JPH0385009U - - Google Patents
Info
- Publication number
- JPH0385009U JPH0385009U JP14667989U JP14667989U JPH0385009U JP H0385009 U JPH0385009 U JP H0385009U JP 14667989 U JP14667989 U JP 14667989U JP 14667989 U JP14667989 U JP 14667989U JP H0385009 U JPH0385009 U JP H0385009U
- Authority
- JP
- Japan
- Prior art keywords
- bending lever
- bending
- rows
- handle
- long
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000005452 bending Methods 0.000 claims description 30
- 230000003872 anastomosis Effects 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 4
- 238000003780 insertion Methods 0.000 claims description 4
- 230000002496 gastric effect Effects 0.000 claims 2
- 238000003491 array Methods 0.000 claims 1
- 150000001875 compounds Chemical class 0.000 claims 1
- 210000001035 gastrointestinal tract Anatomy 0.000 claims 1
- 238000010926 purge Methods 0.000 claims 1
- 235000007754 Achillea millefolium Nutrition 0.000 description 1
- 240000000073 Achillea millefolium Species 0.000 description 1
Description
第1図は本考案の実施例吻合器の全体的機構を
示す斜視説明図、第2図は本実施例における第1
屈曲レバー作用端部に設けられたアンダージヨウ
部の部分拡大斜視図、第3図は本実施例における
第2屈曲レバー作用端部に設けられたアツパージ
ヨウ部を先端部から直視した部分拡大図、第4図
は本実施例における第3屈曲レバー作用端部に設
けられたミドルジヨウ部の部分拡大斜視図、第5
図は第4図のミドルジヨウ部カートリツジ挿着溝
に装填すべき長短ステープルカートリツジの部分
拡大斜視図、第6図は本実施例吻合器に使用され
る長足ステープルの拡大正面図、第7図は同長足
ステープルをデープアンビル溝で圧曲せしめた状
態を示す拡大正面図、第8図は本実施例吻合器に
使用される短足ステープルの拡大正面図、第9図
は同短足ステープルをシヤローアンビル溝で圧曲
せしめた状態を示す拡大正面図である。
1……第1屈曲レバー、11……アンダージヨ
ウ部、12……デイープアンビル、13……シヤ
ローアンビル、14……長足ステープルカートリ
ツジ、15……短足ステープルカートリツジ、1
6……(第1屈曲レバー)ハンドル部、17……
スロツト、2……第2屈曲レバー、21……アツ
パージヨウ部、22……短歯、23……長歯、2
4……(第2屈曲レバー)ハンドル部、25……
遊嵌孔、3……第3屈曲レバー、31……ミドル
ジヨウ部、32……カートリツジ挿着溝、33…
…押歯孔、34……(第2屈曲レバー)ハンドル
部、35……ステーボス、37……ボールプラン
ジヤ、4……ノツチレバー、41……歯止ノツチ
、42……ノブ、5……開きバネ、6……押バネ
、SL……長足ステープル、SB……短足ステー
プル、T……トング部材。
FIG. 1 is a perspective explanatory view showing the overall mechanism of the anastomosis device according to the embodiment of the present invention, and FIG.
FIG. 3 is a partially enlarged perspective view of the under-jaw portion provided at the working end of the bending lever; FIG. Figure 4 is a partially enlarged perspective view of the middle jaw section provided at the working end of the third bending lever in this embodiment;
The figure is a partially enlarged perspective view of the long and short staple cartridge to be loaded into the middle cartridge cartridge insertion groove of Fig. 4, Fig. 6 is an enlarged front view of the long-legged staple used in the anastomosis device of this embodiment, and Fig. 7 is FIG. 8 is an enlarged front view of the short-legged staple used in the anastomosis device of this embodiment. It is an enlarged front view showing the state where it was made to bend by the Yarrow anvil groove. DESCRIPTION OF SYMBOLS 1...First bending lever, 11...Underbody part, 12...Deep anvil, 13...Shallow anvil, 14...Long leg staple cartridge, 15...Short leg staple cartridge, 1
6... (first bending lever) handle part, 17...
Slot, 2...Second bending lever, 21...Upper page portion, 22...Short teeth, 23...Long teeth, 2
4... (second bending lever) handle part, 25...
Loose fitting hole, 3...Third bending lever, 31...Middle jaw portion, 32...Cartridge insertion groove, 33...
... push tooth hole, 34 ... (second bending lever) handle part, 35 ... stay boss, 37 ... ball plunger, 4 ... notch lever, 41 ... pawl notch, 42 ... knob, 5 ... opening spring , 6...Press spring, SL...Long leg staple, SB...Short leg staple, T...Tong member.
Claims (1)
においてピボツトPにより枢着せしめた複叉形と
トング部材Tであつて、 (a) このトング部材Tの下部に配置される第
1屈曲レバー1の作用端部であるアンダージヨウ
部11の上面には長足のステープルSLを圧曲す
べき深いデイープアンビル溝12と短足のステー
プルSBを圧曲すべき浅いシヤローアンビル溝1
3とが各々、互い違いに縦列的に平行してデイー
プアンビル溝列12,12…とシヤローアンビル
溝列13,13…とを形成しており、 (b) トング部材Tの上部に配置される第2屈
曲レバー2の作用端部であるアツパージヨウ部2
1には、上記デイープアンビル溝列12,12…
に対応する箇所に歯丈の短い短歯22が噛合せ可
能なる如く縦列的に短歯列22,22…を形成し
ていると共に、上記シヤローアンビル溝列13,
13…に対応する箇所に歯丈の長い長歯23が噛
合せ可能なる如く縦列的に長歯列23,23…を
形成しており、 (c) トング部材Tの中間部に配置される第3
屈曲レバー3の作用端部であるミドルジヨウ部3
1には、下部長手方向に沿つてカートリツジ挿着
溝32が形成されて当該挿着溝32へは長足ステ
ープルSL,SL…を上記デイープアンビル溝列
12,12…と同ピツチで縦列的に内蔵した長足
ステープルカートリツジ14及び/又は短足ステ
ープルSB,SB…を上記シヤローアンビル溝列
13,13…と同一ピツチで縦列的に内蔵した短
足ステープルカートリツジ15が装填可能である
共に当該ミドルジヨウ部31の上面には上記デイ
ープアンビル溝列12,12…とシヤローアンビ
ル溝列13,13…の各々のアンビル溝に合致す
る位置に押歯孔33,33…が穿設されており、 上記第1屈曲レバー1の力端部であるハンドル
部16と第3屈曲レバー3の力端部であるハンド
ル部34とをグリツプすることにより、ミドルジ
ヨウ部31はアツパージヨウ部21を連れ動いて
第1屈曲レバー1の作用端側アンダージヨウ部1
1とミドルジヨウ部31とをしてクランプポーズ
を取らしめ、これらアンダージヨウ部11とミド
ルジヨウ部31とがクランプポーズ状態にあると
きに第1屈曲レバー1のハンドル部16と上記第
2屈曲レバー2の力端部側のハンドル部24とを
グリツプすることによりアツパージヨウ部21の
短歯列22,22…と長歯列23,23…が、カ
ートリツジ14及び/又はカートリツジ15に内
蔵された長足ステープルSL,SL…及び/又は
短足ステープルSB,SB…を、上記押歯孔33
,33…から突押して各長足ステープルSL及び
/又は短足ステープルSBの足部を先端から圧曲
させて対象部を縫合可能に構成したことを特徴と
するワンタツチ式多用途タイプの消化管吻合器。 (2) 側辺に鋸歯状の歯止ノツチ41列が形成さ
れたノツチレバー4が、中間の第2屈曲レバーハ
ンドル部24に穿設された遊嵌孔25を貫通する
ごとく、第1屈曲レバーハンドル部16と第3屈
曲レバーハンドル部34の間に配設されて、かつ
、これらハンドル部16および34の何れかに一
端が枢支されている一方、残るハンドル部16ま
たは34に当該歯止ノツチ列41が位置調節可能
に噛合できるように構成されている請求項(1)記
載の、ワンタツチ式多用途タイプの消化管吻合器
。 (3) 第3屈曲レバーハンドル部34の上面にス
テーボス35を突設して第2レバーハンドル部2
4との第3屈曲レバーハンドル部34との密着を
規制して保管する一方、第1屈曲レバーハンドル
部16と第2屈曲レバーハンドル部との間には開
きバネ5を介装して、第1屈曲レバーハンドル部
16と第2屈曲レバー24とを常時拡開する方向
へ付勢している請求項(1)又は(2)の何れか一方に
記載の、ワンタツチ式多用途タイプの消化管吻合
器。 (4) トング部材Tにおけるジヨウ部11,21
,31とハンドル部16,24,34相互の平面
投影的屈曲角度Θが約135°前後であり、ハン
ドル部16,24,34のジヨウ部11,21,
31上方への屈曲角度θが30〜80°程度であ
る請求項(1)〜(3)の何れか一つに記載の、ワンタ
ツチ式多用途タイプの消化管吻合器。[Claims for Utility Model Registration] (1) A tong member T and a compound forked shape in which three bending levers 1, 2, and 3 are pivotally connected by a pivot P in the vicinity of an inflection point, (a) the tong member T; The upper surface of the under-jaw portion 11, which is the working end of the first bending lever 1 disposed at the lower part of the member T, has a deep deep anvil groove 12 for bending the long-legged staple SL and a deep anvil groove 12 for bending the short-legged staple SB. Shallow shallow anvil groove 1
3 are alternately parallel to each other to form deep anvil groove rows 12, 12... and shallow anvil groove rows 13, 13..., and (b) are disposed on the upper part of the tongue member T. Up-purge portion 2 which is the working end of the second bending lever 2
1 includes the deep anvil groove arrays 12, 12...
The short tooth rows 22, 22, .
Long tooth rows 23, 23... are formed in a vertical row so that the long teeth 23 with long tooth heights can be engaged with the positions corresponding to the teeth 13, 3
Middle section 3 which is the working end of the bending lever 3
1, a cartridge insertion groove 32 is formed along the lower longitudinal direction, and long leg staples SL, SL... are inserted into the insertion groove 32 in tandem at the same pitch as the deep anvil groove rows 12, 12... A built-in long-legged staple cartridge 14 and/or a short-legged staple cartridge 15 built in in tandem with short-legged staples SB, SB... at the same pitch as the shallow anvil groove rows 13, 13... can be loaded. Push teeth holes 33, 33... are bored in the upper surface of the middle jaw part 31 at positions that match the respective anvil grooves of the deep anvil groove rows 12, 12... and the shallow anvil groove rows 13, 13... By gripping the handle part 16, which is the force end of the first bending lever 1, and the handle part 34, which is the force end of the third bending lever 3, the middle jaw part 31 moves with the upper jaw part 21, and the first Under-jou portion 1 on the working end side of the bending lever 1
1 and the middle jaw part 31 to take a clamp pose, and when the under jaw part 11 and the middle jaw part 31 are in the clamp pose state, the handle part 16 of the first bending lever 1 and the second bending lever 2 are By gripping the handle part 24 on the power end side, the short tooth rows 22, 22... and the long tooth rows 23, 23... SL... and/or short leg staples SB, SB... are inserted into the push tooth hole 33.
, 33..., the legs of each long-legged staple SL and/or short-legged staple SB are bent from their tips, and the target part can be sutured. . (2) The first bending lever handle is arranged such that the notch lever 4, which has 41 rows of serrated pawl notches formed on the side, passes through the loose fitting hole 25 formed in the middle second bending lever handle part 24. portion 16 and the third bending lever handle portion 34, and has one end pivotally supported on either of these handle portions 16 and 34, while the pawl notch is disposed on the remaining handle portion 16 or 34. 2. The one-touch multipurpose gastrointestinal anastomosis device according to claim 1, wherein the rows 41 are configured to engage with each other in a position-adjustable manner. (3) A stay boss 35 is provided protrudingly from the upper surface of the third bending lever handle part 34, and the second lever handle part 2
4 and the third bending lever handle part 34 for storage, an opening spring 5 is interposed between the first bending lever handle part 16 and the second bending lever handle part 34, and the third bending lever handle part 34 is stored. The one-touch multipurpose gastrointestinal tract according to claim 1 or 2, wherein the first bending lever handle portion 16 and the second bending lever 24 are always biased in the direction of expansion. Anastomosis device. (4) Jaw portions 11 and 21 in the tongue member T
, 31 and the handle portions 16, 24, 34 in plane projection is approximately 135 degrees, and the handle portions 11, 21, 34 of the handle portions 16, 24, 34
31. The one-touch multipurpose gastrointestinal anastomosis device according to any one of claims (1) to (3), wherein the upward bending angle θ is about 30 to 80 degrees.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP14667989U JPH0527929Y2 (en) | 1989-12-19 | 1989-12-19 |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP14667989U JPH0527929Y2 (en) | 1989-12-19 | 1989-12-19 |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH0385009U true JPH0385009U (en) | 1991-08-28 |
JPH0527929Y2 JPH0527929Y2 (en) | 1993-07-16 |
Family
ID=31693229
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP14667989U Expired - Lifetime JPH0527929Y2 (en) | 1989-12-19 | 1989-12-19 |
Country Status (1)
Country | Link |
---|---|
JP (1) | JPH0527929Y2 (en) |
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