WO2016082481A1 - Primary-secondary type surgical anastomosis magnetic ring - Google Patents

Primary-secondary type surgical anastomosis magnetic ring Download PDF

Info

Publication number
WO2016082481A1
WO2016082481A1 PCT/CN2015/078904 CN2015078904W WO2016082481A1 WO 2016082481 A1 WO2016082481 A1 WO 2016082481A1 CN 2015078904 W CN2015078904 W CN 2015078904W WO 2016082481 A1 WO2016082481 A1 WO 2016082481A1
Authority
WO
WIPO (PCT)
Prior art keywords
ring
magnetic
sub
female
sleeve
Prior art date
Application number
PCT/CN2015/078904
Other languages
French (fr)
Chinese (zh)
Inventor
史源
Original Assignee
史源
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 史源 filed Critical 史源
Publication of WO2016082481A1 publication Critical patent/WO2016082481A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/326Circumcision apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00269Type of minimally invasive operation endoscopic mucosal resection EMR
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00876Material properties magnetic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1132End-to-end connections

Definitions

  • the present invention relates to a surgical anastomosis magnetic ring for acne circumcision, colorectal anastomosis or circumcision.
  • a sub-mother surgical anastomosis magnetic ring having a composite structure relates to a surgical anastomosis magnetic ring for acne circumcision, colorectal anastomosis or circumcision.
  • the principle of magnetic ring press-flange is to use the strong attraction between the magnetic rings made of rare earth permanent magnets to produce a continuous, non-penetrating and gradually strengthening mechanical compression; using the same shape magnetic ring to automatically align in three-dimensional space
  • the characteristics are precisely aligned, resulting in ischemic necrosis of the compressed intestinal wall between the magnetic rings, while the adjacent intestinal wall of the outer ring of the magnetic ring gradually heals.
  • the former Soviet Union Kanshin and other scholars used the magnetic ring for gastroduodenal-jejunum lateral anastomosis. The anastomosis was healed 6-7 days after operation.
  • the magnetic ring was excreted with feces, and the pathological results confirmed the anastomotic healing. good.
  • Procedure for prolapse and hemorrhoids refers to the supraorbital mucosal circumcision with a circular titanium stapler.
  • the procedure was first proposed by the Italian scholar Longo in 1998 for the treatment of second to fourth prolapsed internal hemorrhoids.
  • the principle is that in the case of retaining the anal cushion tissue, a part of the internal hemorrhoids and the upper mucosa and submucosal tissue are removed by a circular loop of 3-4 cm, thereby achieving the purpose of blocking the blood flow of the iliac crest and suspending the tissue. .
  • the pathological anorectal rectum is restored to a normal anatomical state. Because the procedure has no incision in the perianal skin, the postoperative pain is lighter.
  • the patent No. 201010200289.3 is mainly used for gastrointestinal anastomosis and lacks a safety anti-off device.
  • the experience of the magnetic ring in the clinical application of gastrointestinal anastomosis has confirmed that if the magnetic ring magnetic force is weak, it is easy to disengage. Disengagement of the magnetic ring is a serious complication that can lead to death of the patient; if the magnetic force is too strong, the magnetic ring has fallen off before the intestinal wall heals, causing intestinal fistula or bleeding. Therefore, there must be a safety fixture
  • Patent No. 201210000963.2 relies on the deformation of the magnetic ring to pass through the colorectal lumen and anus. Since the upper mucosal resection is close to the dentate line, the patent decomposes the complete magnetic ring into 4 parts and joints. Connections are prone to complex manufacturing processes, weak magnetic forces, and increased instability.
  • the technical problem to be solved by the present invention is to provide a sub-mother surgical anastomosis magnetic ring of a composite structure.
  • a sub-mother surgical anastomosis magnetic ring comprising a sub-ring and a parent ring, wherein the sub-ring and the parent ring are both elliptical or circular ring structures, and the sub-rings and The female ring is connected to each other by two or more snap structures disposed on the female ring, and the female ring is formed with a discontinuous groove on a ring surface contacting the sub-ring, and the outer periphery of the annular surface A press bevel is formed on the surface.
  • the female ring includes an elliptical or circular female ring sleeve made of a magnetic conductive material or titanium, and an elliptical or circular mother magnetic ring composed of a magnetic material corresponding to the female ring sleeve.
  • the female ring sleeve is an annular U-slot structure, the female magnetic ring is embedded in the annular U-slot structure, and the discontinuous groove, the press bevel and the buckle structure are formed on The corresponding sleeve surface of the female ring sleeve.
  • the thickness of the bottom surface of the female ring sleeve of the annular U-groove structure is 0.1 mm to 5 mm.
  • the buckle structure comprises a post and a chuck integrally formed on the top of the post for clamping the sub-ring located above the female ring, wherein the bottom end of the post is fixed to the female ring sleeve connection.
  • the bottom end of the chuck forms a right angle structure with the inner side of the post.
  • the bottom end of the post is fixedly connected to the inner side or the outer side of the female ring sleeve.
  • the sub-ring includes an elliptical or circular sub-ring sleeve made of a magnetically permeable material and an elliptical or circular sub-magnetic ring composed of a magnetic material corresponding to the sub-ring sleeve,
  • the sub-ring sleeve is an annular U-groove structure, and the sub-magnetic ring is embedded in the annular U-groove structure.
  • the thickness of the bottom surface of the sub-ring sleeve of the annular U-groove structure is 0.1 mm to 5 mm.
  • the two or more snap structures are respectively disposed on the inner circumferential surface or the outer circumferential surface of the female ring sleeve of the elliptical female ring.
  • the two or more snap structures are respectively disposed on the inner circumferential surface or the outer circumferential surface of the female ring sleeve of the circular female ring.
  • the thickness of the mother ring is 1 to 10 mm.
  • the present invention uses an elliptical or circular magnetic ring for supraorbital mucosal resection of a patient with acne, a low node, a rectal resection or an circumcision;
  • the invention utilizes a metal with good magnetic permeability (for example, 1J22 special steel) as a contact surface between the magnetic rings, and coats the magnetic ring with a special steel or a titanium shell to improve the overall firmness. Solved the difficulty of processing strong magnetic materials (such as NdFeB) and easily collapse Defects of the solution.
  • a metal with good magnetic permeability for example, 1J22 special steel
  • the magnetic ring Due to the existence of a magnetically conductive metal contact surface, even after the magnetic ring of the patent is cracked, due to the existence of the contact surface, the magnetic ring can be ensured not to disintegrate, and is still firmly attracted to the contact surface, and the magnetic force is not significantly attenuated, thereby improving
  • the safety of the anastomosis magnetic ring significantly improves its clinical application value; the metal contact surface between the magnetic rings prevents the magnetic force from being healed and thinned with the tissue between the magnetic rings, and the magnetic force is rapidly increased, thereby helping to prevent the magnetic ring from falling off prematurely. ;
  • the invention relies on the anti-decoupling structure to solve the problem that the magnetic ring magnetic force is too large to cause premature detachment, and the magnetic force is too small to directly cause the magnetic ring to be disengaged; and the buckle structure can be appropriately relieved while ensuring safety.
  • the weight of the magnetic ring reduces the volume and makes it lighter, which significantly improves the clinical application value; the buckle structure also helps the accurate alignment between the magnetic rings and prevents misalignment.
  • the same sub-magnetic ring is equipped with a series of female magnetic rings of the same diameter and thickness, and the corresponding sub-magnetic rings are selected according to the specific conditions of the patient and the thickness of the tissue, which is more reasonable;
  • the invention adopts an asymmetric structure (that is, one side of the magnetic ring has a discontinuous notch and the other side of the magnetic ring has no discontinuous notch), and the structure is easier to achieve precise matching, and avoids the misalignment of the magnetic ring gaps on both sides.
  • the invention firstly utilizes the magnetic matching of the same shape to accurately match the characteristics of the automatic matching in the three-dimensional space, and then relies on the anti-decoupling structure to prevent distortion or misalignment between the magnetic rings and improve the accuracy of the matching.
  • the invention relies on a plurality of notches on one side ring to form a discontinuous anastomosis, which not only can improve the blood supply of the anastomosis, but also prevent the tissue of the intestinal wall clamped by the magnetic ring from slipping and improve the healing quality of the anastomosis.
  • the invention relies on the inclined surface structure of the outer edge of the magnetic ring to form an anastomotic pressure gradient, and reduces the sharp edge of the magnetic ring of the right-angled structure for the tissue cutting. At the same time, the firming of the anastomosis mouth facilitates the healing of the lateral tissue of the anastomosis, and the formation is avoided.
  • the shortcomings of pressing too fast help to improve the quality of anastomosis healing.
  • the invention may be elliptical or circular in structure. If the elliptical structure is adopted, it is not only closer to the physiological state of the human body and rectum, but also more in line with the physiological characteristics of the pelvic cavity and the rectum. Moreover, the oval magnetic ring is more likely to discharge the anus than the circular magnetic ring after being detached; Stimulation of the rectal wall and anus, increasing the structural stability;
  • the invention can rely on the elliptical streamlined shape to smoothly discharge through the anus, the structural stability is obviously increased, and the processing and manufacturing process is obviously simplified.
  • Figure 1 is a schematic view of the overall structure of the present invention
  • Figure 2 is a side view of the structure of Figure 1;
  • Figure 3 is a partial enlarged view of Figure 1;
  • Figure 4 is a schematic structural view of a mother ring in the present invention.
  • Figure 5 is a schematic view showing the structure of a neutron ring of the present invention.
  • Figure 6 is a schematic exploded view of the mother ring of the present invention.
  • Figure 7 is a schematic structural view of the buckle structure of the present invention.
  • Figure 8 is a schematic exploded view of the sub-ring of the present invention.
  • Figure 9 is a schematic view of the overall structure of the present invention.
  • Figure 10 is a schematic view showing the structure of the mother ring and the sub-ring before the mating of the present invention
  • Figure 11 is a schematic view showing the structure of the mother ring and the sub-ring of the present invention.
  • Figure 12 is a schematic view showing the working state of the elliptical mother-child acne anastomosis magnetic ring of the present invention.
  • Figure 13 is a schematic view of a circular magnetic ring in the intestine
  • Figure 14 is a schematic illustration of an elliptical magnetic ring in the intestine.
  • buckle 31 the post
  • a sub-mother surgical anastomosis magnetic ring of the present invention includes a sub-ring 1 and a parent ring 2, and the sub-ring 1 and the parent ring 2 are both In the case of an elliptical or circular ring structure, the sub-ring 1 and the parent ring 2 are connected to each other by two or more snap structures 3 disposed on the mother ring 2, the parent ring 2 being A discontinuous groove 6 is formed in the toroidal surface 5 in contact with the ring 1, and a press bevel 7 is formed on the outer periphery of the annular surface 5.
  • the thickness of the mother ring 2 is 1 to 10 mm.
  • one sub-ring 1 can be equipped with a series of mother rings of the same diameter and different thicknesses. In this way, it is more reasonable to select the corresponding magnetic ring according to the specific conditions of the patient and the thickness of the tissue.
  • the invention relies on a plurality of interrupted grooves 6 on one side ring to form a discontinuous anastomosis, which not only improves the blood supply to the anastomosis, but also prevents the tissue of the intestinal wall and the sub-ring from being slipped off.
  • the rectum and the rectum are not absolutely circular, and are oval-like due to the influence of the pelvic structure and distortion.
  • the invention may be an elliptical or circular structure. If the sub-ring 1 and the parent ring 2 are both elliptical annular structures, not only are they closer to the human body, the rectal physiological state, but also the pelvic cavity and rectal distortion.
  • the physiological characteristics relying on the elliptical streamlined shape through the colorectal lumen and anus, the oval magnetic ring is more likely to discharge the anus than the circular magnetic ring, avoiding the defect that the circular magnetic ring is not easy to discharge. It can be seen from Fig. 13 and Fig. 14 that the elliptical magnetic ring with the same cross-sectional area is compared with the circular magnetic ring (the stimulation of the dilatation of the intestinal wall is reduced; the streamline type is closer to the intestinal lumen).
  • the mother ring 2 includes an elliptical or circular mother ring sleeve 8 made of a magnetic conductive material or titanium, and a magnetic material corresponding to the mother ring sleeve 8.
  • the elliptical or circular female magnetic ring 9 is formed, and the female ring sleeve 8 is an annular U-groove structure, and the bottom surface of the female ring sleeve 8 of the annular U-groove structure has a thickness of 0.1 mm to 5 mm.
  • the female magnetic ring 9 is embedded in the annular U-groove structure, and the intermittent groove 6, the pressing inclined surface 7 and the snap structure 3 are formed on the female ring sleeve 8 On the corresponding set.
  • the buckle structure 3 includes a post 31 and a chuck 32 integrally formed on the top end of the post 31 for clamping the sub-ring 1 located above the female ring 2, wherein
  • the bottom end of the post 31 is fixedly connected to the female ring sleeve 8.
  • the bottom end of the chuck 32 forms a right angle structure 4 with the inner side of the post 31.
  • the bottom of the post 31 The end is fixedly connected to the inner side or the outer side of the female ring sleeve 8.
  • the sub-ring 1 includes an elliptical or circular sub-ring 10 made of a magnetically permeable material and an elliptical or magnetic material corresponding to the sub-ring 10 or
  • the circular sub-magnetic ring 11 is an annular U-groove structure, and the bottom surface of the sub-ring 10 of the annular U-groove structure has a thickness of 0.1 mm to 5 mm.
  • the sub-magnetic ring 11 is embedded in the annular U-groove structure.
  • the two or more snap structures 3 are respectively disposed on the inner circumferential surface of the female ring sleeve 8 of the elliptical female ring 2 or On the outer peripheral surface.
  • the two or more snap structures 3 are respectively disposed on the inner circumferential surface of the female ring sleeve 8 of the circular mother ring 2 or On the outer peripheral surface.
  • the mother magnetic ring 9 and the sub magnetic ring 11 are firmly attracted to each other. On the opposite side, it is wrapped by the ring set. Thus, even if the magnetic ring is disintegrated, the phenomenon of disengagement or a significant decrease in magnetic force does not occur, and the stability and safety of the magnetic ring are increased.
  • the buckle structure 3 is designed at both ends of the long axis of the elliptical sub-ring 1 and the parent ring 2, so that the magnetic force can be effectively prevented from being too strong or too weak, and the magnetic ring can be prevented from being excessively weak, resulting in the magnetic ring falling off before the healing. And can prevent the magnetic force from being too weak to cause the magnetic ring to disengage. Therefore, while ensuring safety, the buckle structure 3 can also appropriately reduce the weight of the magnetic ring, reduce the volume, and make it more portable.
  • the first embodiment of the latching structure 3 contacts the lower side of the inner side of the sub-ring 1.
  • the post 31 is slightly deformed, and the chuck 32 is parallel to the magnetic ring 1.
  • the inner side surface slides from the lower side of the inner side of the sub-ring 1 to the upper side of the sub-ring 1 and then is elastically attached to the sub-ring 1 by the post 31, even if the sub-ring 1 is embedded in the chuck 32, the post 31 and the female
  • the groove formed by the ring 2 is fixed and aligned.
  • the invention relies on the buckle structure of the anti-offset, solves the problem that the magnetic force of the magnetic ring is too large, which is easy to cause premature fall off, and the magnetic force is too small, which directly causes the magnetic ring to be disengaged; and the buckle structure can also reduce the magneticity while ensuring safety.
  • the weight of the ring reduces the volume and makes it lighter, which significantly improves the clinical application value; the buckle structure also helps the accurate alignment between the magnetic rings and prevents misalignment.
  • the invention utilizes a magnetically conductive steel (for example, 1J22 special steel) as a contact surface of the stapler, and is wrapped with a titanium shell to improve the overall firmness of the stapler, and solves the problem that the ferromagnetic material (such as NdFeB) is difficult to process and is easily disintegrated.
  • the defect can be safely anastomosed even after cracking inside the magnetic ring, which improves the safety of the anastomotic ring and significantly improves the clinical application value.
  • the invention has a composite structure of a mother-surgical surgical anastomosis magnetic ring, which can be used for supraorbital mucosal resection or colorectal anastomosis, and has the following advantages: (1) the anastomosis is smooth and complete, the serosa is flat and the anastomosis is in the Tissue healing covers a uniform margin of anastomotic stoma, so it is an ideal method of anastomosis close to the natural state. (2) The use of non-penetrating anastomosis technology, combined with the protective effect of the anastomotic ring, is conducive to the prevention of contamination of the contents of the intestinal lumen.
  • the size of the anastomosis formed by the press anastomosis ring is determined by the outer diameter of the titanium stapler, and the size of the anastomosis of the titanium stapler is determined by its inner diameter.
  • the arrangement of the staples itself can lead to stenosis, so the anastomosis formed by the press ring is larger than that of the metal stapler under the same caliber, so the press anastomosis is less prone to intestinal stenosis; (5) There is no foreign body residue: Postoperative 1 Around the circumference, the magnetic ring is discharged with the stool, without any foreign matter remaining, which minimizes the degree of inflammatory stimulation and tissue fibrosis, reduces the incidence of anastomotic stenosis, and has good anastomotic compliance; (6) Simplifies the manufacturing process of the stapler and reduces Cost of stapler manufacturing; (7) Avoid dangerous complications caused by nail removal from titanium nails.
  • the sub-ring 1 has a fixed diameter and a thickness
  • the female ring 2 has a plurality of the same diameters and different thicknesses from the sub-ring 1, so that the magnetic force formed by the pairing with the female ring is also different.
  • the mother ring 2 with the corresponding thickness and magnetic force is selected. The specific use process is as follows:
  • the buckle structure 3 is in the process of the magnetic ring merging, firstly the chuck 32 contacts the inner side of the sub-ring 1 and the post 31 is slightly deformed after being squeezed, and the chuck 32 is adjacent to the inner side of the magnetic ring 1 by the sub-ring 1 The lower side of the inner side slides to the upper side of the inner side of the sub-ring 1, and then the card post 31 is elasticized and firmly clamped on the sub-ring 1 to complete the fixing and the matching.

Abstract

Disclosed is a primary-secondary type surgical anastomosis magnetic ring. A secondary ring (1) and a primary ring (2) are both of an elliptic or round ring structure, the secondary ring (1) and the primary ring (2) are mutually connected and located by two or more fastening structures (3) on the primary ring (2), discontinuous grooves (6) are formed in the ring surface where the primary ring (2) is in contact with the secondary ring (1), and a press incline (7) is formed on the outer periphery of the ring surface. The primary ring (2) comprises an elliptic or round primary ring sleeve (8), and an elliptic or round primary magnetic ring (9), which corresponds to the primary ring sleeve (8) and is made of magnetic materials, the primary ring sleeve (8) is of an annular U-groove structure, the primary magnetic ring (9) is embedded into the annular U-groove structure, and the discontinuous grooves (6), the press incline (7) and the fastening structures (3) are all formed on the corresponding sleeve surfaces of the primary ring sleeve (8). The secondary ring (1) comprises an elliptic or round secondary ring sleeve (10), and an elliptic or round secondary magnetic ring (11), which corresponds to the secondary ring sleeve (10) and is made of magnetic materials, the secondary ring sleeve (10) is of an annular U-groove structure, and the secondary magnetic ring (11) is embedded into the annular U-groove structure. The magnetic ring is capable of preventing early falling of the magnetic ring due to rapid increase of magnetic force with tissue healing and thinning between magnetic rings, and preventing the dislocation of the secondary ring (1) and the primary ring (2).

Description

一种子母式外科吻合磁环Sub-mother surgical anastomosis magnetic ring 技术领域Technical field
本发明涉及一种用于痔疮环切、结直肠吻合或包皮环切的外科吻合磁环。特别是涉及一种具有复合结构的子母式外科吻合磁环。The present invention relates to a surgical anastomosis magnetic ring for acne circumcision, colorectal anastomosis or circumcision. In particular, it relates to a sub-mother surgical anastomosis magnetic ring having a composite structure.
背景技术Background technique
磁环压榨吻合原理是利用稀土永磁体制成的磁环之间的强吸引力,产生持续性、非穿透性、逐渐加强的机械性压迫作用;利用相同形状磁环在三维空间自动对合的特性进行精确对合,导致磁环之间受压肠壁缺血坏死,同时磁环外侧相邻的肠壁逐渐愈合。1978年前苏联Kanshin等学者首次利用磁环进行胃十二指肠-空肠侧侧吻合术,在术后6-7d时吻合口愈合,其后磁环随粪便排出体外,病理结果证实吻合口愈合良好。1981年美国学者Jansen利用磁环为21例患者进行快速结直肠吻合,磁环直径25、28、30mm,在4cm的距离磁吸引力为2.5N,术后7-12d吻合口愈合,磁环随粪便排出后有2例患者吻合口裂开,其余18例患者经X线和乙状结肠镜检查吻合口均愈合良好,但是由于材料限制,吻合环重量等原因被搁置。2009美国加州大学Ramin等设计梯度压力磁环肠吻合装置,用于猪小肠吻合,愈合良好。2009美国杜克大学Christophe等利用磁性吻合器完成介入下小肠吻合的动物实验,愈合良好。2011美国加州大学Kullada利用磁性吻合装置完成腔镜下小肠吻合大动物实验,效果良好。目前磁性压榨吻合技术广泛用于术后胆道狭窄治疗、冠脉搭桥、食道狭窄治疗、血管吻合、胃肠吻合、腹腔镜微创手术、内镜微创治疗等领域。其发展历程顺应外科手术发展趋势,前后经历开腹手术、腹腔镜手术阶段,现已向自然腔道内镜外科手术方向挺进,生机盎然。The principle of magnetic ring press-flange is to use the strong attraction between the magnetic rings made of rare earth permanent magnets to produce a continuous, non-penetrating and gradually strengthening mechanical compression; using the same shape magnetic ring to automatically align in three-dimensional space The characteristics are precisely aligned, resulting in ischemic necrosis of the compressed intestinal wall between the magnetic rings, while the adjacent intestinal wall of the outer ring of the magnetic ring gradually heals. In 1978, the former Soviet Union Kanshin and other scholars used the magnetic ring for gastroduodenal-jejunum lateral anastomosis. The anastomosis was healed 6-7 days after operation. The magnetic ring was excreted with feces, and the pathological results confirmed the anastomotic healing. good. In 1981, American scholar Jansen used a magnetic ring to perform rapid colorectal anastomosis in 21 patients. The magnetic ring diameter was 25, 28, and 30 mm. The magnetic attraction force was 2.5 N at a distance of 4 cm. The anastomosis was healed 7-12 days after surgery. Two patients had anastomotic rupture after fecal discharge. The other 18 patients had good anastomosis by X-ray and sigmoidoscopy, but were put on hold due to material limitations, anastomotic weight and other reasons. In 2009, the University of California, Ramin and other design gradient pressure magnetic ring intestinal anastomosis device for pig small intestine anastomosis, healed well. In 2009, Duke University Christophe and others used a magnetic stapler to complete an animal experiment involving small bowel anastomosis, which healed well. In 2011, the University of California, Kullada used a magnetic anastomosis device to complete the small intestine anastomosis large animal experiment, and the effect was good. At present, magnetic press anastomosis is widely used in the treatment of postoperative biliary stricture, coronary artery bypass grafting, esophageal stricture treatment, vascular anastomosis, gastrointestinal anastomosis, laparoscopic minimally invasive surgery, and endoscopic minimally invasive treatment. Its development history conforms to the development trend of surgery, and it has undergone open surgery and laparoscopic surgery before and after. It has now advanced into the natural endoscopic surgery and is full of vitality.
我国是痔疮高发国家,据统计约52.2%的国人受痔疮疾病困扰,保守估计我国每年约有数十万患者接受痔疮手术。而美国每年约亦有10万人接受痔疮手术。另据统计我国大城市结直肠癌发病率增速远超西方国家,每年新增结直肠癌患者约40万人,结直肠癌微创手术切除成为研究热点。因此推测,我国每年近百万患者接受痔疮或结直肠癌手术。而目前临床外科吻合器主要是钛钉吻合器,其核心技术及专利多集中在欧美等发达国家手中,国产吻合器技术力量相对薄弱。本专利在申请人长期研究基础上,充分利用磁性压榨吻合技术原理,首次将新型复合结构的子母式磁环用于痔疮吻合、结直肠吻合以及包皮环切,力求造福广大国内患者。China is a country with high incidence of acne. According to statistics, about 52.2% of Chinese people suffer from acne diseases. It is conservatively estimated that hundreds of thousands of patients in China receive hemorrhoid surgery every year. About 100,000 people in the United States receive hemorrhoid surgery every year. According to statistics, the growth rate of colorectal cancer in large cities in China far exceeds that in western countries. About 400,000 new patients with colorectal cancer are added each year. Minimally invasive surgery for colorectal cancer has become a research hotspot. Therefore, it is speculated that nearly one million patients in China receive acne or colorectal cancer surgery every year. At present, the clinical surgical stapler is mainly a titanium stapler. Its core technology and patents are concentrated in the hands of developed countries such as Europe and the United States. The domestic stapler technology is relatively weak. Based on the long-term research of the applicant, this patent makes full use of the principle of magnetic press anastomosis technology. For the first time, the new composite structure of the mother-in-law magnetic ring is used for acne anastomosis, colorectal anastomosis and circumcision, in order to benefit the majority of domestic patients.
痔上粘膜环形切除钉合术(procedure for prolapse and hemorrhoids,PPH)是指在圆形钛钉吻合器借助下的痔上粘膜环切术。该术式1998年由意大利学者Longo首先提出,用于治疗二至四期脱垂内痔。其原理是在保留肛垫组织情况下,将部分内痔及痔上粘膜、粘膜下层组织环形切除3-4cm,达到了阻断痔供应血管血流的同时,将滑脱之组织向上悬吊固定的目的。将病理状态的肛管直肠恢复到正常的解剖状态。由于该术式在肛周皮肤没有切口,术后疼痛较轻,同时由于肛垫保留,术后控便能力不受影响,无肛门狭窄、大便失禁等并发症,在国际上迅速得到推广,但是由于钛钉圆形吻合器术后感染、疼痛、狭窄等并发症发生率较高,目前在国内面临较大争议。 Procedure for prolapse and hemorrhoids (PPH) refers to the supraorbital mucosal circumcision with a circular titanium stapler. The procedure was first proposed by the Italian scholar Longo in 1998 for the treatment of second to fourth prolapsed internal hemorrhoids. The principle is that in the case of retaining the anal cushion tissue, a part of the internal hemorrhoids and the upper mucosa and submucosal tissue are removed by a circular loop of 3-4 cm, thereby achieving the purpose of blocking the blood flow of the iliac crest and suspending the tissue. . The pathological anorectal rectum is restored to a normal anatomical state. Because the procedure has no incision in the perianal skin, the postoperative pain is lighter. At the same time, due to the retention of the anal cushion, the postoperative ability to control the stool is not affected. There are no complications such as anal stenosis and fecal incontinence, which is rapidly promoted internationally, but Due to the high incidence of complications such as infection, pain and stenosis after titanium staple circular anastomosis, it is currently controversial in China.
专利号为201010200289.3的专利主要用于胃肠吻合,且缺乏安全防脱装置。磁环在胃肠道吻合临床应用过程中经验证实,如果磁环磁力弱,则容易脱开。磁环脱开属于严重并发症,可以导致患者死亡;如果磁力过强,则在肠壁愈合前磁环已经脱落,造成肠瘘或出血。因此必须有安全固定装置The patent No. 201010200289.3 is mainly used for gastrointestinal anastomosis and lacks a safety anti-off device. The experience of the magnetic ring in the clinical application of gastrointestinal anastomosis has confirmed that if the magnetic ring magnetic force is weak, it is easy to disengage. Disengagement of the magnetic ring is a serious complication that can lead to death of the patient; if the magnetic force is too strong, the magnetic ring has fallen off before the intestinal wall heals, causing intestinal fistula or bleeding. Therefore, there must be a safety fixture
专利号为201210000963.2的专利是依靠磁环的形变顺利通过结直肠肠腔及肛门,由于痔上粘膜切除部位接近齿状线,该专利为便于排出人体,将完整磁环分解为4部分并加以关节连接,容易造成制造过程复杂、磁力减弱及增加不稳定性。Patent No. 201210000963.2 relies on the deformation of the magnetic ring to pass through the colorectal lumen and anus. Since the upper mucosal resection is close to the dentate line, the patent decomposes the complete magnetic ring into 4 parts and joints. Connections are prone to complex manufacturing processes, weak magnetic forces, and increased instability.
发明内容Summary of the invention
本发明所要解决的技术问题是,提供一种复合结构的子母式外科吻合磁环。The technical problem to be solved by the present invention is to provide a sub-mother surgical anastomosis magnetic ring of a composite structure.
本发明所采用的技术方案是:一种子母式外科吻合磁环,包括子环和母环,所述的子环和母环均为椭圆形或圆形的环结构,所述的子环和母环是通过设置在母环上的两个以上的卡扣结构而相互连接定位,所述母环在与子环相接触的那一环面上形成有间断槽,所述环面的外周边上形成有压榨斜面。The technical solution adopted by the present invention is: a sub-mother surgical anastomosis magnetic ring, comprising a sub-ring and a parent ring, wherein the sub-ring and the parent ring are both elliptical or circular ring structures, and the sub-rings and The female ring is connected to each other by two or more snap structures disposed on the female ring, and the female ring is formed with a discontinuous groove on a ring surface contacting the sub-ring, and the outer periphery of the annular surface A press bevel is formed on the surface.
所述的母环包括有由导磁性材料或钛构成的椭圆形或圆形的母环套和与所述的母环套相对应的由磁性材料构成的椭圆形或圆形的母磁环,所述的母环套为环形U槽结构,所述的母磁环镶嵌到所述的环形U槽结构内,所述的间断槽、所述的压榨斜面和所述的卡扣结构均形成在所述的母环套的相应套面上。The female ring includes an elliptical or circular female ring sleeve made of a magnetic conductive material or titanium, and an elliptical or circular mother magnetic ring composed of a magnetic material corresponding to the female ring sleeve. The female ring sleeve is an annular U-slot structure, the female magnetic ring is embedded in the annular U-slot structure, and the discontinuous groove, the press bevel and the buckle structure are formed on The corresponding sleeve surface of the female ring sleeve.
所述环形U槽结构的母环套的底面厚度为0.1mm~5mm。The thickness of the bottom surface of the female ring sleeve of the annular U-groove structure is 0.1 mm to 5 mm.
所述的卡扣结构包括卡柱和一体形成在卡柱顶端的用于卡住位于母环上面的子环的卡头,其中,所述的卡柱的底端与所述的母环套固定连接。The buckle structure comprises a post and a chuck integrally formed on the top of the post for clamping the sub-ring located above the female ring, wherein the bottom end of the post is fixed to the female ring sleeve connection.
所述的卡头的底端与所述卡柱的内侧面形成直角结构。The bottom end of the chuck forms a right angle structure with the inner side of the post.
所述的卡柱的底端与所述的母环套的内侧或外侧固定连接。The bottom end of the post is fixedly connected to the inner side or the outer side of the female ring sleeve.
所述的子环包括有由导磁性材料构成的椭圆形或圆形的子环套和与所述的子环套相对应的由磁性材料构成的椭圆形或圆形的子磁环,所述的子环套为环形U槽结构,所述的子磁环镶嵌到所述的环形U槽结构内。The sub-ring includes an elliptical or circular sub-ring sleeve made of a magnetically permeable material and an elliptical or circular sub-magnetic ring composed of a magnetic material corresponding to the sub-ring sleeve, The sub-ring sleeve is an annular U-groove structure, and the sub-magnetic ring is embedded in the annular U-groove structure.
所述的环形U槽结构的子环套的底面厚度为0.1mm~5mm。The thickness of the bottom surface of the sub-ring sleeve of the annular U-groove structure is 0.1 mm to 5 mm.
当所述的子环和母环采用椭圆形结构时,所述的两个以上的卡扣结构分别设置在椭圆形母环的母环套的内周面或外周面上。When the sub-ring and the female ring adopt an elliptical structure, the two or more snap structures are respectively disposed on the inner circumferential surface or the outer circumferential surface of the female ring sleeve of the elliptical female ring.
当所述的子环和母环采用圆形结构时,所述的两个以上的卡扣结构分别设置在圆形母环的母环套的内周面或外周面上。When the sub-ring and the female ring adopt a circular structure, the two or more snap structures are respectively disposed on the inner circumferential surface or the outer circumferential surface of the female ring sleeve of the circular female ring.
所述的母环的厚度为1~10mm。The thickness of the mother ring is 1 to 10 mm.
本发明的一种子母式外科吻合磁环,具有如下效果:The child-surgical surgical anastomosis magnetic ring of the invention has the following effects:
1、本发明将椭圆形或圆形磁环用于痔疮患者痔上粘膜切除术,低位结、直肠切除吻合或者包皮环切术;1. The present invention uses an elliptical or circular magnetic ring for supraorbital mucosal resection of a patient with acne, a low node, a rectal resection or an circumcision;
2、本发明利用导磁性好的金属(例如1J22特种钢)作为磁环间的接触面,并使用特种钢或钛壳包裹磁环,提高整体牢固性。解决了强磁性材料(例如钕铁硼)加工困难、容易崩 解的缺陷。由于导磁性好的金属接触面的存在,即使在本专利磁环裂开后,由于接触面的存在,仍可保证磁环不解体,仍牢固吸引在接触面上,磁力无明显衰减,提高了吻合磁环的安全性,显著提高其临床应用价值;磁环间的金属接触面,可防止磁力随磁环间组织愈合变薄,而磁力迅速加大,因此有助于防止磁环过早脱落;2. The invention utilizes a metal with good magnetic permeability (for example, 1J22 special steel) as a contact surface between the magnetic rings, and coats the magnetic ring with a special steel or a titanium shell to improve the overall firmness. Solved the difficulty of processing strong magnetic materials (such as NdFeB) and easily collapse Defects of the solution. Due to the existence of a magnetically conductive metal contact surface, even after the magnetic ring of the patent is cracked, due to the existence of the contact surface, the magnetic ring can be ensured not to disintegrate, and is still firmly attracted to the contact surface, and the magnetic force is not significantly attenuated, thereby improving The safety of the anastomosis magnetic ring significantly improves its clinical application value; the metal contact surface between the magnetic rings prevents the magnetic force from being healed and thinned with the tissue between the magnetic rings, and the magnetic force is rapidly increased, thereby helping to prevent the magnetic ring from falling off prematurely. ;
3、本发明依靠防脱卡扣结构,解决了磁环磁力过大容易导致过早脱落,磁力过小直接导致磁环脱开的难题;而且卡扣结构在保证安全的同时,还可以适当减轻磁环重量,减少体积,使之更加轻便,显著提高临床应用价值;卡扣结构还有助于磁环间精确对位,防止错位。3. The invention relies on the anti-decoupling structure to solve the problem that the magnetic ring magnetic force is too large to cause premature detachment, and the magnetic force is too small to directly cause the magnetic ring to be disengaged; and the buckle structure can be appropriately relieved while ensuring safety. The weight of the magnetic ring reduces the volume and makes it lighter, which significantly improves the clinical application value; the buckle structure also helps the accurate alignment between the magnetic rings and prevents misalignment.
4、本发明子母式设计,同一子磁环配备相同直径、厚度不同的系列母磁环,根据患者具体情况及组织厚度选择相应的子磁环,更加合理;4. The mother-and-child design of the present invention, the same sub-magnetic ring is equipped with a series of female magnetic rings of the same diameter and thickness, and the corresponding sub-magnetic rings are selected according to the specific conditions of the patient and the thickness of the tissue, which is more reasonable;
5、本发明采用不对称结构(即一侧磁环有间断缺口,另一边磁环没有间断缺口),这种结构更容易实现精确对合,而又避免两侧磁环缺口造成对和不齐的缺点;5. The invention adopts an asymmetric structure (that is, one side of the magnetic ring has a discontinuous notch and the other side of the magnetic ring has no discontinuous notch), and the structure is easier to achieve precise matching, and avoids the misalignment of the magnetic ring gaps on both sides. Shortcomings;
6、本发明首先利用相同形状磁环在三维空间自动对合的特性进行精确对合,其后依靠防脱卡扣结构,防止磁环间的扭曲或错位,提高吻合精确性。6. The invention firstly utilizes the magnetic matching of the same shape to accurately match the characteristics of the automatic matching in the three-dimensional space, and then relies on the anti-decoupling structure to prevent distortion or misalignment between the magnetic rings and improve the accuracy of the matching.
7、本发明依靠一侧环上的多个缺口,形成间断吻合,不仅可以改善吻合口血供,还可以防止磁环夹住的肠壁组织滑脱,改善吻合口愈合质量。7. The invention relies on a plurality of notches on one side ring to form a discontinuous anastomosis, which not only can improve the blood supply of the anastomosis, but also prevent the tissue of the intestinal wall clamped by the magnetic ring from slipping and improve the healing quality of the anastomosis.
8、本发明依靠磁环外缘的斜面结构,形成吻合口压力梯度,减少直角结构磁环锐利边缘对于组织切割,在牢固压榨吻合口的同时,利于吻合口外侧组织对拢愈合,形成避免了压榨过快的缺点,有助于提高吻合口愈合质量。8. The invention relies on the inclined surface structure of the outer edge of the magnetic ring to form an anastomotic pressure gradient, and reduces the sharp edge of the magnetic ring of the right-angled structure for the tissue cutting. At the same time, the firming of the anastomosis mouth facilitates the healing of the lateral tissue of the anastomosis, and the formation is avoided. The shortcomings of pressing too fast help to improve the quality of anastomosis healing.
9、本发明可为椭圆形或者圆形结构。如果采用椭圆形结构,不仅更接近于人体结、直肠生理状态,更符合骨盆腔及直肠骶曲的生理特点,而且椭圆形磁环脱落后较圆形磁环更容易排出肛门;缓解磁环对直肠壁及肛门刺激,增加结构稳定性的优势;9. The invention may be elliptical or circular in structure. If the elliptical structure is adopted, it is not only closer to the physiological state of the human body and rectum, but also more in line with the physiological characteristics of the pelvic cavity and the rectum. Moreover, the oval magnetic ring is more likely to discharge the anus than the circular magnetic ring after being detached; Stimulation of the rectal wall and anus, increasing the structural stability;
10、本发明可依靠椭圆形的流线型外形顺利通过肛门排出,结构稳定性明显增加,加工制造流程明显简化。10. The invention can rely on the elliptical streamlined shape to smoothly discharge through the anus, the structural stability is obviously increased, and the processing and manufacturing process is obviously simplified.
附图说明DRAWINGS
图1是本发明的整体结构示意图;Figure 1 is a schematic view of the overall structure of the present invention;
图2是图1的侧面结构示意图;Figure 2 is a side view of the structure of Figure 1;
图3是图1的局部放大示意图;Figure 3 is a partial enlarged view of Figure 1;
图4是本发明中母环的结构示意图;Figure 4 is a schematic structural view of a mother ring in the present invention;
图5是本发明中子环的结构示意图;Figure 5 is a schematic view showing the structure of a neutron ring of the present invention;
图6是本发明母环分解结构示意图;Figure 6 is a schematic exploded view of the mother ring of the present invention;
图7中本发明卡扣结构的结构示意图;Figure 7 is a schematic structural view of the buckle structure of the present invention;
图8是本发明子环的分解结构示意图;Figure 8 is a schematic exploded view of the sub-ring of the present invention;
图9是本发明整体结构示意图;Figure 9 is a schematic view of the overall structure of the present invention;
图10是本发明母环与子环对合前的结构示意图;Figure 10 is a schematic view showing the structure of the mother ring and the sub-ring before the mating of the present invention;
图11是本发明母环与子环对合后的结构示意图;Figure 11 is a schematic view showing the structure of the mother ring and the sub-ring of the present invention;
图12是本发明的椭圆形子母式痔疮吻合磁环工作状态示意图; Figure 12 is a schematic view showing the working state of the elliptical mother-child acne anastomosis magnetic ring of the present invention;
图13是圆形磁环在肠道内的示意图;Figure 13 is a schematic view of a circular magnetic ring in the intestine;
图14是椭圆形磁环在肠道内的示意图。Figure 14 is a schematic illustration of an elliptical magnetic ring in the intestine.
1:子环           2:母环1: subring 2: parent ring
3:卡扣           31:卡柱3: buckle 31: the post
32:卡头          4:直角结构32: chuck 4: right angle structure
5:环面           6:间断槽5: Torus 6: Intermittent slot
7:压榨斜面       8:母环套7: Pressing bevel 8: Female ring cover
9:母磁环         10:子环套9: female magnetic ring 10: sub-ring set
11:子磁环        12:直肠壁11: sub-magnetic ring 12: rectal wall
A:磁环            B:肠壁A: Magnetic ring B: Intestinal wall
具体实施方式detailed description
下面结合实施例和附图对本发明的一种子母式外科吻合磁环做出详细说明。A sub-mother surgical anastomosis magnetic ring of the present invention will be described in detail below with reference to the embodiments and the accompanying drawings.
如图1、图2、图3、图4、图5所示,本发明的一种子母式外科吻合磁环,包括子环1和母环2,所述的子环1和母环2均为椭圆形或圆形的环结构,所述的子环1和母环2是通过设置在母环2上的两个以上的卡扣结构3而相互连接定位,所述母环2在与子环1相接触的那一环面5上形成有间断槽6,所述环面5的外周边上形成有压榨斜面7。As shown in FIG. 1 , FIG. 2 , FIG. 3 , FIG. 4 and FIG. 5 , a sub-mother surgical anastomosis magnetic ring of the present invention includes a sub-ring 1 and a parent ring 2, and the sub-ring 1 and the parent ring 2 are both In the case of an elliptical or circular ring structure, the sub-ring 1 and the parent ring 2 are connected to each other by two or more snap structures 3 disposed on the mother ring 2, the parent ring 2 being A discontinuous groove 6 is formed in the toroidal surface 5 in contact with the ring 1, and a press bevel 7 is formed on the outer periphery of the annular surface 5.
所述的母环2的厚度为1~10mm。设置不同厚度的母环2,可以使一个子环1配备相同直径、不同厚度的系列母环。这样可以根据患者具体情况及组织厚度选择相应磁力的母环,更加合理。本发明依靠一侧环上的多个间断槽6,形成间断吻合,不仅可以改善吻合口供血,还可以防止母环和子环夹住的肠壁组织滑脱。依靠母环外缘的压榨斜面7结构,形成吻合口压力梯度,减少磁环锐利边缘对于组织切割,在牢固压榨吻合口的同时,利于吻合口外侧组织对拢愈合,形成避免了压榨过快的缺点,有助于提高吻合口愈合质量。The thickness of the mother ring 2 is 1 to 10 mm. By setting the mother ring 2 of different thicknesses, one sub-ring 1 can be equipped with a series of mother rings of the same diameter and different thicknesses. In this way, it is more reasonable to select the corresponding magnetic ring according to the specific conditions of the patient and the thickness of the tissue. The invention relies on a plurality of interrupted grooves 6 on one side ring to form a discontinuous anastomosis, which not only improves the blood supply to the anastomosis, but also prevents the tissue of the intestinal wall and the sub-ring from being slipped off. Relying on the structure of the pressing bevel 7 on the outer edge of the mother ring, the pressure gradient of the anastomosis is formed, and the sharp edge of the magnetic ring is reduced for the tissue cutting, and the anastomosis of the anastomosis is facilitated while the anastomosis of the anastomosis is firmly pressed, so as to avoid the pressing too fast. Disadvantages help to improve the quality of anastomotic healing.
人体内正常生理状态下结、直肠并不是绝对的圆形,由于受骨盆结构及骶曲影响,是类椭圆形。本发明可为椭圆形或者圆形结构,如果所述的子环1和母环2均为椭圆形的环形结构时,不仅更接近于人体结、直肠生理状态,更符合骨盆腔及直肠骶曲的生理特点,依靠椭圆形流线型外形通过结直肠肠腔及肛门,椭圆形磁环脱落后较圆形磁环更容易排出肛门,避免了圆形磁环不容易排出的缺陷。由图13、图14可以看到:同等截面积椭圆形磁环与圆形磁环对比(对肠壁扩张刺激减少;更接近流线型,更容易顺利通过肠腔)。In the normal physiological state of the human body, the rectum and the rectum are not absolutely circular, and are oval-like due to the influence of the pelvic structure and distortion. The invention may be an elliptical or circular structure. If the sub-ring 1 and the parent ring 2 are both elliptical annular structures, not only are they closer to the human body, the rectal physiological state, but also the pelvic cavity and rectal distortion. The physiological characteristics, relying on the elliptical streamlined shape through the colorectal lumen and anus, the oval magnetic ring is more likely to discharge the anus than the circular magnetic ring, avoiding the defect that the circular magnetic ring is not easy to discharge. It can be seen from Fig. 13 and Fig. 14 that the elliptical magnetic ring with the same cross-sectional area is compared with the circular magnetic ring (the stimulation of the dilatation of the intestinal wall is reduced; the streamline type is closer to the intestinal lumen).
如图4、图6所示,所述的母环2包括有由导磁性材料或钛构成的椭圆形或圆形的母环套8和与所述的母环套8相对应的由磁性材料构成的椭圆形或圆形的母磁环9,所述的母环套8为环形U槽结构,所述环形U槽结构的母环套8的底面厚度为0.1mm~5mm。所述的母磁环9镶嵌到所述的环形U槽结构内,所述的间断槽6、所述的压榨斜面7和所述的卡扣结构3均形成在所述的母环套8的相应套面上。As shown in FIG. 4 and FIG. 6, the mother ring 2 includes an elliptical or circular mother ring sleeve 8 made of a magnetic conductive material or titanium, and a magnetic material corresponding to the mother ring sleeve 8. The elliptical or circular female magnetic ring 9 is formed, and the female ring sleeve 8 is an annular U-groove structure, and the bottom surface of the female ring sleeve 8 of the annular U-groove structure has a thickness of 0.1 mm to 5 mm. The female magnetic ring 9 is embedded in the annular U-groove structure, and the intermittent groove 6, the pressing inclined surface 7 and the snap structure 3 are formed on the female ring sleeve 8 On the corresponding set.
图2、图7、图9所示,所述的卡扣结构3包括卡柱31和一体形成在卡柱31顶端的用于卡住位于母环2上面的子环1的卡头32,其中,所述的卡柱31的底端与所述的母环套8固定连接。所述的卡头32的底端与所述卡柱31的内侧面形成直角结构4。所述的卡柱31的底 端与所述的母环套8的内侧或外侧固定连接。As shown in FIG. 2, FIG. 7, and FIG. 9, the buckle structure 3 includes a post 31 and a chuck 32 integrally formed on the top end of the post 31 for clamping the sub-ring 1 located above the female ring 2, wherein The bottom end of the post 31 is fixedly connected to the female ring sleeve 8. The bottom end of the chuck 32 forms a right angle structure 4 with the inner side of the post 31. The bottom of the post 31 The end is fixedly connected to the inner side or the outer side of the female ring sleeve 8.
如图8所示,所述的子环1包括有由导磁性材料构成的椭圆形或圆形的子环套10和与所述的子环套10相对应的由磁性材料构成的椭圆形或圆形的子磁环11,所述的子环套10为环形U槽结构,所述的环形U槽结构的子环套10的底面厚度为0.1mm~5mm。所述的子磁环11镶嵌到所述的环形U槽结构内。As shown in FIG. 8, the sub-ring 1 includes an elliptical or circular sub-ring 10 made of a magnetically permeable material and an elliptical or magnetic material corresponding to the sub-ring 10 or The circular sub-magnetic ring 11 is an annular U-groove structure, and the bottom surface of the sub-ring 10 of the annular U-groove structure has a thickness of 0.1 mm to 5 mm. The sub-magnetic ring 11 is embedded in the annular U-groove structure.
本发明中,当所述的子环1和母环2采用椭圆形结构时,所述的两个以上的卡扣结构3分别设置在椭圆形母环2的母环套8的内周面或外周面上。In the present invention, when the sub-ring 1 and the female ring 2 have an elliptical structure, the two or more snap structures 3 are respectively disposed on the inner circumferential surface of the female ring sleeve 8 of the elliptical female ring 2 or On the outer peripheral surface.
本发明中,当所述的子环1和母环2采用圆形结构时,所述的两个以上的卡扣结构3分别设置在圆形母环2的母环套8的内周面或外周面上。In the present invention, when the sub-ring 1 and the female ring 2 have a circular structure, the two or more snap structures 3 are respectively disposed on the inner circumferential surface of the female ring sleeve 8 of the circular mother ring 2 or On the outer peripheral surface.
由于所述的由强导磁性材料构成的母环套8和子环套10相对应的底面均具有一定的厚度(0.1mm-5mm),保证母磁环9及子磁环11分别被牢固吸引在相对面上,并被所在的环套包裹。这样即使磁环解体,不会发生脱开或者磁力明显下降的现象,增加了磁环稳定性及安全性。Since the bottom surface of the mother ring sleeve 8 and the sub-ring sleeve 10 which are made of a strong magnetic conductive material has a certain thickness (0.1 mm - 5 mm), the mother magnetic ring 9 and the sub magnetic ring 11 are firmly attracted to each other. On the opposite side, it is wrapped by the ring set. Thus, even if the magnetic ring is disintegrated, the phenomenon of disengagement or a significant decrease in magnetic force does not occur, and the stability and safety of the magnetic ring are increased.
本发明实施例是在椭圆形子环1和母环2的长轴两端,设计卡扣结构3,这样可以有效防止磁力过强或者过弱,不仅可以防止磁力过强导致愈合前磁环脱落,而且可以防止磁力过弱导致磁环脱开。因此卡扣结构3在保证安全的同时,还可以适当减轻磁环重量,减少体积,使之更加轻便。In the embodiment of the present invention, the buckle structure 3 is designed at both ends of the long axis of the elliptical sub-ring 1 and the parent ring 2, so that the magnetic force can be effectively prevented from being too strong or too weak, and the magnetic ring can be prevented from being excessively weak, resulting in the magnetic ring falling off before the healing. And can prevent the magnetic force from being too weak to cause the magnetic ring to disengage. Therefore, while ensuring safety, the buckle structure 3 can also appropriately reduce the weight of the magnetic ring, reduce the volume, and make it more portable.
图10、图11所示,卡扣结构3在磁环对合过程中,首先卡头32接触子环1内侧面下方,受挤压后卡柱31发生轻微变形,卡头32顺磁环1内侧面,由子环1内侧面下方滑至子环1内侧面上方,然后依靠卡柱31弹性,牢固地卡在子环1上,即使子环1嵌入在由卡头32、卡柱31和母环2构成的凹槽内,完成固定及对合。本发明依靠防脱的卡扣结构,解决了磁环磁力过大容易导致过早脱落,磁力过小直接导致磁环脱开的难题;而且卡扣结构在保证安全的同时,还可以适当减轻磁环重量,减少体积,使之更加轻便,显著提高临床应用价值;卡扣结构还有助于磁环间精确对位,防止错位。As shown in FIG. 10 and FIG. 11, in the process of the magnetic ring being engaged, the first embodiment of the latching structure 3 contacts the lower side of the inner side of the sub-ring 1. After the squeeze, the post 31 is slightly deformed, and the chuck 32 is parallel to the magnetic ring 1. The inner side surface slides from the lower side of the inner side of the sub-ring 1 to the upper side of the sub-ring 1 and then is elastically attached to the sub-ring 1 by the post 31, even if the sub-ring 1 is embedded in the chuck 32, the post 31 and the female The groove formed by the ring 2 is fixed and aligned. The invention relies on the buckle structure of the anti-offset, solves the problem that the magnetic force of the magnetic ring is too large, which is easy to cause premature fall off, and the magnetic force is too small, which directly causes the magnetic ring to be disengaged; and the buckle structure can also reduce the magneticity while ensuring safety. The weight of the ring reduces the volume and makes it lighter, which significantly improves the clinical application value; the buckle structure also helps the accurate alignment between the magnetic rings and prevents misalignment.
本发明利用导磁性好的钢(例如1J22特种钢)作为吻合器的接触面,并用钛壳包裹,提高吻合器整体牢固性,解决了强磁性材料(例如钕铁硼)加工困难、容易崩解的缺陷,即使在磁环内部裂开后仍可安全吻合,提高了吻合环的安全性,显著提高临床应用价值。The invention utilizes a magnetically conductive steel (for example, 1J22 special steel) as a contact surface of the stapler, and is wrapped with a titanium shell to improve the overall firmness of the stapler, and solves the problem that the ferromagnetic material (such as NdFeB) is difficult to process and is easily disintegrated. The defect can be safely anastomosed even after cracking inside the magnetic ring, which improves the safety of the anastomotic ring and significantly improves the clinical application value.
本发明的具有复合结构的一种子母式外科吻合磁环,可用于痔上粘膜切除或者结直肠吻合,具有以下优势:(1)吻合口平滑而完整,浆膜对合平整,吻合口处于和组织愈合覆盖切缘形成均匀一致的吻合口,所以是一种接近自然状态的理想吻合方法。(2)采用非穿透性吻合技术,加之吻合环的保护作用,有利于防止肠腔内容物的污染。(3)避免钛钉间隙造成的吻合口漏或出血风险;(4)压榨吻合环形成的吻合口大小是由其外径所决定的,钛钉吻合器吻合口大小是由其内径所决定,且吻合钉的排列本身可以导致狭窄,因此相同口径下,压榨环形成的吻合口比金属钉吻合器的更大,因此压榨吻合不易出现肠腔狭窄;(5)没有任何异物残留:术后1周左右磁环随大便排出,无任何异物残留,使得炎性刺激和组织纤维化程度降至最低,减少吻合口狭窄发生率,并且吻合口顺应性良好;(6)简化吻合器制造工艺,降低吻合器制造成本;(7)避免钛钉脱钉造成的危险并发症。 The invention has a composite structure of a mother-surgical surgical anastomosis magnetic ring, which can be used for supraorbital mucosal resection or colorectal anastomosis, and has the following advantages: (1) the anastomosis is smooth and complete, the serosa is flat and the anastomosis is in the Tissue healing covers a uniform margin of anastomotic stoma, so it is an ideal method of anastomosis close to the natural state. (2) The use of non-penetrating anastomosis technology, combined with the protective effect of the anastomotic ring, is conducive to the prevention of contamination of the contents of the intestinal lumen. (3) Avoid the risk of anastomotic leakage or bleeding caused by the titanium nail gap; (4) The size of the anastomosis formed by the press anastomosis ring is determined by the outer diameter of the titanium stapler, and the size of the anastomosis of the titanium stapler is determined by its inner diameter. And the arrangement of the staples itself can lead to stenosis, so the anastomosis formed by the press ring is larger than that of the metal stapler under the same caliber, so the press anastomosis is less prone to intestinal stenosis; (5) There is no foreign body residue: Postoperative 1 Around the circumference, the magnetic ring is discharged with the stool, without any foreign matter remaining, which minimizes the degree of inflammatory stimulation and tissue fibrosis, reduces the incidence of anastomotic stenosis, and has good anastomotic compliance; (6) Simplifies the manufacturing process of the stapler and reduces Cost of stapler manufacturing; (7) Avoid dangerous complications caused by nail removal from titanium nails.
下面结合图10~图14说明本发明的工作原理:The working principle of the present invention will be described below with reference to Figs. 10 to 14:
本实施例中子环1为固定直径及厚度,母环2为多个,均与子环1相同直径而厚度不同,因此与母环对合形成的磁力亦不同。手术中根据患者直肠肠壁厚度、年龄等综合因素,选择相应厚度及磁力的母环2。具体使用过程如下:In the present embodiment, the sub-ring 1 has a fixed diameter and a thickness, and the female ring 2 has a plurality of the same diameters and different thicknesses from the sub-ring 1, so that the magnetic force formed by the pairing with the female ring is also different. During the operation, according to the comprehensive factors such as the thickness and age of the rectal wall of the patient, the mother ring 2 with the corresponding thickness and magnetic force is selected. The specific use process is as follows:
1)根据患者组织厚度以及术中具体情况,选择相应厚度的子母式组合磁环1) According to the thickness of the patient's tissue and the specific conditions during the operation, select the sub-mesh combined magnetic ring of the corresponding thickness
2)按照常规方式扩肛,置入缝扎器,于齿状线以上2-6cm进行荷包缝合;2) The anus is expanded according to the conventional method, and the suture is placed, and the purse string is sutured 2-6 cm above the dentate line;
3)将母环2通过扩肛器置入直肠内,并收紧荷包线,显露出卡扣头32;3) The parent ring 2 is placed into the rectum through the anal dissipator, and the purse string is tightened to reveal the buckle head 32;
4)将子环1置入,其后对合母环2及子环1,对合卡扣结构3;4) The sub-ring 1 is placed, and then the parent ring 2 and the sub-ring 1 are aligned, and the snap-fit structure 3 is engaged;
5)卡扣结构3在磁环对合过程中,首先卡头32接触子环1内侧面下方,受挤压后卡柱31发生轻微变形,卡头32顺磁环1内侧面,由子环1内侧面下方滑至子环1内侧面上方,然后依靠卡柱31弹性,牢固地卡在子环1上,完成固定及对合。5) The buckle structure 3 is in the process of the magnetic ring merging, firstly the chuck 32 contacts the inner side of the sub-ring 1 and the post 31 is slightly deformed after being squeezed, and the chuck 32 is adjacent to the inner side of the magnetic ring 1 by the sub-ring 1 The lower side of the inner side slides to the upper side of the inner side of the sub-ring 1, and then the card post 31 is elasticized and firmly clamped on the sub-ring 1 to complete the fixing and the matching.
6)切除磁环内的多余痔疮组织;6) Excision of excess acne tissue in the magnetic ring;
7)依靠子环1及母环2形成的磁吸引力,以及卡扣结构3的保护,压榨直肠粘膜及粘膜下层12,使之逐渐缺血坏死,然后在子环1及母环2压榨形成的吻合口外侧面,逐渐形成吻合口愈合;7) relying on the magnetic attraction force formed by the sub-ring 1 and the parent ring 2, and the protection of the buckle structure 3, pressing the rectal mucosa and the submucosa 12 to gradually necrosis, and then pressing on the sub-ring 1 and the parent ring 2 The outer side of the anastomosis gradually forms an anastomosis;
8)待术后1周左右,子环1及母环2脱落,随粪便排出体外。 8) About 1 week after surgery, the sub-ring 1 and the parent ring 2 fall off and are excreted with the feces.

Claims (11)

  1. 一种子母式外科吻合磁环,包括子环(1)和母环(2),其特征在于,所述的子环(1)和母环(2)均为椭圆形或圆形的环结构,所述的子环(1)和母环(2)是通过设置在母环(2)上的两个以上的卡扣结构(3)而相互连接定位,所述母环(2)在与子环(1)相接触的那一环面(5)上形成有间断槽(6),所述环面(5)的外周边上形成有压榨斜面(7)。A sub-mother surgical anastomosis magnetic ring comprising a sub-ring (1) and a parent ring (2), wherein the sub-ring (1) and the parent ring (2) are both elliptical or circular ring structures The sub-ring (1) and the parent ring (2) are connected to each other by two or more snap structures (3) provided on the female ring (2), and the female ring (2) is A discontinuous groove (6) is formed in the annular surface (5) where the sub-ring (1) is in contact, and a press bevel (7) is formed on the outer periphery of the annular surface (5).
  2. 根据权利要求1所述的一种子母式外科吻合磁环,其特征在于,所述的母环(2)包括有由导磁性材料或钛构成的椭圆形或圆形的母环套(8)和与所述的母环套(8)相对应的由磁性材料构成的椭圆形或圆形的母磁环(9),所述的母环套(8)为环形U槽结构,所述的母磁环(9)镶嵌到所述的环形U槽结构内,所述的间断槽(6)、所述的压榨斜面(7)和所述的卡扣结构(3)均形成在所述的母环套(8)的相应套面上。A female-female surgical anastomotic magnetic ring according to claim 1, wherein said mother ring (2) comprises an elliptical or circular female ring sleeve (8) made of a magnetic conductive material or titanium. And an elliptical or circular female magnetic ring (9) made of a magnetic material corresponding to the female ring sleeve (8), the female ring sleeve (8) being an annular U-groove structure, a female magnetic ring (9) is embedded in the annular U-groove structure, and the intermittent groove (6), the press bevel (7) and the snap structure (3) are formed in the The corresponding sleeve of the female ring sleeve (8).
  3. 根据权利要求2所述的一种子母式外科吻合磁环,其特征在于,所述环形U槽结构的母环套(8)的底面厚度为0.1mm~5mm。A child-surgical surgical anastomosis magnetic ring according to claim 2, wherein the annular shape of the female ring sleeve (8) of the annular U-groove structure has a thickness of 0.1 mm to 5 mm.
  4. 根据权利要求1或2所述的一种子母式外科吻合磁环,其特征在于,所述的卡扣结构(3)包括卡柱(31)和一体形成在卡柱(31)顶端的用于卡住位于母环(2)上面的子环(1)的卡头(32),其中,所述的卡柱(31)的底端与所述的母环套(8)固定连接。A sub-mother surgical anastomosis magnetic ring according to claim 1 or 2, characterized in that the snap structure (3) comprises a post (31) and is integrally formed at the top end of the post (31) for The chuck (32) of the sub-ring (1) located above the female ring (2) is caught, wherein the bottom end of the post (31) is fixedly connected to the female ring sleeve (8).
  5. 根据权利要求4所述的一种子母式外科吻合磁环,其特征在于,所述的卡头(32)的底端与所述卡柱(31)的内侧面形成直角结构(4)。A sub-mother surgical anastomosis magnetic ring according to claim 4, wherein the bottom end of the chuck (32) forms a right-angled structure (4) with the inner side of the post (31).
  6. 根据权利要求4所述的一种子母式外科吻合磁环,其特征在于,所述的卡柱(31)的底端与所述的母环套(8)的内侧或外侧固定连接。A sub-mother surgical anastomosis magnetic ring according to claim 4, characterized in that the bottom end of the post (31) is fixedly connected to the inner side or the outer side of the female ring sleeve (8).
  7. 根据权利要求1所述的一种子母式外科吻合磁环,其特征在于,所述的子环(1)包括有由导磁性材料构成的椭圆形或圆形的子环套(10)和与所述的子环套(10)相对应的由磁性材料构成的椭圆形或圆形的子磁环(11),所述的子环套(10)为环形U槽结构,所述的子磁环(11)镶嵌到所述的环形U槽结构内。A sub-mother surgical anastomosis magnetic ring according to claim 1, wherein said sub-ring (1) comprises an elliptical or circular sub-ring sleeve (10) composed of a magnetically permeable material and The sub-ring sleeve (10) corresponds to an elliptical or circular sub-magnetic ring (11) made of a magnetic material, and the sub-ring sleeve (10) is an annular U-groove structure, the sub-magnetic A ring (11) is inlaid into the annular U-groove structure.
  8. 根据权利要求1所述的一种子母式外科吻合磁环,其特征在于,所述的环形U槽结构的子环套(10)的底面厚度为0.1mm~5mm。The sub-mother surgical anastomosis magnetic ring according to claim 1, wherein the sub-ring sleeve (10) of the annular U-groove structure has a bottom surface thickness of 0.1 mm to 5 mm.
  9. 根据权利要求1所述的一种子母式外科吻合磁环,其特征在于,当所述的子环(1)和母环(2)采用椭圆形结构时,所述的两个以上的卡扣结构(3)分别设置在椭圆形母环(2)的母环套(8)的内周面或外周面上。A sub-mother surgical anastomosis magnetic ring according to claim 1, wherein when said sub-ring (1) and said female ring (2) adopt an elliptical structure, said two or more snaps The structure (3) is respectively disposed on the inner circumferential surface or the outer circumferential surface of the female ring sleeve (8) of the elliptical female ring (2).
  10. 根据权利要求1所述的一种子母式外科吻合磁环,其特征在于,当所述的子环(1)和母环(2)采用圆形结构时,所述的两个以上的卡扣结构(3)分别设置在圆形母环(2)的母环套(8)的内周面或外周面上。A sub-mother surgical anastomosis magnetic ring according to claim 1, wherein when said sub-ring (1) and said female ring (2) adopt a circular structure, said two or more snaps The structure (3) is respectively disposed on the inner circumferential surface or the outer circumferential surface of the female ring sleeve (8) of the circular mother ring (2).
  11. 根据权利要求1所述的一种子母式外科吻合磁环,其特征在于,所述的母环(2)的厚度为1~10mm。 A sub-mother surgical anastomosis magnetic ring according to claim 1, wherein said mother ring (2) has a thickness of 1 to 10 mm.
PCT/CN2015/078904 2014-11-27 2015-05-13 Primary-secondary type surgical anastomosis magnetic ring WO2016082481A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201410699112.0A CN104398281B (en) 2014-11-27 2014-11-27 Primary-secondary type surgical anastomosis magnetic ring
CN201410699112.0 2014-11-27

Publications (1)

Publication Number Publication Date
WO2016082481A1 true WO2016082481A1 (en) 2016-06-02

Family

ID=52635997

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2015/078904 WO2016082481A1 (en) 2014-11-27 2015-05-13 Primary-secondary type surgical anastomosis magnetic ring

Country Status (2)

Country Link
CN (1) CN104398281B (en)
WO (1) WO2016082481A1 (en)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009290A (en) * 2018-09-13 2018-12-18 西安交通大学医学院第附属医院 A kind of magnetic coincide biliary tract exchange device again
CN109106416A (en) * 2018-09-27 2019-01-01 杭州越阡生物科技有限公司 It is a kind of for constructing the degradable stapler of bile pancreatic juice turn of tidal stream mouth
US11311298B2 (en) 2009-07-15 2022-04-26 Gt Metabolic Solutions, Inc. Incisionless gastric bypass system
US11534171B2 (en) 2020-12-18 2022-12-27 Gt Metabolic Solutions, Inc. Devices and methods for assisting magnetic compression anastomosis
US11576676B2 (en) 2020-09-18 2023-02-14 Gt Metabolic Solutions, Inc. Anastomosis formation with magnetic devices having temporary retention member
US11583280B2 (en) 2021-04-30 2023-02-21 Gt Metabolic Solutions, Inc. Anastomosis formation with magnetic devices having bioresorbable retention member
US11751877B2 (en) 2018-06-02 2023-09-12 G.I. Windows, Inc. Systems, devices, and methods for forming anastomoses
US11864764B2 (en) 2021-04-20 2024-01-09 G.I. Windows, Inc. Systems, devices, and methods for endoscope or laparoscopic magnetic navigation
US11864767B2 (en) 2010-01-05 2024-01-09 G.I. Windows, Inc. Self-assembling magnetic anastomosis device having an exoskeleton

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105147365A (en) * 2015-07-02 2015-12-16 张林安 Magnetic circumcision device
CN105054984B (en) * 2015-07-02 2017-12-29 史源 One kind fastening, which declines, follows closely magnetic pressure squeezing anastomosis ring
CN104921772A (en) * 2015-07-02 2015-09-23 张林安 Manual type anorectal surgery magnetic ring anastomat
CN105615953B (en) * 2015-12-18 2018-01-26 史源 A kind of magnetic anastomosis rings
CN105796159A (en) * 2016-04-27 2016-07-27 江西龙之吻医疗科技有限公司 Multipole magnetic field force pairing attraction type circumcising anastomat
CN108309384B (en) * 2018-02-10 2019-08-06 四川大学华西医院 A kind of Endoscopic Treatment magnet

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1981000668A1 (en) * 1979-09-07 1981-03-19 A Jansen Medical device for connecting two portions of the intestine,ancillary device for use therewith,and method for insertion of an intestinal button suture with the aid of this device
EP2762090A2 (en) * 2013-02-04 2014-08-06 Covidien LP Circular stapling device including buttress material

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1297237C (en) * 2004-06-03 2007-01-31 西安交通大学 Auxiliary ring for surgical anastomosis
CN202409064U (en) * 2011-12-22 2012-09-05 厦门施爱德科技有限公司 Loop ligator for prepuce circumcising operation and prepuce circumcising device
CN103829980B (en) * 2014-01-28 2015-08-26 西安交通大学 A kind of closed repair apparatus for recto-vaginal fistula

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1981000668A1 (en) * 1979-09-07 1981-03-19 A Jansen Medical device for connecting two portions of the intestine,ancillary device for use therewith,and method for insertion of an intestinal button suture with the aid of this device
EP2762090A2 (en) * 2013-02-04 2014-08-06 Covidien LP Circular stapling device including buttress material

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11311298B2 (en) 2009-07-15 2022-04-26 Gt Metabolic Solutions, Inc. Incisionless gastric bypass system
US11612398B2 (en) 2009-07-15 2023-03-28 Gt Metabolic Solutions, Inc. Incisionless gastric bypass system
US11642132B2 (en) 2009-07-15 2023-05-09 Gt Metabolic Solutions, Inc. Incisionless gastric bypass system
US11864767B2 (en) 2010-01-05 2024-01-09 G.I. Windows, Inc. Self-assembling magnetic anastomosis device having an exoskeleton
US11751877B2 (en) 2018-06-02 2023-09-12 G.I. Windows, Inc. Systems, devices, and methods for forming anastomoses
CN109009290A (en) * 2018-09-13 2018-12-18 西安交通大学医学院第附属医院 A kind of magnetic coincide biliary tract exchange device again
CN109009290B (en) * 2018-09-13 2024-04-23 西安交通大学医学院第一附属医院 Magnetic anastomosis biliary tract recanalization device
CN109106416A (en) * 2018-09-27 2019-01-01 杭州越阡生物科技有限公司 It is a kind of for constructing the degradable stapler of bile pancreatic juice turn of tidal stream mouth
US11576676B2 (en) 2020-09-18 2023-02-14 Gt Metabolic Solutions, Inc. Anastomosis formation with magnetic devices having temporary retention member
US11534171B2 (en) 2020-12-18 2022-12-27 Gt Metabolic Solutions, Inc. Devices and methods for assisting magnetic compression anastomosis
US11832820B2 (en) 2020-12-18 2023-12-05 Gt Metabolic Solutions, Inc. Devices and methods for assisting magnetic compression anastomosis
US11864764B2 (en) 2021-04-20 2024-01-09 G.I. Windows, Inc. Systems, devices, and methods for endoscope or laparoscopic magnetic navigation
US11583280B2 (en) 2021-04-30 2023-02-21 Gt Metabolic Solutions, Inc. Anastomosis formation with magnetic devices having bioresorbable retention member

Also Published As

Publication number Publication date
CN104398281A (en) 2015-03-11
CN104398281B (en) 2017-02-22

Similar Documents

Publication Publication Date Title
WO2016082481A1 (en) Primary-secondary type surgical anastomosis magnetic ring
CN105054984B (en) One kind fastening, which declines, follows closely magnetic pressure squeezing anastomosis ring
Dozois Ileal'J'pouch-anal anastomosis.
CA2911795C (en) Methods and devices for endoscopically creating an anastomosis
CN111031934B (en) Magnetic device, system and method
WO1981000668A1 (en) Medical device for connecting two portions of the intestine,ancillary device for use therewith,and method for insertion of an intestinal button suture with the aid of this device
WO2018059084A1 (en) Absorbable and unidirectionally compressible intestine-intestine stapler
WO2009092194A1 (en) Auxiliary instrument for anorectal surgery
Fan et al. Sutureless intestinal anastomosis with a novel device of magnetic compression anastomosis
Rosati et al. A new mechanical device for circular compression anastomosis. Preliminary results of animal and clinical experimentation.
CN101884556B (en) Magnetic device provided with support for cholangio-jejunostomy and end-to-side intestinal anastomosis
CN103519858A (en) Magnetic force meshing device applicable to field operation surgery digestive tract reconstruction
CN102525587B (en) Discontinuous deformable surgical anastomosing magnetic ring
CN103654903A (en) Magnetic biodegradable device for human digestive tract anastomosis
CN103948410B (en) Suturing-free anastomosis device for digestive tract
CN209269770U (en) A kind of surgical instrument for continent ileostomy
CN101904758B (en) Hepaticojejunostomic and intestinal end-to-side anastomotic magnetic device
CN202235528U (en) Gastric gastrojejunostomy device
CN105147365A (en) Magnetic circumcision device
CN214017682U (en) Medical leakage-proof pancreas and intestine anastomosis supporting drainage tube
CN208710162U (en) A kind of artificial bio-membrane's magnetic ring
CN202426593U (en) Magnetic compression anastomosis ring
CN203914993U (en) A kind of for gastral Sutureless stapling apparatus
CN214907517U (en) Radial magnetizing anastomat for non-invasive digestive tract reconstruction
CN204072197U (en) A kind of magnetic devices being applicable to medium-sized vascular anastomosis

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 15864289

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 15864289

Country of ref document: EP

Kind code of ref document: A1