole (6112) are formed on a guide sleeve cavity bottom wall (611) of the guide sleeve cavity (61), a guide sleeve insertion guide bar (6113) is extended at a central position of a side of the guide sleeve cavity bottom wall (611) facing away from the guide sleeve cavity (61), a guide bar left guide pin slot (61131) is formed at a left upper portion of the guide bar (6113) inserted at the abdominal wall puncture portion and at a position corresponding to the guide sleeve left guide pin hole (6111), a guide bar right guide pin slot (61132) is formed at a position corresponding to the guide sleeve right guide pin hole (6112), the guide sleeve left guide pin hole (6111) is communicated with the guide bar left guide pin slot (61131), and the guide sleeve right guide pin hole (6112) is communicated with the guide bar right guide pin slot (61132), the anastomosis needle (4) passes through the guide sleeve left guide pin hole (6111) and the guide sleeve right guide pin hole (6112) in an alternating state and further passes through the guide rod left guide pin groove (61131) and the guide rod right guide pin groove (61132) in an alternating state to be anastomosed with the abdominal wall of the laparoscope.
7. The laparoscopic abdominal wall stapler according to claim 6, wherein the abdominal wall puncturing part insertion guide bar (6113) is in the shape of an inverted cone.
8. The laparoscopic abdominal wall stapler according to claim 1 or 6, characterized in that said guide sleeve (6) is molded from plastic.
9. The laparoscopic abdominal wall stapler of claim 8, wherein said plastic is a medical plastic.
10. The laparoscopic abdominal wall stapler of claim 9, wherein said medical plastic is medical grade ABS.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920476496.8U CN209847263U (en) | 2019-04-10 | 2019-04-10 | Laparoscope abdominal wall anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920476496.8U CN209847263U (en) | 2019-04-10 | 2019-04-10 | Laparoscope abdominal wall anastomat |
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| Publication Number | Publication Date |
|---|---|
| CN209847263U true CN209847263U (en) | 2019-12-27 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201920476496.8U Active CN209847263U (en) | 2019-04-10 | 2019-04-10 | Laparoscope abdominal wall anastomat |
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| CN (1) | CN209847263U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109893186A (en) * | 2019-04-10 | 2019-06-18 | 安能医疗器械(常熟)有限公司 | Laparoscope stomach wall stapler |
-
2019
- 2019-04-10 CN CN201920476496.8U patent/CN209847263U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109893186A (en) * | 2019-04-10 | 2019-06-18 | 安能医疗器械(常熟)有限公司 | Laparoscope stomach wall stapler |
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