WO2018059084A1 - 可吸收单向压缩性肠肠吻合器 - Google Patents
可吸收单向压缩性肠肠吻合器 Download PDFInfo
- Publication number
- WO2018059084A1 WO2018059084A1 PCT/CN2017/093163 CN2017093163W WO2018059084A1 WO 2018059084 A1 WO2018059084 A1 WO 2018059084A1 CN 2017093163 W CN2017093163 W CN 2017093163W WO 2018059084 A1 WO2018059084 A1 WO 2018059084A1
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- WO
- WIPO (PCT)
- Prior art keywords
- pipe portion
- tube portion
- rack
- intestinal
- absorbable
- Prior art date
Links
- 230000000968 intestinal effect Effects 0.000 claims abstract description 23
- 230000003872 anastomosis Effects 0.000 claims abstract description 15
- 230000003886 intestinal anastomosis Effects 0.000 claims description 15
- 230000006835 compression Effects 0.000 claims description 3
- 238000007906 compression Methods 0.000 claims description 3
- 230000003014 reinforcing effect Effects 0.000 claims description 3
- 238000000034 method Methods 0.000 description 12
- 210000000936 intestine Anatomy 0.000 description 10
- 206010050456 Anastomotic leak Diseases 0.000 description 7
- 210000001035 gastrointestinal tract Anatomy 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 3
- 206010056346 Anastomotic haemorrhage Diseases 0.000 description 2
- 206010051268 Anastomotic stenosis Diseases 0.000 description 2
- 230000002146 bilateral effect Effects 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 210000000664 rectum Anatomy 0.000 description 2
- 230000002787 reinforcement Effects 0.000 description 2
- 210000001599 sigmoid colon Anatomy 0.000 description 2
- 230000003068 static effect Effects 0.000 description 2
- 230000036262 stenosis Effects 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000012084 abdominal surgery Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000005284 excitation Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 210000000813 small intestine Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/148—Materials at least partially resorbable by the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1103—Approximator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
Definitions
- the present invention relates to an absorbable unidirectional compressive intestinal stapler.
- Intestinal anastomosis is one of the most common operations in abdominal surgery, and it is also the surgical technique that surgeons must master. It is the key technology for digestive tract reconstruction and is related to the success or failure of surgery. Ideal intestinal anastomosis should avoid the occurrence of complications such as anastomotic leakage, stenosis, hemorrhage, and easy to operate. Improvement and innovation matching technology has always been a hot topic in external scientific research. Up to now, hundreds of anastomotic methods have been developed. These methods have their own advantages and disadvantages, but none of them can fully meet the above requirements. For example, the most commonly used manual suture method and stapler method in clinical practice can not completely avoid complications such as anastomotic leakage, stenosis and hemorrhage.
- the traditional intestinal suture anastomosis and tubular stapler are mainly used.
- Conventional manual suture anastomosis that is, the surgeon uses a conventional surgical method to manually suture and knot with a needle holder, forceps, and needle thread.
- the tube-type stapler that is, the tube-type stapler
- the tube-type stapler is placed in one end of the intestine tube, and the other end of the excitation rod is placed again, and the end-end anastomosis is performed, but the tube-type stapler is mainly applied to the rectum and part of the sigmoid colon.
- Intestinal anastomosis requires an additional small opening and suturing the small opening.
- the linear cutting and closing device improves the intestinal anastomosis. This method can correct the end-to-end anastomosis of the intestine and change the original structure of the digestive tract.
- the traditional intestinal intestinal anastomosis has the disadvantages of high operational difficulty and high incidence of postoperative anastomotic leakage; while the tubular stapler is suitable for a small range of intestinal tubes; The anatomical approach is more difficult to perform under laparoscopy, and the main anastomotic leakage problem cannot be effectively solved.
- the present invention provides a method for reducing the incidence of anastomotic leakage, reducing the difficulty of intestinal anastomosis, accelerating the progress of the operation, especially the difficulty of laparoscopic intestinal anastomosis, and shortening the operation time.
- Expandable intestinal anastomosis especially for the end-to-end anastomosis of the absorbable one-way compression enterostomy.
- An absorbable unidirectional compressive intestinal stapler comprising a first and a second tube portion acceptable to the human body and made of a degradable material; characterized in that: the first tube portion Moving forward and backward relative to the second through-pipe portion, and the first through-tube portion and the second through-tube portion are inseparable; the first through-pipe portion and the second through-tube portion respectively include a big end and a small end End, the big end is for fixing the intestinal tube, and the small end of the second through tube portion is sleeved in the small end of the first through tube portion; the two large ends are of the same size, when the first through tube portion is opposite When the second tube portion is moved, the two large ends are brought together to achieve end-to-end anastomosis;
- the first through-tube portion and the second through-tube portion have a ring boss on the inner side of the large end, and the inner side of the large end of the second through-tube portion is circumferentially spaced apart from the plurality of through slots.
- a small end surface of a through pipe portion is axially provided with a plurality of first racks, and the first rack extends through the through slot and is movable along the through slot;
- the small end surface of the second through-tube portion is provided with a plurality of second racks in the axial direction, and the adjacent first rack and the second rack respectively have a sliding slot;
- the second rack and the second rack First a rack is arranged in a staggered manner, and the first rack and the second rack cooperate to form a closed space;
- the ends of the first rack and the second rack are connected by a ring;
- the outer side of the small end portion of the first through-pipe portion and the second through-tube portion has a gradually enlarged elastic flared opening, and when the first through-tube portion is closed or unfolded relative to the second through-tube portion, The resilient flared opening of the end is unfolded or squeezed into the large end of the first and second conduit portions.
- the method further includes an annular structure for reinforcing the anastomotic portion disposed in a circumferential direction, the annular structure including a first side and a second side, and one end of the first side is hinged to one end of the second side, The other end of the first side is engaged with the other end of the second side.
- the other end of the first side is provided with a card slot
- the other end of the second side is provided with a buckle
- the other end of the first side and the other end of the second side pass through the card slot and the buckle Match the connection.
- the inner side of the large end is provided with a plurality of tooth structures for preventing the anastomosis of the intestinal tube from slipping.
- the elastic flared opening is detachable.
- the operation procedure of the stapler of the present invention is as follows:
- the two-stage intestines of the anastomosis of the stapler of the present invention are relatively static, which eliminates the trouble of adjustment when other assembly methods are matched;
- the invention has the advantages of simple operation, high success rate, small trauma, ensuring the original physiological result of the digestive tract as much as possible, and the end-end anastomosis of the intestinal tube, and the characteristic of reducing the incidence of anastomotic leakage after intestinal anastomosis. ;
- FIGS 2 and 3 are perspective views of the overall structure of the present invention.
- Fig. 4 is a view showing a state in which the first through-pipe portion of the present invention is unfolded with respect to the second through-pipe portion.
- Fig. 5 is a schematic plan view showing the state in which the first through-pipe portion of Fig. 4 is unfolded with respect to the second through-tube portion.
- FIG 6 and 7 are schematic perspective views of the annular structure of the present invention, respectively.
- Figure 8 is a schematic view showing the planar structure of the annular structure of the present invention.
- an absorbable unidirectional compressive intestinal stapler comprising a first through tube portion 1 and a second through tube portion 2 which are mutually acceptable and which are made of a degradable material;
- the first through-pipe portion 1 moves back and forth with respect to the second through-pipe portion 2, And the first through-tube portion 1 and the second through-tube portion 2 are inseparable;
- the first through-tube portion 1 and the second through-tube portion 2 respectively include a large end and a small end, and the large end is used for fixing the intestinal tube
- the small end of the second through-pipe portion 2 is sleeved in the small end of the first through-pipe portion;
- the two large ends 11, 21 are of the same size, when the first through-pipe portion 1 is opposite to the second pass When the tube portion 2 moves, the two large ends 11, 21 are brought together to achieve end-to-end anastomosis;
- the inside of the large end of the first through-tube portion 1 and the second through-tube portion 2 has a ring-shaped boss, and the inner side of the large-end portion of the second through-tube portion 2 is spaced apart in the circumferential direction by a plurality of through grooves 22,
- the small end surface of the first through-tube portion 1 is axially provided with a plurality of first racks 12, and the first rack 12 extends through the through-groove 22 and is movable along the through-groove 22;
- the small end surface of the second through-tube portion 2 is provided with a plurality of second racks 23 in the axial direction, and the adjacent first racks 12 and the second racks respectively have a chute 13;
- the two racks 23 and the first rack 12 are arranged in a staggered manner, and the first rack 12 and the second rack 23 cooperate to form a closed space;
- the ends of the first rack 12 and the second rack 23 are connected by a ring;
- the outer ends of the small end portions of the first through-pipe portion 1 and the second through-tube portion 2 have a gradually enlarged elastic flared opening 4 when the first through-tube portion 1 is closed with respect to the second through-tube portion 2 Or when unfolded, the elastic flared openings 4 at both ends are unfolded or squeezed into the large ends of the first and second tube portions 1 and 2.
- annular structure 3 for reinforcing the anastomotic portion disposed in the circumferential direction, the annular structure 3 including a first side 31 and a second side 32, one end and the second side of the first side 31 One end of the first side 31 is hinged, and the other end of the first side 31 is parallel to the second side 32. The other end of the card is connected.
- the other end of the first side 31 is provided with a card slot 311, and the other end of the second side 32 is provided with a buckle 321, and the other end of the first side and the other end of the second side pass the card.
- the slot 311 is coupled to the buckle 321 .
- the inner side of the large end is provided with a plurality of tooth structures 5 for preventing slippage of the intestinal anastomosis.
- the elastic flared opening 4 is detachable.
- the two-stage intestine tube which is consistent in this embodiment is relatively static, and the trouble of adjustment in other assembly manners is eliminated, and the alignment is accurate. And the operation is simple, the success rate is high, the wound is small, the original physiological result of the digestive tract is ensured as much as possible, the end of the intestinal tube is anastomosed, and the incidence of anastomotic leakage after intestinal anastomosis is obviously reduced.
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- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Physiology (AREA)
- Vascular Medicine (AREA)
- Epidemiology (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (5)
- 可吸收单向压缩性肠肠吻合器,包括相互吻合的人体可接受并由可降解材料制成的第一通管部分和第二通管部分;其特征在于:所述的第一通管部分相对所述的第二通管部分前后移动,并且所述的第一通管部分和第二通管部分不可分离;所述的第一通管部分和第二通管部分分别包括大端和小端,大端用于固定肠管,所述的第二通管部分的小端套设在第一通管部分的小端内;两个所述的大端大小一致,当第一通管部分相对第二通管部分移动时,两个大端靠拢实现肠肠端端吻合;所述的第一通管部分和第二通管部分的大端内侧具有一圈凸台,所述的第二通管部分的大端内侧沿圆周方向间隔开设有若干通槽,所述的第一通管部分的小端表面沿轴向开设有若干第一齿条,所述的第一齿条贯穿通槽并可沿通槽移动;所述的第二通管部分的小端表面沿轴向开设有若干第二齿条,相邻的第一齿条以及第二齿条之间分别具有滑槽;所述的第二齿条与第一齿条呈错列设置,所述的第一齿条与第二齿条配合形成封闭空间;若干所述的第一齿条以及第二齿条的末端通过一圆环连接;所述的第一通管部分和第二通管部分的小端端部的圆环外侧具有逐渐扩大的弹性喇叭状开口,当第一通管部分相对第二通管部分合拢或展开时,两端的弹性喇叭状开口展开或被挤压在第一通管部分和第二通管部分的大端内。
- 如权利要求1所述的可吸收单向压缩性肠肠吻合器,其特征在于:还包括一沿圆周方向设置的用于加固吻合部位的环状结构,所 述的环状结构包括第一边和第二边,所述的第一边的一端与第二边的一端铰接,所述的第一边的另一端与第二边的另一端卡接。
- 如权利要求2所述的可吸收单向压缩性肠肠吻合器,其特征在于:所述的第一边的另一端设置有卡槽,所述的第二边的另一端设置有卡扣,所述的第一边的另一端与第二边的另一端通过卡槽与卡扣配合连接。
- 如权利要求2或3所述的可吸收单向压缩性肠肠吻合器,其特征在于:所述的大端内侧设置有若干用于防止肠管吻合处滑脱的齿状结构。
- 如权利要求4所述的可吸收单向压缩性肠肠吻合器,其特征在于:所述的弹性喇叭状开口可拆卸。
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA3037783A CA3037783C (en) | 2016-09-29 | 2017-07-17 | Absorbable and unidirectionally compressible intestine-intestine stapler |
KR1020197012384A KR102195126B1 (ko) | 2016-09-29 | 2017-07-17 | 흡수성 및 단방향 압축성을 가진 장-장 스테이플러 |
EP17854538.0A EP3520716B1 (en) | 2016-09-29 | 2017-07-17 | Absorbable and unidirectionally compressible intestine-intestine stapler |
US16/337,849 US10980541B2 (en) | 2016-09-29 | 2017-07-17 | Absorbable and unidirectionally compressible intestine-intestine stapler |
AU2017335788A AU2017335788B2 (en) | 2016-09-29 | 2017-07-17 | Absorbable and unidirectionally compressible intestine-intestine stapler |
JP2019517099A JP6707776B2 (ja) | 2016-09-29 | 2017-07-17 | 吸収性かつ一方向圧縮性の腸−腸ステープラ |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610863689.XA CN106308866B (zh) | 2016-09-29 | 2016-09-29 | 可吸收单向压缩性肠肠吻合器 |
CN201610863689.X | 2016-09-29 |
Publications (1)
Publication Number | Publication Date |
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WO2018059084A1 true WO2018059084A1 (zh) | 2018-04-05 |
Family
ID=57820982
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/CN2017/093163 WO2018059084A1 (zh) | 2016-09-29 | 2017-07-17 | 可吸收单向压缩性肠肠吻合器 |
Country Status (8)
Country | Link |
---|---|
US (1) | US10980541B2 (zh) |
EP (1) | EP3520716B1 (zh) |
JP (1) | JP6707776B2 (zh) |
KR (1) | KR102195126B1 (zh) |
CN (1) | CN106308866B (zh) |
AU (1) | AU2017335788B2 (zh) |
CA (1) | CA3037783C (zh) |
WO (1) | WO2018059084A1 (zh) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106308866B (zh) * | 2016-09-29 | 2018-02-13 | 浙江大学 | 可吸收单向压缩性肠肠吻合器 |
US20190159795A1 (en) * | 2017-11-28 | 2019-05-30 | Covidien Lp | Organ measuring tool assembly |
CN110236624A (zh) * | 2019-06-28 | 2019-09-17 | 西安交通大学 | 一种可降解内翻环压式生物管吻合器 |
CN110522485B (zh) * | 2019-08-27 | 2020-12-11 | 浙江大学 | 一种可降解的肠道完全转流支架 |
CN111407346B (zh) * | 2020-04-02 | 2020-12-22 | 王建龙 | 一种肠道闭合器 |
CN113143372A (zh) * | 2021-05-20 | 2021-07-23 | 上海理工大学 | 一种可降解的加压式管腔组织吻合支架 |
CN113893390B (zh) | 2021-10-12 | 2023-12-01 | 国科温州研究院(温州生物材料与工程研究所) | 一种新型肠道柔性吻合支架 |
CN114081563B (zh) * | 2021-11-22 | 2023-06-13 | 西安交通大学医学院第一附属医院 | 一种简便的肠-肠端端吻合器 |
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- 2016-09-29 CN CN201610863689.XA patent/CN106308866B/zh active Active
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2017
- 2017-07-17 CA CA3037783A patent/CA3037783C/en active Active
- 2017-07-17 EP EP17854538.0A patent/EP3520716B1/en active Active
- 2017-07-17 JP JP2019517099A patent/JP6707776B2/ja active Active
- 2017-07-17 WO PCT/CN2017/093163 patent/WO2018059084A1/zh unknown
- 2017-07-17 AU AU2017335788A patent/AU2017335788B2/en active Active
- 2017-07-17 US US16/337,849 patent/US10980541B2/en active Active
- 2017-07-17 KR KR1020197012384A patent/KR102195126B1/ko active IP Right Grant
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CN106308866A (zh) * | 2016-09-29 | 2017-01-11 | 浙江大学 | 可吸收单向压缩性肠肠吻合器 |
CN206403818U (zh) * | 2016-09-29 | 2017-08-15 | 浙江大学 | 可吸收单向压缩性肠肠吻合器 |
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AU2017335788B2 (en) | 2019-06-13 |
JP6707776B2 (ja) | 2020-06-10 |
CA3037783C (en) | 2020-12-15 |
KR102195126B1 (ko) | 2020-12-24 |
US10980541B2 (en) | 2021-04-20 |
EP3520716A1 (en) | 2019-08-07 |
CN106308866B (zh) | 2018-02-13 |
JP2019528969A (ja) | 2019-10-17 |
US20200029968A1 (en) | 2020-01-30 |
AU2017335788A1 (en) | 2019-04-11 |
CA3037783A1 (en) | 2018-04-05 |
EP3520716A4 (en) | 2019-10-09 |
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KR20190061046A (ko) | 2019-06-04 |
CN106308866A (zh) | 2017-01-11 |
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