SU297156A1 - Хирургический аппарат для перевязки трубчатых органов металлическими скрепками - Google Patents
Хирургический аппарат для перевязки трубчатых органов металлическими скрепкамиInfo
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- SU297156A1 SU297156A1 SU1274595A SU1274595A SU297156A1 SU 297156 A1 SU297156 A1 SU 297156A1 SU 1274595 A SU1274595 A SU 1274595A SU 1274595 A SU1274595 A SU 1274595A SU 297156 A1 SU297156 A1 SU 297156A1
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Description
Изобретение относитс к медицинским инструментам .
Известны хирургические аппараты дл перев зки трубчатых органов металлическими скрепками, содержащие корпус, упорную часть с элементами дл загиба скрепок, подвижную каретку с двум магазинами, в которых размещены металлические скрепки, узел толкателей с толкающими элементами дл выталкивани и загиба скрепок, шток с руко ткой и цилиндрической пружиной. Однако эти хирургические аппараты не обеспечивают надежную перев зку трубчатых органов различного диаметра и вызывают повышенную повреждаемость этих органов при наложении щва.
Целью данного изобретени вл етс осуществление надежной перев зки трубчатых органов различного диаметра путем наложени кольцевой или спиральной скрепки.
Дл этого упорна часть в виде двух крюков с пальцами подвижно укреплена на корпусе и оснащена дугообразными элементами дл загиба скобок. Каретка снабжена криволинейными поверхност ми, взаимодействующими с пальцами упорной части, причем в каретку вмонтированы магазины, представл ющие собой поворотные цилиндры с продольными канавками. В этих канавках размещены
скрепки, выполненные в виде проволочных стержней с загнутым рабочим концом, а в центре корпуса расположен нож с радиусной режущей кромкой, кулачковой поверхностью и
хвостовой частью, взаимодействующий с узлом толкателей и с магазином.
Кроме того, дл обеспечени рассечени трубчатого органа после перев зки его скрепками в узле толкателей может быть выбран
канал холостого хода, в который помещена хвостова часть ножа, причем канал имеет длину, достаточную дл выталкивани и загиба скрепок толкающими элементами, и ограничен упором, привод щим нож в действие.
Помимо этого, магазин снабжен храповым механизмом, взаимодействующим с кулачковой поверхностью ножа. Это обеспечивает автоматический поворот и индексирование магазинов относительно упорной части.
Плотное закрытие просвета трубчатого органа обеспечиваетс тем, что рабочий конец скрепки изогнут но радиусу, соответствующему радиусу дугообразного элемента дл загиба
скрепок упорной части так, чтобы скрепка загибалась более, чем на 360° при длине скрепки, превышающей длину окружности трубчатого органа. Упорна часть хирургического аппарата может быть оснащена боковыми фланцами, образующими направл ющие пазы дл скрепки, а верхн поверхность фланцев вл етс опорой дл трубчатого органа во врем прижати его кареткой. На фиг. 1 изображен хирургический аппарат , вид сбоку; на фиг. 2 - то же, вид спереди; на фиг. 3 - разрез по А-А на фиг. 2; на фиг. 4 - -разрез по Б-Б на фиг. 3; на фиг. 5 - разрез по В-В на фиг. 3; на фиг. 6- разрез по Г-/ на фиг. 3; На фиг. 7 - разрез, аналогичный разрезу на фиг. 3, но при положении прижати подвижной каретки к упорной части; на фиг. 8 - направл ющий узел в увеличенном масштабе, вертикальный продольный разрез; на фиг. 9 - заготовка скрепки; на фиг. 10 - скрепка в изогнутом состо нии . Хирургический аппарат содержит корпус I с ручкой и упорную часть, выполненную в виде двух крюков 2 с пальцами 3 и дугообразной поверхностью 4 дл загиба скрепок. Упорна часть подвижно укреплена на корпусе / и оснащена выступом 5, удерживаемым в канавках 6 направл ющего узла 7, и запорной лапкой 5, вход щей в выемку 9 узла 7. При отводе упорной части от направл ющего узла 7 нажимают вверх на выступ 5. Между крюками 2 упорной части расположен упругий режущий узел 10. Подвижна каретка И несет в себе полный комплект металлических скрепок, размещенных в двух ее съемных магазинах 12, выполненных в виде стальных цилиндров , по окружности которых выбраны продольные пазы. В каретке 11 имеетс задн планка 13, фиксирующа магазины 12 в соответствующих отверсти х и позвол юща вынимать магазины 12 дл перезар дки. Скрепки удерживаютс в пазах магазина с помощью инертного клейкого вещества. Узел толкателей 14 содержит толкающие элементы 15, перемещающиес по направл ющим канавкам 16 направл ющего узла 7. Каретка 11 и узел толкателей -14 изготовл ютс предпочтительно из пластмассы и имеют лалки 17, взаимодействующие с направл ющим узлом 7. Это обеспечивает возвратно-поступательное движение каретки 7/ и узла толкателей. К задней планке 13 каретки 11 крепитс соединительна т га 18, проход ща через узел толкателей 14 и заканчивающа с фланцем 19, ограничивающим перемещение каретки и относительно узла толкателей 14 под усилием предварительно сжатой пружины 20. В центре описываемого хирургического аппарата размещен «ож 21, с радиусной режущей кромкой 22, кулачковой поверхностью 23 и хвостовой частью 24, взаимодействующей с узлом толкателей }4 п с магазинами 12. Узел толкателей 14 своей нижней .поверхностью 25 оконтуривает канал холостого хода , который заканчиваетс воздействующим на хвостовую часть 24 упором 26. При этом канал холостого хода имеет длину, достаточную дл выталкивани и загиба скрепок толкающими элементами 15, привод щими нож 21 в действие. Дл осуществлени автоматического поворота и индексировани магазинов 12 относительно упорной части применен храповой механизм , выполненный в виде двух пружин 27, образующих пару перекрывающихс изогнутых поверхностей, один из концов которых закреплен, а передние концы 28 взаимодействуют с продольными пазами магазина 12. Пружины 27 отодвигаютс одна от другой, если их концы 28 размещены в пазах магазина 12. При этом после выталкивани скрепок и продвижени вперед ножа 21 его кулачкова поверхность 23 позвол ет пружине войти iB самый верхний паз магазина 12. После возврата ножа 21 в исходное полол ение пружины 27 вновь раздел ютс кулачковой поверхностью 23 и поворачивают магазины 12 так, чтобы следующий загруженный скрепкой паз оказалс совмещенный с канавкой 29, через которую производитс выталкивание скрепки. Така операци повтор етс при каждом продвижении ножа 21, пока магазин 12 не сделает полного оборота. После этого с канавкой 29 будет совмещатьс пустой паз магазина 12, в который сможет зайти пружина 30, блокирующа движение вперед толкающих элементов 15. Скрепки изготавливаютс из нержавеющей стали диаметром 0,,3 мм и имеют согнутый передний рабочий конец, соответствующий радиусу дугообразной поверхности 4 упорной части. Это обеспечивает загиб скрепки более, чем на 360° при ее длине, превыщающей длину трубчатого органа. Упорна часть оснащена фланцами 31, образующими направл ющие пазы дл скрепок, а верхн поверхность этих фланцев служит опорой дл трубчатого органа во врем прижати его кареткой 11. Предмет изобретени I. Хирургический аппарат дл перев зки трубчатых органов металлическими скрепками , содержащий корпус, упорную часть с элементами дл загиба скрепок, подвижную каретку с двум магазинами, в которых размещены металлические скрепки, узел толкателей с толкающими элементами дл выталкивази и загиба скрепок, щток с руко ткой и цилиндрической пружиной, отличающийс тем, что, с целью осуществлени перевозки трубчатых органов различного диаметра путем наложени кольцевой или спиральной скрепки, упорна часть в виде двух крюков с пальцами подвижно укреплена на корпусе и оснащена дугообразными элементами дл загиба скобок, каретка снаблсена криволинейными поверхност ми, взаимодействующими с пальцами упорной части, причем в каретку вмонтированы магазины, представл ющие собой поворотные цилиндры с продольки , выполненные в виде проволочных стержней с загнутым рабочим концом, а в центре корпуса расположен нож с радиусной режущей кромкой, кулачковой поверхностью и хвостовой частью, взаимодействующий с узлом толкателей и с магазином.
2.Аппарат по п. 1, отличающийс тем, что, с целью обеспечени рассечени трубчатого органа после перев зки его скрепками, в узле толкателей выбран канал холостого хода, в который помещена хвостова часть ножа, причем канал имеет длину, достаточную дл выталкивани - и загиба скрепок толкаюпщми элементами, и ограничен упором, привод щим нож в действие.
3.Аппарат по пп. 1 и 2, отличающийс тем, что, с целью обеспечени автоматического поворота и индексировани магазинов относительно упорной части, магазин снабжен храповым механизмом, взаимодействующим с кулачковой поверхностью ножа.
4.Аппарат по пп. 1-3, отличающийс тем, что, С целью обеспечени плотного закрыти
просвета трубчатого органа, рабочий конец скрепки изогнут по радиусу, соответствующему радиусу дугообразного элемента дл загиба скрепок упорной части таким образом, чтобы скрепка загибалась более, чем на 360° при длине скрепки, превышающей длину окружности трубчатого органа.
5.Аппарат по пп. 1-4, отличающийс тем, что упорна часть оснащена боковыми фланцами , образующими направл ющие пазы дл скрепки, а верхн поверхность фланцев вл етс опорой дл трубчатого органа во врем прижати его кареткой.
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