SU328636A1 - Аппарат для сшивания ребер и ключицы скобочным швом - Google Patents
Аппарат для сшивания ребер и ключицы скобочным швомInfo
- Publication number
- SU328636A1 SU328636A1 SU1412078A SU1412078A SU328636A1 SU 328636 A1 SU328636 A1 SU 328636A1 SU 1412078 A SU1412078 A SU 1412078A SU 1412078 A SU1412078 A SU 1412078A SU 328636 A1 SU328636 A1 SU 328636A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- magazine
- staple
- pusher
- holes
- case
- Prior art date
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Description
Изо1б,ретение относитс к и касаетс хирургической аппаратуры.
Известны аппараты аналогичного назначени , содержащие упорный корпус с рабочим крюком, матрицу с лунками дл загиба скобок , укрепленную на упорном корпусе, скобочный корпус, толкатель скобок, магазин с дл скобок, лривод скобочного ксрлуса и толкател , фиксато-р и неподвижную руко тку . Эти аппараты имеют, однако, ограниченные функциональные воз можности.
Цель иредлагаемого аииарата - сшивание костны.х отломков различной толщины с безусловным заходо.м КОН1ЦОВ ножек ,в костную ткань. Это достигаетс тем, что упорный корпус выполнен из двух частей, одна из которых жестко соединена с неподвижной руко ткой , а друга выиолнена в направл ющих неподвижной части упорного корпуса, матрица также выполнена в виде двух закрепленных на разных част х упорного корпуса половин, кажда из которых имеет лунки дл загиба только одной ножки скобки, причем в плане лунки имеют форму трапеции , а магазин посредством выступов на боковых поверхност х соединен с тазами упорного корпуса. Кроме того, дл устранени подвижности костных отломков путем наложени скобочного щва, например, из двух скобок, .расположенных параллельно или под
углом, кажда половина матрицы может иметь не менее четырех лунок, а магазин - соответствующее количество наиравл ющих пазов, на выступах которых сн ты скосы. Безотказна фиксаци магазина и толкател может быть обеспечена тем, что на верхней стенке магазина выбрано окно, а на головке толкател сделан поперечный паз, в которых размещен выступ сво-бодного конца плоской
пружины, закрепленной на скобочном корпусе .
На фиг. 1 изображен предлагаемый аппарат , вид сбоку; на фиг. 2 - то же, нлан; на фиг. 3 - раарез по А-А на фиг. I; на
фиг. 4 - разрез по Б-Б на фиг. 3; на фиг. 5 - щов, план.
Аппарат содержит упорный корпус, выполненный из двух частей. Неподвижна часть 1 снабжена крюком 2, к упорной плоскости
которого припа на матрица 3 с лунками 4 дл загиба одной ножки П-образной скобки. Ненодвижна ча1сть упорного корпуса имеет продольные пазы 5 с вы,резами 6 дл фиксации магазина 7 лапками 8. Неподвижна
часть 1 упорного корпуса имеет фо1рму опрокинутого щвеллера, заканчивающегос седло .м 9 под цилиндрическую выточку W гайкнбаращка //. Выступы 12 цилиндрического борта гайки-баращка служат замком дл
костных тканей. Ненодвижна часть унорного корпуса снабжена двум пластннами 14 (с OTBepCTneiM в них). К пластинам крелитс руко тка 15 П-0|б|разной фор.мы. В нелодвижной части унорн.ого корпуса нредусмотрены направл ющне (на чертеже не показаны) дл подвижной части 16 упорного корпуса, снабженной крюко.1 17, к упорной ПЛОСКОСТИ; которого припа на матрица 18 с лунками 19 дл загиба одной ножки П-образном скобки, Подвижна часть у:но,рного корпуса имеет форму пр моугольного стержн , оканчиваюпдегос с одной стороны резьбовым хвостовиком 20, с другой стороны - крю:ком 17. Скобочный корпус 13 пр моугольной формы оканчиваетс резьбовым хвостовиком 21 с правой и левой резьбами крупного шага. Вдоль сконбочного корпуса дроходит отверстие 22 дл цилиндрического стержн 23 толкател скобок. Сверху окобочното корпуса 13 укреплена пружина 24, оканчивающа с выступом 25, который удерживает магазин 7 и головку 26 толкател . Дл подъема выступа 25 пружины, 24 предусмотрен дви1жок 27, взаимодействующий с наклонной плоскостью 28 скобочного корпуса 13 и пружиной 24. Толкатель аппарата включает в себ цилиндрический стержень 23 и пр моугольную головку 26, «а противоположных сторонах которой имеютс по четыре или более зубца, взаимодействующих с пазами дл скобок магазина 7. Магазин имеет сквозное отверстие дл прохода головки 26 толкател . В отверстии магазина расположены направл ющие пазы дл скобки, а в верхней стенке магазина имеетс окно под выступ 25 и окно 29 дл визуального наблюдени за наличием в магазине скобок и удобства возвращени головки 26 толкател в исходное положение. Гайка 30 перемещает подвижную часть 16 упорного корпуса в направл ющи.х (на чертежах не показаны) неподвижной части /. Гайка-баращек // с левой резьбой перемещает скобочный корпус 13 со всему расположенными на нем детал ми вдоль наподвнжной части 1 унорного корпуса. Стержень 31, втулка с резьбой 32 и руко тка 33 служат
3286-36
дл перемещени стержн 23 и головки 26 толкател скобок при сщивании.
Предмет изобретени
Claims (4)
1.Аппарат дл сшивани ребер и ключицы скобочным щвом, содержащий упорный корпус с рабочим крюком, матрицу с лунками дл загиба скобо,к, укрепленную на упорном корпусе, скобочный корпус, толкатель скобок, магазин с пазами дл скобок, привод скобочного корпуса и толкател , фиксатор и неподвижную руко тку, отличающийс тем, что, с целью сщивани костных отломков различной толщины с безусловным заходом концов ножек скобки в костную ткань, упорный корпус выполнен из двух частей, одпа из которых жестко соединена с неподвижной руко ткой, а втора выполнена подвижной в направл ющих неподвижной части упорного корпуса, матрица также выполнена в виде двух закреплепых на разных част х упорного корпуса половин, кажда из которых имеет лунки дл загиба только одной ножки скобки, причем в плане лунки имеют форму трапеции , а магазин посредством выступов иа боковых поверхност х соединен с пазами упорного корпуса.
2.Аппарат по п. 1, отличающийс тем, что, с целью устранени цодвижности костных отломков путем наложени скобочного шва, например , из двух скобок, расноложенных параллельно или под углом, кажда половина имеет не менее четырех лунок, а магазин - соответствующее количество направл ющих пазов, на выступах которых сн ты скосы.
3.Аппарат по пп. 1 и 2, отличающийс тем, что, с целью надежной фиксации магазина и толкател , па верхней стенке магазина выбрано окно, а на головке толкател поперечный паз, в которых размещен выступ свободного конца плоской пружины, закрепленной на скобочном корпусе.
4.Аппарат по п. 1, отличающийс тем, что, с целью захода конца ножки после ее загиба в костную ткань, хорда лунки, выполненной одним радиусом, меньше или равна половине длины спинки скобки.
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Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA106,070A CA953998A (en) | 1970-03-06 | 1971-02-23 | Surgical instrument for joining osseous tissues by staples |
CH282171A CH522396A (de) | 1970-03-06 | 1971-02-26 | Chirurgisches Klammergerät zum Verbinden von Knochen durch Klammern |
BE763617A BE763617A (fr) | 1970-03-06 | 1971-03-01 | Instrument chirurgical pour la reunion de tissus osseux par desagrafes |
DE19712109604 DE2109604C3 (de) | 1970-03-06 | 1971-03-01 | Chirurgisches Klammergerät zum.· Klammerverbinden von Knochengeweben |
FR7107183A FR2084101A5 (ru) | 1970-03-06 | 1971-03-02 | |
GB2475071A GB1299336A (en) | 1970-03-06 | 1971-04-19 | Stapling machine |
Publications (1)
Publication Number | Publication Date |
---|---|
SU328636A1 true SU328636A1 (ru) |
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US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
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US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
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US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
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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 |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
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 |
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US11918217B2 (en) | 2021-05-28 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
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