WO2020125746A1 - 圆管型吻合器 - Google Patents
圆管型吻合器 Download PDFInfo
- Publication number
- WO2020125746A1 WO2020125746A1 PCT/CN2019/126923 CN2019126923W WO2020125746A1 WO 2020125746 A1 WO2020125746 A1 WO 2020125746A1 CN 2019126923 W CN2019126923 W CN 2019126923W WO 2020125746 A1 WO2020125746 A1 WO 2020125746A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- stapler
- pointer
- impact
- position area
- firing
- Prior art date
Links
- 238000010304 firing Methods 0.000 claims description 64
- 239000002184 metal Substances 0.000 claims description 12
- 230000001960 triggered effect Effects 0.000 abstract description 2
- 210000003953 foreskin Anatomy 0.000 description 9
- 238000010586 diagram Methods 0.000 description 8
- 230000003872 anastomosis Effects 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 230000009471 action Effects 0.000 description 4
- 230000008569 process Effects 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 2
- 230000001133 acceleration Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000018522 Gastrointestinal disease Diseases 0.000 description 1
- NIXOWILDQLNWCW-UHFFFAOYSA-N acrylic acid group Chemical group C(C=C)(=O)O NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 208000014617 hemorrhoid Diseases 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 230000009916 joint effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 206010034878 phimosis Diseases 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000015541 sensory perception of touch Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 238000003466 welding Methods 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
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
- A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- 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
-
- 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
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
Definitions
- the invention relates to the technical field of medical equipment, in particular to a circular tube type stapler.
- Gastrointestinal diseases are one of the most common diseases in humans.
- a circular tube-type stapler is often used to replace the doctor's manual operation to anastomize the digestive tract and other physiological tissues.
- the round tube stapler is a common surgical instrument. Most of them use axial inward binding. During the operation, they form an end-to-end or end-to-side anastomosis of the esophagus, stomach, intestine and other physiological tissues.
- the segmental tissues are contained and contained in the stapler, and after the firing is completed, a circular anastomosis is formed on the tissue to reconstruct the human body channel.
- a round tube type stapler includes a stapler body, an operation handle movably connected to the stapler body, and a nail anvil assembly cooperating with the body.
- the stapler body includes a staple cartridge assembly disposed at a distal end, the staple cartridge assembly includes a ring-shaped staple cartridge, a cutter; and a knob disposed at a proximal end of the body, the knob can rotate relative to the body, and the stapler
- the interior of the body also includes a nail anvil shaft disposed from the proximal end to the distal end.
- the distal end and the proximal end are relative to the operator.
- the end closer to the operator is the proximal end, and the end farther from the operator, that is, the end closer to the operation position is the distal end.
- the inside and the outside are relative to the axis of the stapler, the side near the axis is the inside, and the side away from the axis is the outside.
- the nail anvil assembly includes a nail anvil, a nail anvil cap disposed at a distal end of the nail anvil, and a knife anvil disposed inside the nail anvil.
- the nail anvil assembly may be directly connected to the distal end of the nail anvil shaft or connected through a nail anvil shaft connection .
- the nail anvil shaft penetrates from the purse of the stump tissue and is located at the distal end of the stapler body. Rotate the knob to gradually reduce the distance between the nail anvil assembly and the nail cartridge After reaching a suitable distance, it can reach the firing state, and then the operating handle can be used to complete the anastomosis.
- the round tube stapler is also more and more widely used in the treatment of diseases such as hemorrhoids.
- the circumcision stapler is also described in the prior art, and its structure is similar to the above-mentioned digestive tract circular tube-type stapler, except that the glans cap assembly is matched with the body.
- the glans cap assembly includes a nail anvil, a glans cap fixedly connected to the nail anvil, a knife anvil, and a central rod detachably connected to the stapler body.
- the doctor often cannot visually see the firing state of the stapler after pressing the handle assembly, nor can he feel whether the firing is completed from the tactile sense, and the doctor's use experience is not high.
- the object of the present invention is to provide a round tube-type stapler, when the firing is completed, the first end of the pointer returns from the second position area to the first position area, and will collide with the impact part to issue an impact Sound, through the sound to remind the operator that the firing has been successfully completed.
- An embodiment of the present invention provides a round tube-type stapler including a stapler body, a handle assembly movably connected to the stapler body, and a push rod provided in the body of the stapler, the push rod has an initial Position and a firing position, the handle assembly can push the push rod into the firing position from the initial position;
- the body of the stapler is also provided with a pointer and an impact part, and the pointer is rotatably connected to the body of the stapler;
- the first end of the pointer When the stapler is in the initial state, the first end of the pointer is located in the first position area, and the first end of the pointer is opposite to the impact portion; when the stapler is in the firing state, the first One end moves to the second position area, the first end of the pointer is away from the impact portion; when the stapling is completed, the first end of the pointer returns from the second position area to the first Position area, and the first end of the pointer collides with the impact part and emits an impact sound.
- an elastic stopper is provided on the body of the stapler, the free end of the stopper faces and bears against the first end of the pointer, and the first end of the pointer is located in the first position area Does not resist the impact part.
- the elastic limiter is a spring.
- the first end of the pointer is connected to the distal end of the pull tab, and the pull tab causes the first end of the pointer to move from the first position area to the second position area .
- the stapler body includes two stapler housings respectively located on both sides of the stapler, and the first end and the second end of the striking portion are fixed to the two stapler housings respectively On the inner surface, the middle of the impact portion protrudes toward the proximal end of the stapler.
- an inner surface of each of the stapler housings is provided with a rib plate and a fixing plate, a fixing groove is formed between the rib plate and the fixing plate, and two ends of the impact part are respectively inserted into two In the fixing groove.
- the striking portion is a metal sheet bent in the middle toward the proximal end of the stapler.
- the impact portion is a hollow sphere or a hemisphere with a spherical surface facing the proximal end of the stapler.
- the impact part includes a bell and a bracket, and the bell is fixed to the stapler body through the bracket.
- the stapler body includes two stapler housings on two sides, and two ends of the bracket are respectively fixed to the stapler housings on both sides.
- a groove is respectively formed on the inner side of the stapler housing, and both ends of the bracket are respectively inserted into the grooves on both sides.
- the bell is a hollow cylinder with an open lower side
- the bracket includes a connecting portion, and first and second side arms located on both sides of the connecting portion, the connecting portion of the bracket and the bell
- the middle of the upper side is fixedly connected, and the end of the first side arm and the end of the second side arm of the bracket are respectively fixed to the stapler housings on both sides.
- the pointer further includes a positioning portion, and the pointer is rotatably fixed to the stapler body through the positioning portion.
- a firing portion is provided at the first end of the pointer, the firing portion protrudes toward the distal end of the stapler, and when the stapler firing is completed, the pointer returns from the second position area to the In the first position area, the firing portion of the pointer collides with the impact portion and emits an impact sound.
- a positioning pin is penetrated in the positioning part, and a pointer return torsion spring is sleeved on the positioning pin.
- the stapler body includes two stapler housings on two sides, the positioning portion is fixed to the stapler housing on one side, and the first end of the pointer includes an indicator portion, the indicator The part protrudes towards the stapler housing on the other side.
- the stapler body includes a stapler housing, and a position of the stapler housing corresponding to the impact part is provided with at least one sound-emitting hole.
- the invention provides a circular tube-type stapler, which is provided with an impact part in the body of the stapler.
- the first end of the pointer moves from the first position area to the second position area, away from the impact part, when the firing is completed ,
- the first end of the pointer returns from the second position area to the first position area, and it will collide with the impact part to make an impact sound, and use the sound to remind the operator that the firing has been successfully completed.
- the operator can grasp the firing status of the stapler in time to improve Use experience.
- FIG. 1 is a schematic structural view of a conventional round-tube stapler according to an embodiment of the present invention
- FIG. 2 is a schematic structural diagram of a conventional stapler and handle assembly according to an embodiment of the present invention
- FIG. 3 is a schematic structural diagram of a foreskin stapler according to an embodiment of the present invention.
- FIG. 4 is a schematic structural view of a circular tube-type stapler in an initial state according to an embodiment of the present invention
- FIGS. 5 to 6 are schematic diagrams of a structure in which a shell on one side of a circular tube-type stapler cooperates with a metal sheet according to an embodiment of the present invention
- FIG. 7 is an enlarged view of A in FIG. 6;
- FIG. 8 is a schematic structural view of a metal sheet according to an embodiment of the invention.
- FIG. 9 is a schematic structural view of a circular tube-type stapler according to another embodiment of the present invention when it is in an initial state
- FIG. 10 is an enlarged view of B in FIG. 9;
- FIG. 11 is a cross-sectional view in the direction A1-A1 in FIG. 9;
- FIG. 12 is a schematic view of the external structure of a circular tube-type stapler according to another embodiment of the present invention.
- FIG. 13 is a schematic structural diagram of a pointer according to another embodiment of the present invention.
- FIGS. 14 to 15 are schematic structural views of the handle assembly of the circular tube-type stapler according to an embodiment of the present invention in an initial state;
- 16 is a schematic diagram of the structure of the cooperation between the pointer and the pull tab in the initial state of an embodiment of the present invention
- FIG. 17 is a schematic structural view of a handle assembly of a circular tube-type stapler according to an embodiment of the present invention in a failed state;
- FIG. 18 is a schematic structural diagram of the cooperation between the pointer and the pull-tab in the failure state according to an embodiment of the present invention.
- FIG. 19 is a schematic diagram of the puller pulling the pointer to rotate according to an embodiment of the invention.
- FIG. 20 is a schematic structural view of a round tube-type stapler in a firing state according to an embodiment of the present invention
- FIG. 21 is a schematic structural view of a pull-tab of an embodiment of the invention.
- the present invention provides a round tube-type stapler, including a stapler body, a handle assembly movably connected to the stapler body, and a push rod provided in the stapler body ,
- the push rod has an initial position and a firing position, the handle assembly can push the push rod from the initial position into the firing position;
- the stapler body is also provided with a pointer and an impact part, the The pointer is rotatably connected to the stapler body.
- the first end of the pointer When the stapler is in the initial state, the first end of the pointer is located in the first position area, and the first end of the pointer is opposite to the impact portion; when the stapler is in the firing state, the first One end moves to the second position area, the first end of the pointer is away from the impact portion; when the stapling is completed, the first end of the pointer returns from the second position area to the first position area, and The first end of the pointer collides with the impact part and emits an impact sound. Therefore, by sound to remind the operator that the firing has been successfully completed, the operator can timely grasp the firing state of the stapler and improve the user experience.
- the stapler includes a stapler body, a handle assembly movably connected to the stapler body, and a nail push rod 75 provided in the body of the stapler.
- the nail push rod 75 has an initial position and a firing position.
- the handle assembly can push the nail push rod 75 from the initial position into the firing position.
- the distal end of the stapler body is provided with a staple anvil assembly 73 and a staple cartridge assembly 72 cooperating with the staple anvil assembly 73, and the proximal end is provided with a knob 71 held by an operator. Only an optional structure of the stapler is shown here, but it should not be taken as a limitation of the protection scope of the present invention.
- the present invention further provides a pointer 5 and an impact portion inside the stapler body.
- the pointer 5 is rotatably connected to the stapler body, and the first end 51 of the pointer 5 is in the unfireable state and In the fireable state, they are located in the first position area and the second position area, respectively, the first position area includes the initial position of the first end 51 of the pointer 5 (non-fireable), and the second position area includes the first end of the pointer 5 51 is in a position that can be fired.
- a window is provided on the stapler body corresponding to the first position area and the second position area for observing the position of the first end 51 of the pointer during use, when the first end 51 of the pointer is in the first position area Is in a safe state, at this time the stapler cannot be fired.
- the stapler can fire.
- the window corresponds to the firable
- the two-position area is a green area, which has been disclosed in the prior art.
- the pointer 5 may collide with the impact part or may have a certain gap between the impact parts;
- the first end 51 of the pointer 5 moves to the second position area, and the first end of the pointer 5 rotates toward the proximal end of the stapler to move away from the impact portion;
- the stapler is completed, the first end of the pointer 5 51 returns from the second position area to the first position area, and the first end 51 of the pointer 5 collides with the impact portion and makes an impact sound. Through this impact sound, the operator can know that the current stapler has been fired.
- the present invention can be applied not only to the conventional round tube type stapler, but also to the circumcision stapler.
- FIG. 3 the structure of the foreskin stapler body 8 to which the handle assembly is applied is shown.
- the distal end of the foreskin stapler body 8 includes a staple cartridge assembly 81, and a glans cap assembly (not shown in the figure) that is matched with the staple cartridge assembly 81 is also provided.
- the handle assembly is movably connected to one end of the foreskin stapler.
- One end of the handle assembly is matched with the push nail component of the foreskin stapler.
- the handle assembly pushes the push nail component to achieve the foreskin anastomosis Fired.
- the impact portion in this embodiment is a structure of a metal sheet 77. Specifically, for the structure of the impact portion in this embodiment, refer to FIGS. 4-8.
- the stapler body includes two stapler housings 74 on both sides, and the manner in which the striking portion and the one side stapler housing 74 are fitted is shown in FIGS. 5 and 6, respectively.
- the first end 771 and the second end 772 of the metal sheet 77 are respectively fixed to the inner surfaces of the two stapler housings 74, and the middle of the metal sheet 77 protrudes toward the proximal end of the stapler to form a convex portion 773, forming a hollow structure,
- a loud sound can be produced, and a better prompt effect can be achieved.
- each stapler housing 74 is provided with a rib 741 and a fixing plate 742, and a fixing groove 743 is formed between the rib 741 and the fixing plate 742, and the two ends of the metal sheet 77 are inserted respectively In two fixing grooves 743.
- the fixing plate 742 may be a bending plate that is bent toward the rib plate 741 on both sides. After being fixed to the rib plate 741, a cavity formed between the two forms a fixing groove 743.
- the striking portion may be a metal piece whose middle portion is bent toward the pointer, but the present invention is not limited to this.
- the impact portion may also be a hollow sphere or a hemispherical structure with a spherical surface facing the proximal end of the stapler, or other materials such as plastic, acrylic, etc., all falling within the protection scope of the present invention.
- the striking portion is selected as a bell assembly.
- the structure of the bell assembly may refer to FIGS. 9 to 13.
- the impact portion includes a bell 91 and a bracket 92, and the bell 91 is fixed to the stapler housing 74 through the bracket 92.
- the first end 51 of the pointer 5 is opposite to the bell 91, and at this time, the first end 51 of the pointer 5 and the bell 91 may be in conflict, or may be between the first end of the pointer 5 and the bell 91 without contact There is a gap between them.
- the housing 74 is provided with an elastic stopper 78 in the direction of the pointer.
- the first end of the pointer 5 is not in contact with the bell 91.
- the first end 51 of the pointer 5 moves toward the proximal end of the stapler away from the bell 91.
- the first end 51 of the pointer 5 returns from the second position area to the first position area ,
- the striking bell 91 emits a striking sound, which can also realize the effect of reminding the operator of the firing by sound.
- the first end 51 of the pointer 5 is not in contact with the bell 91 through the elastic stopper 78, which will cause the pointer 5 to strike the bell 91 and leave the bell 91 immediately after the firing is completed, which does not hinder the vibration of the bell 91 and cause the bell 91 to occur.
- the timbre and sound quality are better, and the ring tone is longer.
- the elastic stopper 78 is a spring
- the distal end of the spring is fixedly disposed on the housing 74
- the free end of the spring bears against the first of the pointer 5 ⁇ 51 ⁇ End 51.
- the proximal end of the spring may be fixed to the first end 51 of the pointer 5, and the free end may bear against the housing 74.
- the stapler body includes two stapler housings 74 on both sides, and both ends of the bracket 92 are fixed to the stapler housings 74 on both sides.
- a groove 745 is respectively formed on the inner side of the stapler housing 74, and both ends of the bracket 92 are respectively inserted into the grooves 745 on both sides.
- the bell 91 is a hollow cylinder with an open lower side.
- the bracket 92 includes a connecting portion 923 and first and second side arms 921 and 922 located on both sides of the connecting portion 923.
- the connecting portion 923 of the bracket 92 is The middle of the upper side of the bell 91 is fixedly connected, and the end of the first side arm 921 and the end of the second side arm 922 of the bracket 92 are respectively fixed to the stapler housing 74 on both sides.
- the connection portion 923 of the bracket 92 and the bell 91 can be connected by bolts, rivets, or other fasteners, or the bracket 92 can be directly connected to the bell 91 by welding or other connection methods, which are all within the protection scope of the present invention.
- a sound hole 744 is further provided on the stapler housing 74.
- the sound hole 744 may be opened on one side of the housing 74 or on both sides of the housing 74.
- Bell 91 corresponds to increase the volume of the bell when it is struck.
- the structure of the pointer 5 can be seen in FIGS. 13 to 18.
- the pointer 5 is rotatably fixed to the stapler body through a positioning portion 53.
- a positioning pin 55 is inserted through the positioning portion 53.
- a pointer reset torsion spring 56 is sleeved on the positioning pin 55.
- the pointer reset torsion spring 56 The two ends of the are respectively touching the pointer 5 and the stapler body.
- the pointer 5 In the initial state and the completed firing state, the pointer 5 is in a balanced state under the joint action of the elastic stopper 78 and the pointer return torsion spring 56, and is held in the first position area.
- the pointer 5 When the first end 51 of the pointer 5 receives an external force toward the proximal end of the stapler and moves to the second position area, the pointer return torsion spring 56 deforms, and when the external force of the pointer 5 disappears, the restoring force of the pointer return torsion spring 56 can be pushed The pointer 5 returns to the first position area again to collide with the impact part. During the impact, the first end 51 of the pointer 5 needs to overcome the role of the elastic stopper 78 and quickly move to the distal end to collide with the impact part.
- the first end 51 of the pointer 5 includes a firing portion 511 that protrudes toward the distal end of the stapler to better cooperate with the impact portion.
- the first end 51 of the pointer 5 also includes an indicator portion 512, which can correspond to the window position of the stapler. Observing the position of the indicator portion 512 through the window position can determine the current position of the first end 51 of the pointer 5 And determine whether the stapler is ready to fire.
- the initial position of the firing portion 511 is not in contact with the bell 91.
- the pointer torsion spring 56 undergoes a first torsional deformation. After the stapler is fired, the first end of the pointer 5 When 51 loses the external force, the deformation restoring force of the pointer return torsion spring 56 will cause the first end 51 of the pointer 5 to quickly swing towards the distal end of the stapler.
- the firing portion 511 of the pointer 5 After the firing portion 511 of the pointer 5 moves to the initial position, it will continue to anastomotic with the current acceleration The distal end of the device swings a short distance to collide with the bell 91. In this short distance that continues to rotate with the current acceleration, the pointer return torsion spring 56 will undergo a relatively small second torsional deformation. After the firing part 511 collides with the bell 91, the deformation recovery force of the pointer return torsion spring 56 will be Pull the firing part 511 back to the initial position, further under the action of the elastic stopper 78, it quickly detaches from the surface of the bell 91 and no longer comes into contact with the bell 91, and keeps the firing part 511 from colliding with the bell 91 again .
- the first position area is a range of positions, including the initial position of the firing portion 511, the impact position where the firing portion 511 hits the bell 91, and the position interval between the initial position and the impact position.
- the second position area may also be a position range within which the stapler can be fired, not necessarily a specific position point.
- the pointer 5 may not be provided with the firing portion 511.
- the indicator portion 512 of the pointer 5 collides with the impact portion and emits an impact sound.
- the push rod 75 is located between the first end 51 of the pointer 5 and the positioning portion 53.
- the indicator portion 512 of the pointer 5 protrudes toward the push rod 75. It can be seen from FIG. 15 that the length of the protruding portion 512 of the pointer 5 is substantially the same as the protruding portion of the middle of the metal sheet 77, that is, the contact area where the pointer 5 and the metal sheet 77 collide can be increased.
- a structure for avoiding the push rod 75 is formed between the indicating portion 512 of the pointer 5 and the positioning section 53, which can arrange the position of the pointer 5 and the push rod 75 inside the stapler body more reasonably and flexibly, reducing the anastomosis The overall thickness of the device body, thereby achieving a compact and compact structure of the stapler.
- the inside of the stapler is also provided with a pull tab 6 and a pointer 54 is provided with a protrusion 54.
- the pull tab 6 can pull the protrusion 54 of the pointer 5 so that The first end 51 of the pointer 5 moves from the first position area to the second position area.
- the pull tab 6 includes a pull hook 61 corresponding to the protruding portion 54 and a tail 62 fixed on the screw 76. When the screw 76 rotates in a certain direction, the pull tab 6 can be driven to move proximally.
- the pointer 5 can control the firing state of the stapler by controlling the working state of the handle assembly.
- the handle assembly includes a first handle 1 and a second handle 2.
- the first end 11 of the first handle 1 is a holding end, and the second end 12 is rotatably connected to the first end 21 of the second handle 2.
- a handle 1 can rotate in the first direction under external force, the second end 22 of the second handle 2 is in contact with the push rod 75, and the first end 51 of the pointer 5 is in the first position area, the first handle 1 and the second handle 2 Without linkage, even if the first handle 1 rotates, the second handle 2 will not push the push rod 75 to fire.
- the first direction is the counterclockwise direction shown in FIGS.
- the present invention is not limited to this. Therefore, when the doctor holds the first handle 1, the first handle 1 can be easily rotated, but the second handle 2 is not triggered. At the same time, because the air is in an empty firing state, the force of holding the first handle 1 is very small. The doctor can also learn through this operation experience that the current status of the stapler is in the unfired state, and will not cause the case of the stapler to rupture.
- the first handle 1 and the second handle 2 are linked.
- the rotation of the first handle 1 can drive the rotation of the second handle 2 to push the push rod 75 into the firing position, and then drive Fire the stapler.
- the first handle 1 has a first cavity 13, and in the initial state, the second handle 2 is partially located inside the first cavity 13.
- the first handle 1 is provided with a slide slot 41, which includes a first segment and a second segment communicating with each other, a slide 42 is slidably disposed in the slide slot 41, and the second end of the second handle 2 has a handle abutting portion;
- the slider 42 is located in the first section of the slide slot 41.
- the handle 2 continues to enter the first cavity 13 of the first handle 1; when the first end 51 of the pointer 5 moves toward the second position area, the second end 52 of the pointer 5 pushes the slider 42 toward the second of the slide slot 41 When the segment moves, the slider 42 interferes with the second handle 2.
- the slider 42 interferes with the handle abutting portion of the second handle 2 and pushes the second handle 2 to rotate.
- first section and the second section of the chute 41 in the present invention are a relative concept, not necessarily the two ends of the chute 41, that is, in the perspective shown in FIG. 14,
- the first section of the chute 41 is located to the right of the second section.
- the slider 42 will not interfere with the second handle 2 when it is located in the first section of the slide slot 41, and will interfere with the second handle 2 when it is located in the second section of the slide slot 41.
- the first handle 1 and the second handle 2 are simultaneously provided with a first pin 31, the first pin 31 is fixed to the housing 74 of the stapler, and the first torsion spring 32 is sleeved thereon .
- the two ends of the first torsion spring 32 respectively contact the housing 74 of the stapler and the second handle 2.
- the restoring force of the first torsion spring 32 can change the second Reset handle 2.
- a second pin 33 is also provided in the housing 74 of the stapler.
- the second pin 33 is fixed to the housing 74 of the stapler, and a second torsion spring 34 is sleeved on it. Both ends of the second torsion spring 34 respectively abut against the housing 74 of the stapler and the first handle 1.
- the handle assembly may adopt other structures, such as not distinguishing between the first handle and the second handle, or changing between the first handle and the second handle.
- 17 to 18 show the structure when the stapler of this embodiment is in a failure state.
- the pull tab 6 does not pull the pointer 5, so the position of the pointer 5 does not change.
- the first end 51 of the pointer 5 is located in the first position area, and the slider 42 is still located in the first section of the slide slot 41.
- the slider 42 and the handle abutting portion of the second handle 2 do not interfere.
- the slider 42 in the initial position, the slider 42 is located at the end of the first section of the slide slot 41 away from the second section, which is the right end of the figure, under the action of the slider return spring.
- the second end 52 of the pointer 5 may limit the initial position of the slider 42.
- the device is in an insurance state. Since the torsion force of the second torsion spring 34 is much smaller than the firing force, the first handle 1 can be rotated counterclockwise around the first pin 31 when the first handle 1 is under a small holding force, and the second handle 2 continues Entering the cavity of the first handle 1, that is, the first handle 1 and the second handle 2 are not linked, and the second handle 2 does not rotate.
- the first handle 1 can be easily rotated, but it does not drive the rotation of the second handle 2 and the firing of the stapler cannot be completed.
- the operator can also get tactile feedback at this time, knowing that the first end 51 of the current pointer 5 has not reached the second position area and has not fired.
- the first handle 1 is reset by the second torsion spring 34.
- the pointer 5 since the pointer 5 does not actually move, the first end 51 of the pointer 5 still fits the impact portion.
- the slider 42 is displaced along with the rotation of the first handle 1 and the relative position to the second end 52 of the pointer 5 is changed.
- FIG. 20 shows a schematic structural view of the stapler of this embodiment in the firing state.
- the second end 52 of the pointer 5 rotates clockwise, thereby pushing the slider 42 to move toward the second stage of the slide slot 41.
- the slider 42 interferes with the handle abutting portion and blocks the second handle 2 from continuing to enter the internal cavity of the first handle 1.
- the second handle 2 and the first handle 1 become linked.
- the second handle 2 rotates counterclockwise with the first handle 1, and the second end 22 of the second handle 2 pushes the push rod 75 toward the distal end of the stapler to complete firing of the stapler.
- the pull-tab contact portion 23 of the second handle 2 will be in contact with the pull-tab 6 to lift the pull-tab 6 upward to disengage it from the protrusion 54 of the pointer 5, forming a diagram 21 status. Therefore, after the firing is completed, since the pull-tab 6 no longer pulls the pointer 5, the first end 51 of the pointer 5 will return to the first position area with the restoring force of the pointer return torsion spring 56 and collide with the impact portion, causing an impact Sound to remind the operator that the firing has been successfully completed.
- the operator After the operator hears the impact sound, it can judge that the stapling is completed, and then release the first handle 1. Since the first end 51 of the pointer 5 returns to the first position area, the second end 52 of the pointer 5 is separated from the slider 42 after releasing the first handle 1. Then, after the external force of the pointer 5 is lost, the deformation force of the slider return spring when it returns to its original state will push the slider 42 to slide toward the first stage of the sliding groove 41 again and return to the original position. The second handle 2 is also reset under the restoring force of the first torsion spring 32. Since the first handle 1 is engaged with the second handle 2 under the action of the slider 42, it first returns with the second handle 2 and at the same time returns under the action of the second torsion spring 34.
- the invention provides a circular tube-type stapler, which is provided with an impact part in the body of the stapler.
- the first end of the pointer moves from the first position area to the second position area, away from the impact part, when the firing is completed ,
- the first end of the pointer returns from the second position area to the first position area, and it will collide with the impact part to make an impact sound, and use the sound to remind the operator that the firing has been successfully completed.
- the operator can grasp the firing status of the stapler in time to improve Use experience.
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- Health & Medical Sciences (AREA)
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- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Oral & Maxillofacial Surgery (AREA)
- Physiology (AREA)
- Portable Nailing Machines And Staplers (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (17)
- 一种圆管型吻合器,其特征在于,包括吻合器本体、活动连接所述吻合器本体的把手组件以及设置于所述吻合器本体内的推钉杆,所述推钉杆具有一初始位置和一击发位置,所述把手组件可推动所述推钉杆从所述初始位置进入所述击发位置;所述吻合器本体内还设置有一指针和一撞击部,所述指针可旋转连接至所述吻合器本体;所述吻合器处于初始状态时,所述指针的第一端位于第一位置区域,所述指针的第一端与所述撞击部相对;所述吻合器处于击发状态时,所述指针的第一端移动至第二位置区域,所述指针的第一端远离所述撞击部;所述吻合器击发完成时,所述指针的第一端从所述第二位置区域返回至所述第一位置区域,且所述指针的第一端与所述撞击部碰撞并发出撞击音。
- 根据权利要求1所述的圆管型吻合器,其特征在于,所述吻合器本体上设有弹性限位件,所述限位件的自由端朝向并抵持于所述指针的第一端,所述指针的第一端位于第一位置区域时不与所述撞击部抵持。
- 根据权利要求2所述的圆管型吻合器,其特征在于,所述弹性限位件为弹簧。
- 根据权利要求1所述的圆管型吻合器,其特征在于,所述指针的所述第一端连接于拉片的远端,所述拉片带动所述指针的所述第一端从所述第一位置区域向所述第二位置区域移动。
- 根据权利要求1所述的圆管型吻合器,其特征在于,所述吻合器本体包括分别位于所述吻合器两侧的两个吻合器壳体,所述撞击部的第一端和第二端分别固定至所述两个吻合器壳体的内表面,所述撞击部的中部朝向吻合器的近端方向突出。
- 根据权利要求5所述的圆管型吻合器,其特征在于,各个所述吻合器壳体的内表面设置有一筋板和一固定板,所述筋板和固定板之间形成有一固定槽,所述撞击部的两端分别插设于两个所述固定槽中。
- 根据权利要求1所述的圆管型吻合器,其特征在于,所述撞击部为中 部朝向吻合器的近端方向弯折的金属片。
- 根据权利要求1所述的圆管型吻合器,其特征在于,所述撞击部为空心球或球面朝向吻合器的近端方向的半球形。
- 根据权利要求1所述的圆管型吻合器,其特征在于,所述撞击部包括铃铛和支架,所述铃铛通过所述支架固定于所述吻合器本体。
- 根据权利要求9所述的圆管型吻合器,其特征在于,所述吻合器本体包括分别位于两侧的两个吻合器壳体,所述支架的两端分别固定于两侧的所述吻合器壳体。
- 根据权利要求10所述的圆管型吻合器,其特征在于,所述吻合器壳体的内侧面分别开设有一凹槽,所述支架的两端分别插设于两侧的所述凹槽的内部。
- 根据权利要求10所述的圆管型吻合器,其特征在于,所述铃铛为下侧面开口的中空圆柱体,所述支架包括连接部以及位于连接部两侧的第一侧臂和第二侧臂,所述支架的连接部与所述铃铛的上侧面的中部固定连接,所述支架的第一侧臂的末端和第二侧臂的末端分别固定于两侧的所述吻合器壳体。
- 根据权利要求2所述的圆管型吻合器,其特征在于,所述指针还包括定位部,所述指针通过所述定位部可旋转固定于所述吻合器本体。
- 根据权利要求13所述的圆管型吻合器,其特征在于,所述指针的第一端设置有击发部,所述击发部朝向吻合器的远端突出,所述吻合器击发完成时,所述指针从所述第二位置区域返回至所述第一位置区域,所述指针的击发部与所述撞击部碰撞并发出撞击音。
- 根据权利要求13所述的圆管型吻合器,其特征在于,所述定位部中穿设有一定位销轴,所述定位销轴上套设有一指针复位扭簧。
- 根据权利要求13所述的圆管型吻合器,其特征在于,所述吻合器本体包括分别位于两侧的两个吻合器壳体,所述定位部固定于一侧的吻合器壳体,所述指针的第一端包括指示部,所述指示部朝向另一侧的吻合器壳体突出。
- 根据权利要求1所述的圆管型吻合器,其特征在于,所述吻合器本 体包括吻合器壳体,所述吻合器壳体与所述撞击部对应的位置开设有至少一个发声孔。
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JP2021535924A JP7209841B2 (ja) | 2017-12-26 | 2019-12-20 | 円形ステープラー |
KR1020217019900A KR102596648B1 (ko) | 2017-12-26 | 2019-12-20 | 원형 스테이플러 |
EP19900362.5A EP3900647A4 (en) | 2017-12-26 | 2019-12-20 | CIRCULAR TUBULAR STAPLE |
CA3122139A CA3122139C (en) | 2017-12-26 | 2019-12-20 | Circular stapler |
BR112021010627-8A BR112021010627A2 (pt) | 2017-12-26 | 2019-12-20 | Grampeador circular |
US17/311,206 US12004748B2 (en) | 2017-12-26 | 2019-12-20 | Circular stapler with audible indicator |
AU2019408495A AU2019408495B2 (en) | 2017-12-26 | 2019-12-20 | Circular tubular stapler |
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CN201721849713 | 2017-12-26 | ||
CN201822145985.3 | 2018-12-20 | ||
CN201811564095.4A CN109953795B (zh) | 2017-12-26 | 2018-12-20 | 圆管型吻合器 |
CN201811564095.4 | 2018-12-20 | ||
CN201822145985.3U CN209529239U (zh) | 2017-12-26 | 2018-12-20 | 圆管型吻合器 |
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US (1) | US12004748B2 (zh) |
EP (1) | EP3900647A4 (zh) |
JP (1) | JP7209841B2 (zh) |
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CN (2) | CN209529239U (zh) |
AU (1) | AU2019408495B2 (zh) |
BR (1) | BR112021010627A2 (zh) |
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CN209529239U (zh) | 2017-12-26 | 2019-10-25 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
CN110693637B (zh) * | 2019-10-14 | 2021-09-03 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | 呼吸可视化脊柱侧弯矫正装置 |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1989912A (zh) * | 2005-12-29 | 2007-07-04 | 张祖仁 | 消化道管型吻合器 |
CN102641146A (zh) * | 2012-05-17 | 2012-08-22 | 北京中法派尔特医疗设备有限公司 | 一种直线切割吻合器及其操作终止提示装置 |
CN103142274A (zh) * | 2012-12-27 | 2013-06-12 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
CN204092080U (zh) * | 2014-09-20 | 2015-01-14 | 常州市智业医疗仪器研究所有限公司 | 一种管形吻合器 |
US20170181748A1 (en) * | 2008-11-06 | 2017-06-29 | Covidien Lp | Circular surgical stapler with mating anvil and shell assembly |
CN109953795A (zh) * | 2017-12-26 | 2019-07-02 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
Family Cites Families (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5685474A (en) | 1994-10-04 | 1997-11-11 | United States Surgical Corporation | Tactile indicator for surgical instrument |
CN100448410C (zh) * | 2005-03-24 | 2009-01-07 | 上海创亿医疗器械技术有限公司 | 消化道管型吻合器 |
CN1330277C (zh) | 2005-07-26 | 2007-08-08 | 张祖仁 | 外科用缝合器 |
CA2563147C (en) * | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
US7967178B2 (en) * | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
WO2010048811A1 (zh) | 2008-10-28 | 2010-05-06 | Ma Jianwen | 具有保险装置的管型吻合器及其吻合器主体 |
US9549738B2 (en) | 2012-01-05 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Ratcheting feature on tissue staple trigger to prevent premature jaw opening |
WO2015139197A1 (en) | 2014-03-18 | 2015-09-24 | Covidien Lp | Surgical fastener applying apparatus |
US20150266991A1 (en) | 2014-03-20 | 2015-09-24 | Alberta Innovates - Technology Futures | Inorganic particle polymer hybrids and uses thereof |
CN204410896U (zh) * | 2014-12-05 | 2015-06-24 | 常州瑞索斯医疗设备有限公司 | 具提醒功能的肛肠吻合器 |
US10772627B2 (en) * | 2014-12-11 | 2020-09-15 | Covidien Lp | Stapler with auto-matic lockout mechanism |
US10194911B2 (en) * | 2015-06-26 | 2019-02-05 | Ethicon Llc | Surgical stapler with ready state indicator |
RU2721293C2 (ru) | 2015-07-30 | 2020-05-18 | ЭТИКОН ЭлЭлСи | Хирургический инструмент, содержащий системы для обеспечения опционального рассекания ткани |
US10524795B2 (en) | 2015-07-30 | 2020-01-07 | Ethicon Llc | Surgical instrument comprising systems for permitting the optional transection of tissue |
EP3373827B1 (en) * | 2015-11-13 | 2023-08-09 | Covidien LP | Circular stapler with audible indicator mechanism |
WO2018161314A1 (en) * | 2017-03-09 | 2018-09-13 | Covidien Lp | Surgical stapling device with audible indicator mechanism |
US10932845B2 (en) * | 2017-04-27 | 2021-03-02 | Ethicon Llc | Detent feature for articulation control in surgical instrument |
-
2018
- 2018-12-20 CN CN201822145985.3U patent/CN209529239U/zh active Active
- 2018-12-20 CN CN201811564095.4A patent/CN109953795B/zh active Active
-
2019
- 2019-12-20 AU AU2019408495A patent/AU2019408495B2/en active Active
- 2019-12-20 BR BR112021010627-8A patent/BR112021010627A2/pt active Search and Examination
- 2019-12-20 US US17/311,206 patent/US12004748B2/en active Active
- 2019-12-20 JP JP2021535924A patent/JP7209841B2/ja active Active
- 2019-12-20 EP EP19900362.5A patent/EP3900647A4/en active Pending
- 2019-12-20 KR KR1020217019900A patent/KR102596648B1/ko active IP Right Grant
- 2019-12-20 CA CA3122139A patent/CA3122139C/en active Active
- 2019-12-20 WO PCT/CN2019/126923 patent/WO2020125746A1/zh unknown
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1989912A (zh) * | 2005-12-29 | 2007-07-04 | 张祖仁 | 消化道管型吻合器 |
US20170181748A1 (en) * | 2008-11-06 | 2017-06-29 | Covidien Lp | Circular surgical stapler with mating anvil and shell assembly |
CN102641146A (zh) * | 2012-05-17 | 2012-08-22 | 北京中法派尔特医疗设备有限公司 | 一种直线切割吻合器及其操作终止提示装置 |
CN103142274A (zh) * | 2012-12-27 | 2013-06-12 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
CN204092080U (zh) * | 2014-09-20 | 2015-01-14 | 常州市智业医疗仪器研究所有限公司 | 一种管形吻合器 |
CN109953795A (zh) * | 2017-12-26 | 2019-07-02 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
CN209529239U (zh) * | 2017-12-26 | 2019-10-25 | 苏州天臣国际医疗科技有限公司 | 圆管型吻合器 |
Also Published As
Publication number | Publication date |
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EP3900647A4 (en) | 2022-02-09 |
CN209529239U (zh) | 2019-10-25 |
CA3122139C (en) | 2023-08-22 |
AU2019408495B2 (en) | 2022-05-26 |
JP7209841B2 (ja) | 2023-01-20 |
KR102596648B1 (ko) | 2023-11-02 |
AU2019408495A1 (en) | 2021-06-24 |
CN109953795A (zh) | 2019-07-02 |
US20220031329A1 (en) | 2022-02-03 |
CA3122139A1 (en) | 2020-06-25 |
US12004748B2 (en) | 2024-06-11 |
CN109953795B (zh) | 2023-12-05 |
BR112021010627A2 (pt) | 2021-08-24 |
JP2022514661A (ja) | 2022-02-14 |
EP3900647A1 (en) | 2021-10-27 |
KR20210095924A (ko) | 2021-08-03 |
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