CN213821559U

CN213821559U - Pouch maker for digestive canal of thoraco-laparoscope

Info

Publication number: CN213821559U
Application number: CN202022619265.3U
Authority: CN
Inventors: 吴新军; 李岩; 许桂苹; 薛明辉
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-11-12
Filing date: 2020-11-12
Publication date: 2021-07-30
Anticipated expiration: 2030-11-12

Abstract

The pouch maker for the digestive tract of the thoraco-laparoscope effectively solves the problem that the pouch stitching of the digestive tract under the laparoscope wastes time and labor; the connecting column comprises a rectangular shell, a left axial connecting column and a right axial connecting column are arranged at the right end of the rectangular shell, a top block is arranged at the right end of the connecting column, a clamping block capable of swinging up and down is arranged at the upper end of the top block, a sliding groove is formed in the upper end of the top block, a top rod is connected in the sliding groove in a sliding mode, a pull rod capable of extending out the sliding groove is hinged to the right end of the top rod, a rectangular groove is formed in the connecting column, the upper side and the lower side of the rectangular groove are respectively connected with a left sliding rod and a right sliding rod in a sliding mode, the two sliding rods can slide oppositely or oppositely slide, a front through groove and a rear through groove are formed in the pull rod, a front axial rotating column and a rear axial rotating column are connected in the sliding mode in the through groove, the right end face of the sliding rod at the lower side is rotatably connected with the rotating column, a nail placing groove is formed in the right end face of the connecting column, a U-shaped nail with an opening facing right end face of the sliding rod at the upper side can be contacted with the left end face of the U-shaped nail; the novel multifunctional electric heating cooker is simple in structure, novel in conception, convenient to use and high in practicability.

Description

Pouch maker for digestive canal of thoraco-laparoscope

Technical Field

The utility model relates to the technical field of laparoscopic surgery instruments, in particular to a pouch maker for a digestive tract of a thoraco-laparoscopic surgery.

Background

When a doctor performs anastomosis at the digestive tract end of a thoraco-laparoscope, the anastomat is often used for operation, at present, the linear anastomat is mostly adopted for anastomosis, however, the linear anastomat is not an ideal instrument for tubular digestive tract anastomosis, and the circular anastomat is mostly adopted for tubular anastomosis in the traditional thoraco-open operation, so that the tubular anastomosis conforms to the form of the digestive tract, and is reasonable, but the circular anastomat used under the thoraco-laparoscope has a plurality of difficulties, such as the placement of a nail supporting seat of the circular anastomat, the making of a purse and the like.

After the circular anastomat nail abutting seat is placed in a digestive canal to be anastomosed, the rod part of the nail abutting seat is exposed outside the digestive canal, the whole circumference of the digestive canal is wrapped around the rod part, the partial digestive canal pouch-shaped whole circumference needs to be sutured and tightly fixed on the rod part, the method adopted by medical workers at present adopts a pouch forceps to carry out pouch suture, but the pouch forceps need to penetrate a pouch needle to bring in a pouch wire and tighten and knot the pouch wire, the operation is complex, time and labor are wasted, and therefore a pouch manufacturing device after the circular anastomat nail abutting seat is placed under a thoraco-laparoscopic is needed.

SUMMERY OF THE UTILITY MODEL

To the above situation, in order to compensate the not enough of prior art, the utility model aims at providing a thoraco-laparoscopic digestion tube pocket preparation ware, the effectual alimentary canal pocket suture problem that wastes time and energy under having solved the chamber mirror.

The technical scheme of its solution is, the utility model discloses a rectangular shell, the axial company's post about rectangular shell right-hand member is equipped with, even the post right-hand member is equipped with the kicking block, but the kicking block upper end is equipped with luffing motion's clamp splice, the spout has been seted up to the kicking block upper end, sliding connection has the ejector pin in the spout, the ejector pin right-hand member articulates there is the pull rod that can stretch out the spout, the rectangular channel has been seted up in even post, both sides sliding connection has the slide bar of left and right directions about the rectangular channel is gone up respectively about in the rectangular channel, two slide bars can be relative or mutually carry on the back slip, the logical groove that link up around having seted up on the pull rod, logical axial commentaries on classics post around sliding connection has, the slide bar right-hand member of downside rotates with the commentaries on classics post to be connected, it is connected with the staple groove to put the inslot dismantlement of nail and is connected with opening staple right-hand member, the slide bar right-hand member of upside can with the contact of staple left end face.

Compared with the prior art, the beneficial effects of the utility model are that: the rectangle shell that is equipped with, the clamp splice, the kicking block, the pull rod etc, can realize cramping patient's alimentary canal tissue tip under the peritoneoscope, make the alimentary canal tissue fix on the anastomat vertical pole, realize the purse of a lotus shaping of alimentary canal tissue, time saving and labor saving, moreover, the operation is simple, the operation wound has been reduced, prevent to cause secondary injury to the patient, the fixture block that is equipped with, bull stick etc., can realize adding the staple, be convenient for repetitious usage, the staple pole that is equipped with, the draw-in groove etc., can realize spacing to the staple, prevent that the staple landing from advancing in the patient's abdominal cavity, the steam generator is simple in structure, the design is novel, high durability and convenient use, therefore, the clothes hanger is strong in practicability.

Drawings

Fig. 1 is a perspective view of the present invention.

Figure 2 is the utility model discloses a partially cut owner and look axonometric drawing.

Fig. 3 is a perspective view of the utility model.

Fig. 4 is an enlarged view of a in fig. 3 according to the present invention.

Fig. 5 is an enlarged view of B in fig. 3 according to the present invention.

Fig. 6 is the utility model discloses a partially cut right side and look the axonometric drawing.

Detailed Description

The following describes the embodiments of the present invention in further detail with reference to the accompanying drawings.

The connecting column is characterized by being provided by figures 1 to 6 and comprising a rectangular shell 1, axial connecting columns 2 are arranged on the right end of the rectangular shell 1 in the left-right direction, a top block 3 is arranged on the right end of each connecting column 2, a clamping block 4 capable of swinging up and down is arranged on the upper end of the top block 3, a sliding groove 5 is formed in the upper end of the top block 3, a push rod 6 is connected in the sliding groove 5 in a sliding mode, a pull rod 7 capable of extending out the sliding groove 5 is hinged to the right end of the push rod 6, a rectangular groove is formed in each connecting column 2, sliding rods 8 in the left-right direction are respectively connected to the upper side and the lower side in the rectangular groove in a sliding mode, the two sliding rods 8 can slide oppositely or oppositely and oppositely, a through groove which is formed in the pull rod 7 is formed in a front-back through mode, axial rotating columns 9 are connected in the through groove in a sliding mode, the right end of the sliding rod 8 on the lower side is rotatably connected with the rotating columns 9, a nail placing groove 10 is detachably connected with a U-shaped nail 11 with which the right opening faces of the U-shaped nail 11, and the right end face of the sliding rod 8 on the upper side can be contacted with the left end face of the U-shaped nail 11.

In order to drive 4 luffing motions of clamp splice, 2 upper ends sliding connection of even post have a pushing ram 12, the pushing ram 12 right-hand member face can with 4 up end contact of clamp splice, push away groove 13 that link up about seting up in 1 upper end of rectangle shell, it has the montant to push away sliding connection in groove 13, the 12 left ends of pushing ram run through rectangle shell 1 and with montant fixed connection, the montant upper end is stretched out and is pushed away groove 13 and be equipped with the push pedal, the push pedal upper end articulates there is limiting plate 14, the spacing hole 15 of a plurality of edges left and right directions equipartition is seted up to 1 upper end of rectangle shell, the 14 lower extreme of limiting plate is equipped with the spacing post 16 that can insert in the spacing hole 15, the 14 lower extreme of limiting plate is connected with the push pedal through the pressure spring.

In order to enable the two sliding rods 8 to slide back to back or oppositely, a plurality of clamping teeth which are uniformly distributed along the left-right direction are respectively arranged at the opposite ends of the two sliding rods 8, and a gear 17 which is in front-back axial direction and is meshed with the clamping teeth is rotationally connected in the rectangular groove.

For the convenience of pulling slide bar 8, 1 lower extreme of rectangle shell set up the pulling groove that link up from top to bottom, pulling inslot sliding connection has handle 18, 8 left ends of slide bar of downside run through rectangle shell 1 and with handle 18 fixed connection, pulling inslot sliding connection has the holding plate 19 that is located the 18 left of handle, 6 left ends of ejector pin run through handle 18 and with hold plate 19 fixed connection, be equipped with first spring between holding plate 19 and the handle 18, be equipped with the roof that is located the pulling groove left in rectangle shell 1, be equipped with the second spring between roof and the handle 18.

In order to limit the U-shaped nail 11 conveniently, the upper end of the ejector block 3 is provided with a sliding nail groove 20 communicated with the nail placing groove 10, the upper end of the sliding rod 8 on the lower side is provided with a sliding groove 21, the lower side wall of the sliding nail groove 20 is provided with a clamping groove communicated with the sliding groove 21, a clamping nail rod 22 capable of extending out of the clamping groove is hinged in the sliding groove 21, and the right end of the clamping nail rod 22 is connected with the lower side wall of the sliding groove 21 through a third spring.

In order to place the staple 11 conveniently, the front end of the connecting column 2 is provided with a staple placing groove communicated with the staple placing groove 10, the staple placing groove is connected with a clamping block 23 in a sliding manner, the left side wall of the staple placing groove is provided with a long groove 24, the left end of the clamping block 23 is provided with a rotating groove 25 communicated with the long groove 24, the rotating groove 25 is connected with a front-back axial rotating shaft in a rotating manner, the rotating shaft is provided with a rotating rod 26 capable of being inserted into the long groove 24, and the upper end of the rotating rod 26 is connected with the upper side wall of the rotating groove 25 through a fourth spring.

For convenience of use, the left end of the pull rod 7 is provided with a V-shaped groove 27 with an opening facing to the left, and the front side and the rear side of the upper end of the top block 3 are respectively connected with the clamping block 4 through fifth springs.

When the utility model is used, firstly, the rotating shaft is rotated clockwise, the rotating shaft drives the rotating rod 26 to rotate clockwise, the rotating rod 26 is completely positioned in the long groove 24 after rotating a certain angle, the limit on the clamping block 23 is removed, the clamping block 23 is pulled outwards, the clamping block 23 is separated from the contact with the nail placing groove, the U-shaped nail 11 is placed in the nail placing groove 10 with the opening facing to the right, the clamping block 23 is inserted again, the rotating shaft is loosened, the left end of the rotating rod 26 swings into the long groove 24 due to the elasticity of the fourth spring, the limit on the clamping block 23 is realized, and the clamping block 23 is prevented from falling off;

inserting the connecting column 2 into the body of a patient through a puncture sheath tube, adjusting the angle to enable the alimentary canal tissue to be sutured in a purse-string mode to be positioned between the clamping block 4 and the ejector block 3, pressing the limiting plate 14 downwards, the limiting plate 14 drives the limiting column 16 to move upwards, after moving for a certain distance, the limiting column 16 is separated from the limiting hole 15, releasing the limiting on the limiting plate 14, pushing the limiting plate 14 rightwards, the limiting plate 14 slides rightwards, the limiting plate 14 drives the pushing rod 12 to slide rightwards, after sliding for a certain distance, the right end face of the pushing rod 12 contacts with the upper end face of the clamping block 4 and extrudes the clamping block 4 to swing downwards, continuously pushing the limiting plate 14 rightwards, the clamping block 4 continuously swings downwards, after swinging for a certain angle, the clamping block 4 and the ejector block 3 clamp the end tissue of the alimentary canal and clamp the tissue, at the moment, slowly loosening the limiting plate 14, due to the elasticity of a pressure spring, the right end of the limiting plate 14 moves downwards, after moving for a certain distance, the limiting column 16 is inserted into the corresponding limiting hole 15, the limiting plate 14 is limited again, and loosening in the clamping process is prevented;

a medical worker holds the handle 18 and the holding plate 19, so that the handle 18 and the holding plate 19 slide relatively, the holding plate 19 slides rightwards to drive the ejector rod 6 to slide rightwards, meanwhile, the handle 18 drives the slide rod 8 on the lower side to slide leftwards, the slide rod 8 on the lower side drives the pull rod 7 to swing upwards, the swing is stopped when the swing is perpendicular to the ejector rod 6, at the moment, the pull rod 7 extends out of the sliding groove 5, the handle 18 and the holding plate 19 are pulled leftwards to drive the pull rod 7 to slide leftwards in the sliding groove 5, the pull rod 7 extrudes and gathers clamped alimentary tract tissues leftwards, the pull rod 7 slides leftwards and drives the staple clamping rod 22 to slide leftwards, after sliding for a certain distance, the staple clamping rod 22 swings downwards due to the blocking of the clamping groove, the staple clamping rod 22 is completely positioned in the sliding groove 21 after swinging for a certain angle, and the blocking of the U-shaped staples 11 is removed;

when the slide bar 8 at the lower side slides leftwards, the slide bar 8 at the upper side is driven by the latch and the gear 17 to slide rightwards, the slide bar 8 at the upper side drives the U-shaped nail 11 to slide rightwards, after the slide bar slides for a certain distance, the U-shaped nail 11 is contacted with the alimentary canal tissue and wraps the alimentary canal tissue, and continues to slide rightwards, the U-shaped nail 11 extrudes the alimentary canal tissue to slide rightwards, after the slide bar slides for a certain distance, the left end surface of the pull rod 7 is contacted with the outer edge surface of the vertical rod of the anastomat head, meanwhile, the right end of the U-shaped nail 11 is contacted with the left end surface of the pull rod 7, and due to the limit of the V-shaped groove 27, the U-shaped nail 11 is bent along the track of the V-shaped groove 27 and hoops the alimentary canal tissue, so that the purse forming of the alimentary canal tissue is completed, the end tissue is completely hooped on the vertical rod of the anastomat, and medical staff can perform the next step of an operation;

after the operation is finished, the handle 18 is loosened, the slide rod 8 at the lower side drives the pull rod 7 to slide rightwards due to the right elastic force of the second spring, meanwhile, due to the right elastic force of the first spring, the ejector rod 6 slides rightwards in the chute 5 to an initial state, when the staple rod 22 slides rightwards to a position right below the clamping groove, due to the elastic force of the third spring, the staple rod 22 stretches out of the clamping groove again to realize the limiting of the U-shaped staple 11 again, the slide rod 8 at the lower side slides rightwards and drives the slide rod 8 at the upper side to slide leftwards through the gear 17 and the clamping teeth, the slide rod 8 at the upper side slides to the initial state after sliding for a certain distance, the left end of the limiting plate 14 is pressed downwards, the right end of the limiting plate 14 drives the limiting post 16 to slide upwards, the limiting post 16 is separated from the limiting hole 15 after sliding for a certain distance, the limiting is released, the limiting plate 14 is pushed leftwards, the limiting plate 14 drives the pushing rod 12 to slide leftwards, and the pushing rod 12 is separated from the clamping block 4 after sliding for a certain distance, due to the elasticity of the fifth spring, the clamping block 4 swings upwards to an initial state, the limit on the alimentary canal tissue is released, and at the moment, the connecting column 2 is taken out from the body of the patient for cleaning and disinfection.

Claims

1. A thoraco-laparoscopic digestion tube pouch maker comprises a rectangular shell (1), and is characterized in that a left axial connecting column (2) and a right axial connecting column (2) are arranged at the right end of the rectangular shell (1), a top block (3) is arranged at the right end of the connecting column (2), a clamping block (4) capable of swinging up and down is arranged at the upper end of the top block (3), a sliding groove (5) is formed in the upper end of the top block (3), a top rod (6) is connected in the sliding groove (5) in a sliding manner, a pull rod (7) capable of extending out the sliding groove (5) is hinged at the right end of the top rod (6), a rectangular groove is formed in the connecting column (2), slide rods (8) in the left direction and the right direction are respectively connected at the upper side and the lower side in the rectangular groove in a sliding manner, the two slide rods (8) can slide oppositely or oppositely and mutually, a through groove, the right end of the connecting column (2) is provided with a nail placing groove (10), a U-shaped nail (11) with a rightward opening is detachably connected in the nail placing groove (10), and the right end face of the upper sliding rod (8) can be contacted with the left end face of the U-shaped nail (11).

2. The thoraco-laparoscopic digestion tube pouch maker as claimed in claim 1, wherein the upper end of the connecting column (2) is slidably connected with a push rod (12), the right end face of the push rod (12) can be in contact with the upper end face of the clamping block (4), a push groove (13) which is through from top to bottom is formed in the upper end of the rectangular shell (1), a vertical rod is slidably connected in the push groove (13), the left end of the push rod (12) penetrates through the rectangular shell (1) and is fixedly connected with the vertical rod, the upper end of the vertical rod extends out of the push groove (13) and is provided with a push plate, a limiting plate (14) is hinged to the upper end of the push plate, a plurality of limiting holes (15) which are uniformly distributed along the left-right direction are formed in the upper end of the rectangular shell (1), a limiting column (16) which can be inserted into the limiting holes (15) is formed in the lower end of the limiting plate (14), and the lower end of the limiting plate (14) is connected with the push plate through a pressure spring.

3. The pleuroperitoneal endoscope digestive canal pouch maker as recited in claim 1, wherein the opposite ends of the two slide bars (8) are respectively provided with a plurality of latch teeth which are uniformly distributed along the left-right direction, and a gear (17) which is axially arranged in the front and back direction and is meshed with the latch teeth is rotatably connected in the rectangular groove.

4. The thoraco-laparoscopic digestion tube pouch maker as claimed in claim 1, wherein the lower end of the rectangular shell (1) is provided with a pulling groove which is through from top to bottom, a handle (18) is connected in the pulling groove in a sliding manner, the left end of the slide rod (8) at the lower side penetrates through the rectangular shell (1) and is fixedly connected with the handle (18), a holding plate (19) positioned at the left side of the handle (18) is connected in the pulling groove in a sliding manner, the left end of the ejector rod (6) penetrates through the handle (18) and is fixedly connected with the holding plate (19), a first spring is arranged between the holding plate (19) and the handle (18), a top plate positioned at the left side of the pulling groove is arranged in the rectangular shell (1), and a second spring is arranged between the top plate and the handle (18).

5. The thoraco-laparoscopic digestion tube pouch maker as claimed in claim 1, wherein the top block (3) is provided at its upper end with a slide pin groove (20) communicating with the pin placing groove (10), the slide bar (8) at its lower side is provided at its upper end with a slide groove (21), the slide pin groove (20) is provided at its lower side wall with a slot communicating with the slide groove (21), a pin rod (22) extending out of the slot is hinged in the slide groove (21), and the right end of the pin rod (22) is connected to the lower side wall of the slide groove (21) via a third spring.

6. The thoraco-laparoscopic digestion tube pouch maker as claimed in claim 1, wherein the front end of the connecting column (2) is provided with a nail placing groove communicated with the nail placing groove (10), a fixture block (23) is slidably connected in the nail placing groove, an elongated groove (24) is formed in the left side wall of the nail placing groove, a rotating groove (25) capable of being communicated with the elongated groove (24) is formed in the left end of the fixture block (23), a front axial rotating shaft and a rear axial rotating shaft are rotatably connected in the rotating groove (25), a rotating rod (26) capable of being inserted into the elongated groove (24) is arranged on the rotating shaft, and the upper end of the rotating rod (26) is connected with the upper side wall of the rotating groove (25) through a fourth spring.

7. The thoraco-laparoscopic digestion tube pouch maker as claimed in claim 1, wherein the left end of the pull rod (7) is provided with a V-shaped groove (27) with an opening facing to the left, and the front side and the rear side of the upper end of the top block (3) are respectively connected with the clamping block (4) through a fifth spring.