RU2052979C1 - Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок - Google Patents
Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок Download PDFInfo
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Abstract
Использование: в хирургии, например при эндоскопических операциях. Сущность изобретения: аппарат для наложения зажимающих скрепок содержит закрепленный с возможностью осевого вращения корпус 1, установочные поверхности 3, концевые прижимные поверхности 19, рабочие губки 5, привод 6 и механизм подачи в виде установленного с возможностью вращения кожуха 7 с направляющими прорезями 8 и установленными в прорезях подпружиненными пружиной 9 ручками 10, закрепленными на размещенном в кожухе 7 вкладыше 11, выполненном с опорной поверхностью 12 и сквозными отверстиями 13, причем на торце кожуха 7 установлена подвижная крышка 14, на внутренней поверхности которой закреплены кратные по высоте скрепочной длине упоры 15, установленные с возможностью последовательного взаимодействия с опорной поверхностью 12 и сквозными отверстиями 13, при этом на наружной поверхности крышки 14 размещен скрепочный счетчик 16, который может быть выполнен в виде шкалы, а установочные поверхности 3 выполнены под скрепочный магазин. Магазин для прошивающих скобок или зажимающих скрепок содержит корпус с толкателем 21, скобочными или скрепочными направляющими, установочными аппаратными поверхностямии подпружинивающим средством в виде отдельных элементов, размещенных с возможностью взаимодействия с отдельной скобкой или скрепкой, при этом толкатель 21 выполнен с пружинящим рабочим концом в виде скобочного фиксатора, установленного с возможностью взаимодействия с отдельными элементами, при этом его отдельные элементы могут быть установлены на размещенной в корпусе съемной или разъемной пластине или на корпусе, его установочные поверхности могут быть выполнены на корпусе и на толкателе 21 и могут быть резьбовыми. 2 с. и 4 з. п. ф-лы, 3 ил.
Description
Изобретение относится к медицинской технике и применяется в хирургии для прошивания соединяемых тканей или их пережатия, например, при эндоскопических операциях или при любых других операциях, при которых используется инструментальный канал проводящего инструмента.
В настоящее время известны аппараты для наложения зажимающих скрепок, применяемые с известными аппаратами (патент СССР N 297136, кл. A 61 B 17/10, 1971), а примером магазинов конструкции (авт. св. N 413652, кл. A 61 B 17/068, 1974 и N 526354, кл. A 61 B 17/072, 1976).
Недостатками указанных аппаратов является сложность таких конструкций, особенно механизма, подающего скобки. Что же касается магазинов, то все они имеют важный недостаток, заключающийся в заклинивании скобок или скрепок, часто возникает еще до работы присоединенного к аппарату магазина вследствие изменения его положения в пространстве при открытии упаковки и т.д.
Частично эти недостатки отсутствуют в выбранных в качестве прототипов изобретениях [1, 2] Аппарат [1] имеет хотя и упрощенную подачу скрепок, однако состоящую из многих деталей, образующих между собой сложные кинематические пары. Магазин [1] исключает изменение положения скрепок при его подготовке к работе за счет подпружинивающего эти скрепки средства, которое тем не менее выполняет функцию их подталкивания к рабочим частям аппарата и не дает надежной фиксации в пространстве. Эта фиксация чрезвычайно важна, так как при массовом выпуске магазинов и малых размерах скобок или скрепок для заклинивания достаточно очень небольшого износа технологического оборудования, а также износа самого магазина, где задев незначительный заусенец или задир на направляющих, скоба или скрепки гарантируют наползание на нее следующей скобки или скрепки и, как следствие, временное прекращение операции, так как скобки или скрепки вышеуказанных магазинов подпружинены в ряд.
Цель изобретения упрощение конструкции аппаратов и повышение надежности магазинов, которые могут применяться с любыми аппаратами, то есть как с аппаратами для наложения зажимающих скобок, так и для прошивающих скобок.
Сущность одного изобретения заключается в том, что в аппарате для наложения зажимающих скрепок, содержащем корпус с установочными поверхностями под скрепочный магазин, с рабочими губками, приводом и с механизмом подачи, который выполнен в виде соединенного с корпусом кожуха с направляющими прорезями и установленными в прорезях подпружиненными ручками, закрепленными на размещенном в кожухе вкладыше, выполненном с опорной поверхностью и сквозными отверстиями, на торце кожуха установлена подвижная крышка, на внутренней поверхности которой закреплены кратные по высоте скрепочной длине упоры, установленные с возможностью последовательного взаимодействия с опорной поверхностью и сквозными отверстиями, а на наружной поверхности выполнен счетчик зажимающих скрепок, при этом корпус механизма подачи выполнен в виде подвижной части привода, снабженной концевыми прижимными поверхностями с возможностью поворота рабочих губок, кроме того счетчик зажимных скрепок выполнен в виде крышки со шкалой.
Сущность другого изобретения заключается в том, что в магазине для прошивающих скобок или зажимающих скрепок, содержащем корпус с толкателем, скобочными или скрепочными направляющими, установленными аппаратными поверхностями и подпружинивающим средством, которое выполнено в виде отдельных элементов, размещенных с возможностью взаимодействия с отдельной скобкой или скрепкой, толкатель выполнен с пружинящим рабочим концом в виде скобочного фиксатора, установленного с возможностью взаимодействия с отдельными элементами и подпружинивающего средства.
На фиг. 1 изображен аппарат для наложения зажимающих скрепок; на фиг. 2 магазин для прошивающих скобок или зажимающих скрепок; на фиг. 3 разрез А-А на фиг. 2.
Аппарат для наложения зажимающих скрепок содержит корпус 1, скрепленную с корпусом 1 втулку 2 с установочными поверхностями 3 под скрепочный магазин 4, рабочие губки 5, привод, выполненный в виде ручных подпружиненных рычагов 6, и механизм подачи в виде соединенного с корпусом 1 кожуха 7 с направляющими прорезями 8 и установленными в прорезях 8 подпружиненных пружиной 9 ручками 10, закрепленными на размещенном в кожухе 7 вкладыше 11, выполненном с опорной поверхностью 12 и сквозными отверстиями 13, причем на торце кожуха 7 установлена подвижная крышка 14, на внутренней поверхности которой закреплены кратные по высотам скрепочной длине упоры 15, установленные с возможностью последовательного взаимодействия с опорной поверхностью 12 и сквозными отверстиями 13, а на наружной поверхности выполнен счетчик 16 зажимающих скрепок, при этом ручки 10 связаны с тягами 17 и 18, которые своими установочными поверхностями 3 соединены с установочными поверхностями магазина 4. Рычаги 6 взаимодействуют с корпусом 1, который торцовой подвижной поверхностью 19 взаимодействует с губками 5. Втулка 2 и корпус 1, а также тяги 17 и 18 соединены с рычагами 6 и ручками 10 с возможностью поворота вместе с механизмом подачи на 360о.
В качестве варианта аппарата счетчик 16 зажимных скрепок выполнен в виде крышки со шкалой.
Магазин для прошивающих скобок или зажимных скрепок содержит корпус 20 с толкателем 21, скобочными или скрепочными направляющими 22, установочными поверхностями 23 под соответствующий аппарат и подпружинивающее средство в виде отдельных элементов 24, размещенных с возможностью взаимодействия с отдельной скобой или скрепкой, при этом толкатель 21 выполнен с пружинящим рабочим концом в виде скобочного фиксатора 25, установленного с возможностью взаимодействия с отдельными элементами 24.
В качестве вариантов магазина его отдельные элементы 24 могут быть установлены как на размещенной в корпусе 20 съемной или несъемной пластине 26 или на самом корпусе 20, его установочные поверхности 23 могут быть расположены на корпусе 20 и на толкателе 21 и могут быть резьбовыми.
Данные конструкции стыкуются между собой и работают следующим образом.
Скрепки 27 вставляются в направляющие 22, при этом отдельные элементы 24 фиксируют их в индивидуальном порядке, исключая взаимодействие при работе друг с другом. Затем при помощи установочных поверхностей 2 и 23 магазин размещают в аппарате, следя за тем, чтобы счетчик 16 был установлен в начальном положении, при котором самый длинный упор 15 располагается напротив опорной поверхности 12 вкладыша 11.
При действии привода, который может быть выполнен в виде ручных рычагов 6, корпус 1 движется вдоль оси аппарата, воздействует концевыми прижимными поверхностями 19 на рабочие губки 5, сжимающие скрепку 27, которая удерживается в момент деформации толкателем 21, выполненным в виде скобочного фиксатора. При освобождении подпружиненных рычагов 6 последние расходятся, рабочие губки 5 разжимаются и готовы для приема новой скрепки (скобки). Для подачи новой скрепки крышку 14 следует повернуть для установки последующего упора 15 в рабочее положение, при этом счетчик 16 показывает соответствующее число оставшихся в магазине скрепок. Ручку 10 перемещают вдоль направляющих прорезей 8 до упора 15, сжимая пружину 9. Толкатель 21 в корпусе 20 магазина захватывает следующую скрепку 27, которая после отпускания ручки 10 за счет пружины 9 устанавливается в рабочее положение между губками 5 и фиксируется толкателем 21 в нужной позиции. Поворот на какой-либо угол рабочих губок 5 осуществляется поворотом соответственно на тот же угол кожуха 7 механизма подачи за ручки 10.
Claims (6)
1. Аппарат для наложения зажимающих скрепок, содержащий закрепленный с возможностью осевого вращения корпус с установочными поверхностями, прижимными поверхностями, рабочими губками, приводом и механизмом подачи, отличающийся тем, что механизм подачи выполнен в виде установленного с возможностью осевого вращения кожуха с направляющими прорезями и установленными в прорезях подпружиненными ручками, закрепленными на размещенном в кожухе вкладыше, выполненном с опорной поверхностью и сквозными отверстиями, причем на торце кожуха установлена подвижная крышка, на внутренней поверхности которой закреплены кратные по высоте скрепочной длине упоры, установленные с возможностью последовательного взаимодействия с опорной поверхностью и сквозными отверстиями, при этом на наружной поверхности крышки размещен скрепочный счетчик, установочные поверхности выполнены под скрепочный магазин, а прижимные поверхности выполнены концевыми.
2. Аппарат по п.1, отличающийся тем, что скрепочный счетчик выполнен в виде шкалы.
3. Магазин для прошивающих скобок или зажимающих скрепок, содержащий корпус с толкателем, скобочными или скрепочными направляющими, установочными аппаратными поверхностями и подпружинивающим средством, отличающийся тем, что его подпружинивающее средство выполнено в виде отдельных элементов, размещенных с возможностью взаимодействия с отдельной скобой или скрепкой, при этом толкатель выполнен с пружинящим рабочим концом в виде скобочного фиксатора, установленного с возможностью взаимодействия с отдельными элементами.
4. Магазин по п.3, отличающийся тем, что отдельные элементы установлены на размещенной в корпусе съемной или разъемной пластине или на корпусе.
5. Магазин по п.3, отличающийся тем, что его установочные поверхности выполнены на корпусе и на толкателе.
6. Магазин по п.5, отличающийся тем, что его установочные поверхности выполнены резьбовыми.
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US11957795B2 (en) | 2021-12-13 | 2024-04-16 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
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Publication number | Publication date |
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RU94010188A (ru) | 1997-05-10 |
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