SU1377053A1 - Surgical suturing apparatus - Google Patents

Surgical suturing apparatus

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Publication number
SU1377053A1
SU1377053A1 SU853960907A SU3960907A SU1377053A1 SU 1377053 A1 SU1377053 A1 SU 1377053A1 SU 853960907 A SU853960907 A SU 853960907A SU 3960907 A SU3960907 A SU 3960907A SU 1377053 A1 SU1377053 A1 SU 1377053A1
Authority
SU
USSR - Soviet Union
Prior art keywords
wedge
abutment
knife
sponge
bracket
Prior art date
Application number
SU853960907A
Other languages
Russian (ru)
Unknown language (xx)
Inventor
Винер Газизович Сахаутдинов
Рустем Анварович Талипов
Римм Мусагитович Халиков
Зуфар Хафипович Гарифуллин
Original Assignee
В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин filed Critical В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин
Priority to SU853960907A priority Critical patent/SU1377053A1/en
Application granted granted Critical
Publication of SU1377053A1 publication Critical patent/SU1377053A1/en

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Abstract

Изобретение предназначено дл использовани в хирургии. The invention is intended for use in surgery. Цель изобретени - обеспечение возможности наложени кишечного анастомоза в глубине малого таза при лапаротомном доступе. The purpose of the invention - providing the possibility of imposing an intestinal anastomosis in the depths of a small basin at laparotomy. Аппарат состоит из двух разъемных половин - скобочной 1 и упорной 2, клина 3, в котором выполнен сквозной паз дл размещени в нем подвижного ножа. The apparatus consists of two separable halves - the bracket 1 and the abutment 2, the wedge 3, wherein a through groove is formed for receiving therein the movable knife. Удлинитель 7 размещен между скобочной губкой 8 и руко ткой 6. Удлинитель 10 имеет Г-образ- ную форму и св зан с упорной губкой 11 и с руко ткой 9. Скобочна и упорна половины соединены между собой замком 14 и рычагом 15. Кремальера 17 обеспечивает сомкнутое положение обеих половин. Extension 7 is arranged between the bracket sponge 8 and a handle 6. The extension 10 has a T-shape and hydrochloric The samples associated with abutment jaw 11 and the handle 9. The bracket and the abutment half interconnected lock 14 and the lever 15. The rack 17 provides closed position of the two halves. Выталкивание скобок из пазов осуществл етс с помощью толкателей. Ejection of staples grooves is performed via the pushers. 12 ил. 12 yl.

Description

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Изобретение относитс к медицине, а именно к хирургии, и касаетс проведени хирургических операций на пр мой кишке. The invention relates to medicine, namely to surgery, and relates to surgical operations on the colon.

Цель изобретени - обеспечение возможности нахождени кишечного анастомоза в глубине малого таза при лапаротомном доступе . The purpose of the invention - providing the possibility of finding intestinal anastomosis in the depths of a small basin at laparotomy.

На фиг. FIG. 1 и 2 изображен хирургический сшивающий аппарат, две проекции; 1 and 2 show a surgical stapling apparatus, two projections; на фиг. FIG. 3 - сечение А-А на фиг. 3 - section A-A in Fig. 1; one; на фиг. FIG. 4 four

зов осуществл етс с помощью отдельных толкателей (не показано), размещенных в скобочных пазах. the call is effected by means of individual pushers (not shown) placed in bracketed grooves. Нерабочий конец клина 3 закреплен в ручном упоре 22 с помощью 5 замка 23. Nonworking end of the wedge 3 is provided in manual-ups 22 via the lock 23 5.

Устройство работает следующим образом. The apparatus operates as follows.

При движении клина 3 по пазообраз- ному каналу скобочной губки 8 и удлинител 7 толкатели под действием скошенной поверхности клина последовательно парами When moving the wedge 3 by pazoobraz- Nome channel staple jaws 8 and extender 7 tappets under the action of the tapered surface of the wedge pairs in series

то же, рабочее положение, губки устройст- перемещаютс , выталкива скобки из пазов. However, the operating position, sponges ustroyst- move, pushing the brackets out of the slots.

ва введены в сшиваемые органы; va put into linkable bodies; на фиг. FIG. 5 и 6 - скобочна часть устройства, две проекции; 5 and 6 - the bracket part of the device, the two projections; на фиг. FIG. 7 и 8 - сечени Б-Б и В-В на фиг. 7 and 8 - section B-B and B-B in FIG. 5; five; на фиг. FIG. 9 и 10 - упорна часть устройства; 9 and 10 - the abutment portion of the device; на фиг. FIG. 11 - узел I на фиг. 11 - I node of FIG. 9; 9; на фиг. FIG. 12 - узел II на фиг. 12 - II node of FIG. 10. ten.

Аппарат состоит из двух разъемных частей - скобочной 1 и упорной 2, а также клина 3, в котором выполнен сквозной паз дл размещени в нем подвижного ножа 4, имеющего V-образную форму и закрепленного в клине с помощью оси 5 с возможностью качани на оси. The apparatus consists of two detachable parts - the bracket 1 and the abutment 2 and the wedge 3, wherein a through groove for receiving therein the movable blade 4 having a V-shaped and secured in a wedge by shaft 5 to swing on the axis.

Скобочна часть состоит из руко тки 6, удлинител 7 и скобочной губки 8. УпорСкобки прокалывают зажатые в губках аппарата стенки сшиваемых органов и упираютс своими концами в лунки 21 губки 11 упорной части 2 и загибаютс в В-образную The bracket part consists of a handle 6, 7 and extender staple jaws 8. UporSkobki pierce clamped in the jaws of the apparatus crosslinkable wall bodies and abut with their ends in holes 21, the sponge 11 and abutment portion 2 are bent in V-shape

15 форму. 15 form. Одновременно с движением клина 3 движетс нож 4; Simultaneously with the movement of the wedge 3 moves the knife 4; утопленный упором (штифтом ) 13 в пазообразном канале удлинител 7. После выталкивани клином 3 первых двух пар скобок V-образный нож, встреча сь своим нерабочим концом с упором 13 Recessed stop (pin) 13 in the channel extender pazoobraznom 7. After ejection wedge 3, the first two pairs of V-shaped brackets knife Referring meeting its inoperative end with abutment 13

20 (штифтом), поворачиваетс на оси 5 в сквозном пазу клина 3 в рабочее положение, т. е. его лезвие выступает над рабочей поверхностью скобочной губки 8. Благодар этому нож 4 разрезает стенки зажатых между 20 (pin) 5 is rotated on the axis in a through slot wedge 3 in the working position, ie. E. The blade protrudes above the work surface of the bracket jaws 8. Thereby the knife 4 cuts the wall sandwiched between

на часть - руко тки 9, удлинител 10 и 25 рабочими поверхност ми губок 8 и 11 сши- .- -..-.. 11ваемых органов, причем стенки органов между первыми и последними р дами скобок не разрезаютс . a part - handle 9, extender 10 and 25 working surfaces of the jaws 8 and 11 -..- .. .- crosslinking 11vaemyh bodies, and bodies wall between the first and last rows of brackets is not nicked. При обратном движении клина 3 нож 4 упираетс своим рабочим концом в упор 13 (штифт) и его лезвие утапливает- 30 с в пазообразном канале в нерабочее положение и при прохождении участка канала в удлинителе 7 скобочной половины 1 не травмирует стенку сшиваемого органа. In the reverse movement of the wedge 3, the knife 4 abuts its working end 13 in abutment (pin) and its blade 30 with utaplivaet- pazoobraznom channel in an inoperative position and with the channel portion passes in an extension 7 of the bracket 1 does not injure the half wall crosslinkable body.

упорной губки 1 Г. hard sponge 1 G.

Удлинитель 7 скоб очной части 1 имеет линейную форму и размещен между скобочной губкой 8 и руко ткой 6 скобочной части имеет паз 12 дл размещени клина 3 с ножом 4 и упор в виде штифта 13, установленного в пазе 12, с которым взаимодействует нож 4 при перемещени х клина 3. Extension 7 staples internal part 1 has a linear shape and is arranged between the bracket sponge 8 and a handle 6, the bracket portion has a slot 12 for receiving a wedge 3, the knife 4 and the abutment in the form of a pin 13 mounted in the recess 12, with which the knife 4 for movement 3 x wedge.

Удлинитель 10 упорной части 2 имеет Г-образную форму и св зан одним концом с упорной губкой 11, а другим - с руко т- 35 кой 9 упорной части 2. Extension 10 has an abutment portion 2 L-shaped and is bonded at one end with the abutment jaw 11 and the other - with a handle 35 Coy 9 m- abutment portion 2.

Скобочна и упорна части соединены между собой замком 14 и рычагом 15, взаимодействующим со штифтом 16 и фиксирует сомкнутое положение обеих частей устройства с помощью кремальеры 17. The bracket and the abutment part are connected together lock lever 14 and 15 interacting with the pin 16 and the closed position fixes both parts of the device 17 via racks.

Дл усилени жесткости фиксации кон- сольно расположенных скобочной и упорной губок при смыкании частей устройства предусмотрены щеки 18 со штифтом 19, охватывающие удлинитель 7 скобочной части 1. To enhance the rigidity fixation concentration solo disposed staple and abutment jaws during closure of the machine, provided with a pin 18, cheek 19 covering the bracket extension 7 of part 1.

В рабочей губке 8 скобочной части 1 расположено два р да пазов 20 (по 8 штук в каждом р ду), в которые вставл ютс металлические П-образные скобки. In the working jaw 8, the bracket part 1 is arranged two rows of slots 20 (8 pieces in each row), which are inserted in U-shaped metal brackets.

На губке 11 упорной части 2 соответственно пазам 20 расположены лунки 21 дву- 50 м параллельными р дами дл загиба скобок при прошивании. On sponge 11 abutment portion 2, respectively, grooves 20 are wells 21 bi- 50 m parallel rows of staples to bend when sewing. Выталкивание скобок из па40 Staples of pa40

45 45

Claims (1)

  1. Формула изобретени The claims
    Хирургический сшивающий аппарат, содержащий скобочную и упорную разъемные половины с пазами и лунками дл загиба скобок, нож и клин дл выталкивани скобок , отличающийс тем, что, с целью обеспечени возможности наложени кишечного анастомоза в глубине малого таза при лапаротомном доступе, он снабжен удлинителем скобочной губки, св занным одним кон- цоим с гибкой скобочной половиной, а другим - с ее руко ткой, в котором выполнен паз, имеющий упор дл размещени и перемещени клина и ножа, Г-образным удлинителем упорной губки, св занным одним концом с A surgical stapler comprising the bracket and stopping separable halves with slots and holes for bending staples a knife and wedge to eject staples, characterized in that in order to permit overlapping intestinal anastomosis deep pelvis with laparotomy, it is provided with an extension staple sponge , one associated with the concentration tsoim flexible staple half, and the other - with its handle, wherein a groove having a stop for positioning and moving the wedge and the knife, the L-shaped sponge abutment extender, bound at one end to губкой, а другим - с руко ткой упорной половины, в клине выполнен паз, в котором на оси установлен нож, выполненный V-образной формы взаимодействующий с упором. sponge, and the other - with the handle abutment halves formed in the wedge groove, which is mounted on the axis of the knife, arranged V-shape cooperating with the abutment.
    зов осуществл етс с помощью отдельных толкателей (не показано), размещенных в скобочных пазах. the call is effected by means of individual pushers (not shown) placed in bracketed grooves. Нерабочий конец клина 3 закреплен в ручном упоре 22 с помощью 5 замка 23. Nonworking end of the wedge 3 is provided in manual-ups 22 via the lock 23 5.
    Устройство работает следующим образом. The apparatus operates as follows.
    При движении клина 3 по пазообраз- ному каналу скобочной губки 8 и удлинител 7 толкатели под действием скошенной поверхности клина последовательно парами When moving the wedge 3 by pazoobraz- Nome channel staple jaws 8 and extender 7 tappets under the action of the tapered surface of the wedge pairs in series
    перемещаютс , выталкива скобки из пазов. move, pushing the brackets out of the slots.
    Скобки прокалывают зажатые в губках аппарата стенки сшиваемых органов и упираютс своими концами в лунки 21 губки 11 упорной части 2 и загибаютс в В-образную Brackets pierce clamped in the jaws of the apparatus crosslinkable wall bodies and abut with their ends in holes 21, the sponge 11 and abutment portion 2 are bent in V-shape
    форму. shape. Одновременно с движением клина 3 движетс нож 4; Simultaneously with the movement of the wedge 3 moves the knife 4; утопленный упором (штифтом ) 13 в пазообразном канале удлинител 7. После выталкивани клином 3 первых двух пар скобок V-образный нож, встреча сь своим нерабочим концом с упором 13 Recessed stop (pin) 13 in the channel extender pazoobraznom 7. After ejection wedge 3, the first two pairs of V-shaped brackets knife Referring meeting its inoperative end with abutment 13
    (штифтом), поворачиваетс на оси 5 в сквозном пазу клина 3 в рабочее положение, т. е. его лезвие выступает над рабочей поверхностью скобочной губки 8. Благодар этому нож 4 разрезает стенки зажатых между (Pin) 5 is rotated on the axis in a through slot wedge 3 in the working position, ie. E. The blade protrudes above the work surface of the bracket jaws 8. Thereby the knife 4 cuts the wall sandwiched between
    рабочими поверхност ми губок 8 и 11 сши- ваемых органов, причем стенки органов меж the working surfaces of the jaws 8 and 11 Vai crosslinking bodies, and between wall bodies
    Формула изобретени The claims
    Хирургический сшивающий аппарат, содержащий скобочную и упорную разъемные половины с пазами и лунками дл загиба скобок, нож и клин дл выталкивани скобок , отличающийс тем, что, с целью обеспечени возможности наложени кишечного анастомоза в глубине малого таза при лапаротомном доступе, он снабжен удлинителем скобочной губки, св занным одним кон- цоим с гибкой скобочной половиной, а другим - с ее руко ткой, в котором выполнен паз, имеющий упор дл размещени и перемещени клина и ножа, Г-образным удлинителем упорной губки, св занным одним концом с A surgical stapler comprising the bracket and stopping separable halves with slots and holes for bending staples a knife and wedge to eject staples, characterized in that in order to permit overlapping intestinal anastomosis deep pelvis with laparotomy, it is provided with an extension staple sponge , one associated with the concentration tsoim flexible staple half, and the other - with its handle, wherein a groove having a stop for positioning and moving the wedge and the knife, the L-shaped sponge abutment extender, bound at one end to губкой, а другим - с руко ткой упорной половины, в клине выполнен паз, в котором на оси установлен нож, выполненный V-образной формы взаимодействующий с упором. sponge, and the other - with the handle abutment halves formed in the wedge groove, which is mounted on the axis of the knife, arranged V-shape cooperating with the abutment.
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SU853960907A 1985-10-02 1985-10-02 Surgical suturing apparatus SU1377053A1 (en)

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