SU1009439A1 - Surgical suturing device for application of anastomosis on digestive tract - Google Patents
Surgical suturing device for application of anastomosis on digestive tract Download PDFInfo
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- SU1009439A1 SU1009439A1 SU813265978A SU3265978A SU1009439A1 SU 1009439 A1 SU1009439 A1 SU 1009439A1 SU 813265978 A SU813265978 A SU 813265978A SU 3265978 A SU3265978 A SU 3265978A SU 1009439 A1 SU1009439 A1 SU 1009439A1
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Abstract
ХИРУРГИЧЕСКИЙ аИНВАЮЩИЙ АППАРАТ ДЛЯ НАЛОЖЕНИЯ АНАСТОМОЗОВ НА ПИГЦЕВАРИТЕЛЬНаМ ТРАКТЕ, содержащий трубчатый корпус, скобочную ; головку с пазгини дл скобок, соединенную с корпусом, цилиндрический нож и толкатель, расположенные в . скобочной головке, упорную головку с лунками дл загиба скобок, регул тор зазора прошивани и привод прошивани , выполненный в виде гибкого стержн , отличающийс тем, что, с целью повышени надежности наложени анастомоза на пищеварительномтракте в труднодоступных местах, аппарат снабжен гидроприводом прошивани , выпол(;енным в виде силового гидроцилиндра, установленного на скобочной головка, ведущим гидродилинлфом с измерителем давлени , причем ведущий и силовой гидроцилиндры соединены между собой трубчатым корпусом, который выполнен гибким, а регул тор зазора прошивани выполнен в виде цанги с винтом и выступами, установленной на упорной головке с возможностью вза (Л имодействи с наконечником, которым снабжен гибкий стержень.SURGICAL DIAGNOSTIC DEVICE FOR THE IMPACT OF ANASTOMOSIS ON THE PIGTERIUM TRACT, containing a tubular body, bracket; Pazgini head for brackets connected to the body, a cylindrical knife and a pusher located in the. a brace head, a thrust head with holes for bending the brackets, a pitch gap adjuster and a piercing drive, made in the form of a flexible rod, characterized in that, in order to increase the reliability of anastomosis overlaying in hard-to-reach places, the device is equipped with a hydraulic drive of piercing (); In the form of a power cylinder mounted on a bracket head, a leading hydrodillet with a pressure gauge, the master and power cylinders are interconnected by a tubular body that d is flexible, and the regulator gap stitching is designed as a screw and collet lugs mounted on the abutment head, with mutually (L from interaction with the tip, which is provided with a flexible rod.
Description
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Изобретение относитс к области медицины, а именно к хирургическим сшивающим аппаратам дл наложени анастомозов на полые органы.The invention relates to the field of medicine, namely to surgical suturing apparatus for applying anastomoses to hollow organs.
Известен хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте, содержащий трубчатый корпус, скобочную головку с пазами дл скобок, соединенную с корпусом,цилиндрический нож и толкатель, расположенные в скобочной головке, упорную головку с лунками дл загиба скобок, регул тор зазора прошивани и привод прошивани tlj.A surgical stapler for imposing anastomoses on the digestive tract is known, comprising a tubular body, a brace head with grooves for brackets connected to the body, a cylindrical knife and a pusher positioned in the brace head, an axial head with holes for bending the brackets, a firmware clearance regulator and a drive tlj firmware
Недостатком известного устройств вл етс то, что этот аппарат невозможно провести в труднодоступные места дл наложени анастомоза из-з жесткости трубчатого корпуса.A disadvantage of the known devices is that this apparatus cannot be held in hard-to-reach places for imposing an anastomosis due to the rigidity of the tubular body.
Наиболее близким по технической сущности к предложенному устройству вл етс хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте, содержащий трубчатый корпус, скобочную головку с пазами дл скобок, соединенную с корпусом, цилиндрический нож и толкатель , расположенные в скобочной головке,, упорную головку с лунками дл загиба скобок, регул тор зазора прошивани и привод прошивани , выполненный в виде гибкого стержн 2jThe closest in technical essence to the proposed device is a surgical stapler for imposing anastomoses on the digestive tract, comprising a tubular body, a brace head with grooves for brackets connected to the body, a cylindrical knife and a pusher located in a brackets head, a thrust head with holes for bending the brackets, the adjustment of the gap of the piercing and the drive of the piercing made in the form of a flexible rod 2j
J eдocтaткoм этого устройства вл етс относительно невысока надежность наложени анастомоза на пищеварительном тракте в труднодоступных местах.The J output of this device is the relatively low reliability of anastomotic overlay on the digestive tract in hard-to-reach places.
Цель изобретени - повышение надежности наложени анастомоза на пищеварительном тракте в труднодоступных местах.The purpose of the invention is to increase the reliability of imposing anastomosis on the digestive tract in hard to reach places.
Цель достигаетс тем, что в хиругическом сшивающем аппарате, содержащем трубчатый корпус, скобочную .головку с пазами дл скобок, соединенную с корпусом, цилиндрический нож и толкатель, расположенные в скбочной головке, упорную головку с лунками дл загиба скобок регул тор зазора прошивани и привод прошивани , выполненный в виде гибкого стержн , аппарат снабжен гидроприводом прошивани , выполненным в виде силового гидроцилиндра, установленного в скобочной головке, ведущим гидроцилиндром с измерителем давлени , причем ведущий и силовой гидроцилиндры соединены между собой трубчатым корпусом, который выполнен гибким, а регул тор зазора прошивани выполнен в виде цанги с винтом и выступами, установленной на упорной головке, установленной на упорной головке с возможностью взаимодействи с наконечником, которым снабжен гибкий стержень.The goal is achieved by the fact that in a surgical stapling apparatus comprising a tubular body, a brace head with stapling grooves connected to the body, a cylindrical knife and a pusher located in the scoop head, a thrust head with holes for bending the brackets, the firmware clearance regulator and the drive drive , made in the form of a flexible rod, the apparatus is equipped with a hydraulic actuating firmware, made in the form of a power hydraulic cylinder mounted in the bracket head, a leading hydraulic cylinder with a pressure gauge, and the driver and howl cylinders interconnected by a tubular body which is flexible, and the regulator gap stitching is designed as a screw and collet lugs mounted on the abutment head, mounted on the abutment head to cooperate with a tip, which is provided with a flexible rod.
На фиг. 1 изображен хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте в общем виде с продольным разрезом; е на фиг. 2 - рабоча часть аппарата с колпачком.FIG. 1 shows a surgical stapler for applying anastomoses to the digestive tract in general with a longitudinal incision; e in fig. 2 - working part of the apparatus with a cap.
Хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте содержит трубчатый корпус 1, скобочную головку 2 с пазами 3 дл скобок, соединенную с корпусом 1, цилиндрический нож .4 и толкатель 5, расположенные в скобочной головке упорную головку 6 с лунками 7 дл загиба скобок, регул тор 8 зазора прошивани и привод 9 прошивани ,, выполненный в виде гибкого стержн 10.Surgical suturing apparatus for imposing anastomoses on the digestive tract contains a tubular body 1, a brace head 2 with grooves 3 for brackets, connected to the body 1, a cylindrical knife .4 and a pusher 5, a stop head 6 located in a brace head with holes 7 for bending the brackets, The firmware gap adjustment controller 8 and the firmware drive 9, made in the form of a flexible rod 10.
Аппарат снабжен гидроприводом прошивани , выполненным в виде силового гидроцилиндра 11, установленного на скобочной головке 2, ведущего гидроцилиндра 12 с измерителем 13 давлени , причем ведущий 12 и силовой 11 гидроцилиндры соединеныThe device is equipped with a hydraulic actuator, made in the form of a power cylinder 11 mounted on a bracket head 2, a leading cylinder 12 with a pressure gauge 13, and the lead 12 and power 11 cylinders are connected
5 между собой трубчатым корпусом 1, который выполнен гибким, а регул тор 8 зазора прошивани выполнен в виде цанги 14 с винтом и выступами 15, установленной на упорной5 with each other by a tubular body 1, which is made flexible, and the piercing gap regulator 8 is made in the form of a collet 14 with a screw and protrusions 15 mounted on a thrust
0 головке 6 с возможностью взаимодействи с наконечником 16, которым снабжен гибкий стержень 9.0 to the head 6 with the ability to interact with the tip 16, which is provided with a flexible rod 9.
Силовой гидроцилиндр. 11 с помощью легкоразъемного соединени подсоединен к скобочной головке 2. Поршень 17 гидроцилиндра 11 при этом упираетс в поводки 18 толкател 5. Корпус силоврго гидроцилиндра 11 напрессован на патрубок.19, в который заделан гибкий корпус 1. Патрубок 19 вл етс упором дл цанги 14.На другом конце гибкого корпуса 1 имеетс аналогичный патрубок 20 с кожухом 21. На патрубках 19, 20 предусмотрены отверсти 22, 23. ПолостьPower hydraulic cylinder. 11 is connected by a detachable connection to the clamping head 2. The piston 17 of the hydraulic cylinder 11 rests against the leads 18 of the pusher 5. The housing of the hydraulic cylinder 11 is pressed onto the nipple 19, into which the flexible case 1 is embedded. The nipple 19 is the abutment for the collet 14. At the other end of the flexible body 1 there is a similar pipe 20 with a casing 21. The ports 22, 20 have holes 22, 23. The cavity
5 между кожухом 21 и патрубком 20 закрыта кольцом 24, каналами 25, сооб-: щающимис с ведущим цилиндром 12 и с измерителем 13 давлени .5 between the casing 21 and the nozzle 20 is closed by a ring 24, channels 25, communicating with a driving cylinder 12 and with a pressure gauge 13.
Полость гидроцилиндров заполн етс жидкостью.The cavity of the hydraulic cylinders is filled with fluid.
Силовой гидроцилиндр закрыт колпачком 26.The power cylinder is closed by a cap 26.
Аппарат работает следующим образом .The device works as follows.
Аппарат зар жают скобками. Дл The device is charged with brackets. For
наложени анастомозов замер ют толщину сшиваемых тканей и устанавливают по специальной шкале регул тор 8 зазора согласно толщине сшиваемыхanastomosis overlays measure the thickness of the fabrics to be stitched and adjust the clearance adjuster 8 on a special scale according to the thickness of the stitched
тканей.tissues.
Затем через естественные отверсти (рот, пр ма кишка) ввод т силовой гидроцилиндр 11, закрытый колпачком 26 в орган, который нужноThen, through the natural openings (the mouth, the rectum), the power cylinder 11, closed with cap 26, is introduced into the organ to be
сшить с кишкой. В зоне сшивани кол; пачок 26 снимают и устанавливают упорную головку 6.sew with the gut. Stake in the stapling zone; pack 26 remove and install the stop head 6.
Винтовым приводом продвигают гкбкий стержень 10 в сторону упорной головки 6. Наконечник 16 при этом освобождает наружные выступы 15 цанги 14 и, отход ат внутренних выступов , толкает регул тор зазора 8, аThe screw actuator advances the pin 10 to the side of the stop head 6. The tip 16 at the same time releases the outer projections 15 of the collet 14 and, the withdrawal of the inner projections, pushes the gap adjuster 8, and
.вместе с ним упорную, головку б. отодвинув упорную головку б на необхогдимое рассто ние, ее ввод т в прос- вет конца кишки предварительно наметанного кисетным швом.together with him stubborn, head b. Having moved the thrust head b to the required distance, it is inserted into the end of the intestine previously knitted with a purse string.
Кисетный ШО9 зат гивают Скобочную головку 2 вврд т в просвет присоедин емого органа и также зат гивают кисетнЕзО швом. Упорную голов ку 6 возвращают в первоначальноеKissetny SHO9 are tightened by the Staple 2 head into the lumen of the organ to be attached and they are also sutured with a suture. The stop head 6 is returned to the original
,i положение тем же приводом. При обратном -ходе гибкого стержн 10 его наконечник 16 цепл етс за выступы, i position by the same drive. During the return stroke of the flexible rod 10, its tip 16 clings to the protrusions
:15 цанги 14 и т нет упорную головку б.: 15 collet 14 and t no thrust head b.
После этого начингпот процесс сшивани с помощью привода 28 гидро-. цилиндров, который, воздейству наThereafter, the ningpot stitching process using a 28 hydro drive. cylinders, which, I will affect
поршень 27 ведущего гидроцилиндра 12, сжимает жидкость в полости гидррцилиндров . давление жидкости передаетс через 1$аналы 25, отверсти 22, 23 и корпус 1 в сиговой гидроцилиндр 11. Поршень 17 продвигает толкатель 5 с.ножом 4. В результате происходит сшивание и кругова вырезка тканей ножом. .piston 27 leading cylinder 12, compresses the fluid in the cavity of hydraulic cylinders. fluid pressure is transmitted through 1 $ canals 25, orifices 22, 23, and body 1 into the sig hydraulic cylinder 11. Piston 17 advances pusher 5 with foot. 4. As a result, stapling and circular cutting of tissues with a knife occurs. .
По величине хода винта привода 28By the magnitude of the stroke of the actuator 28
и показани м измерител давлени .13 можно проследить за процессом сшивани . После окончани сшивани упорна головка б отводитс от скобочной 2 на рассто ние, достаточное дл сохранени целостности шва. Ссдавакица головка извлекаетс из пищеварительного тракта с помощью гибкого корпуса i.and a pressure gauge reading .13 can be traced to the crosslinking process. After the stitching is finished, the stop head b is retracted from the bracket 2 at a distance sufficient to preserve the integrity of the seam. The head is removed from the digestive tract by means of a flexible body i.
Предложенный апппарат имеет достаточно чувствительный, позвол ющий осуществл ть четкий контроль над процессом сшивани и надежный, исключающий возможность случайного срабатывани /привод , благодар применеиию гидросистемы с указателем давлени винтовых п иводов. The proposed apparatus has a sufficiently sensitive, allowing a clear control over the stitching process and reliable, eliminating the possibility of accidental operation / drive, due to the use of a hydraulic system with a pressure indicator of screw plugs.
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Application Number | Priority Date | Filing Date | Title |
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SU813265978A SU1009439A1 (en) | 1981-03-24 | 1981-03-24 | Surgical suturing device for application of anastomosis on digestive tract |
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SU813265978A SU1009439A1 (en) | 1981-03-24 | 1981-03-24 | Surgical suturing device for application of anastomosis on digestive tract |
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SU1009439A1 true SU1009439A1 (en) | 1983-04-07 |
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US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
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US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
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US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
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US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11918217B2 (en) | 2021-05-28 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
US11957344B2 (en) | 2021-09-27 | 2024-04-16 | Cilag Gmbh International | Surgical stapler having rows of obliquely oriented staples |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US11957339B2 (en) | 2021-11-09 | 2024-04-16 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11957795B2 (en) | 2021-12-13 | 2024-04-16 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US11963682B2 (en) | 2022-05-17 | 2024-04-23 | Cilag Gmbh International | Surgical staples comprising hardness variations for improved fastening of tissue |
US11963680B2 (en) | 2022-10-19 | 2024-04-23 | Cilag Gmbh International | Cartridge body design with force reduction based on firing completion |
US11957345B2 (en) | 2022-12-19 | 2024-04-16 | Cilag Gmbh International | Articulatable surgical instruments with conductive pathways for signal communication |
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