WO2021088204A1 - Anastomat and cutting and suturing assembly and fixing assembly thereof - Google Patents

Anastomat and cutting and suturing assembly and fixing assembly thereof Download PDF

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Publication number
WO2021088204A1
WO2021088204A1 PCT/CN2019/124961 CN2019124961W WO2021088204A1 WO 2021088204 A1 WO2021088204 A1 WO 2021088204A1 CN 2019124961 W CN2019124961 W CN 2019124961W WO 2021088204 A1 WO2021088204 A1 WO 2021088204A1
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WO
WIPO (PCT)
Prior art keywords
connecting piece
steering
nail
piece
groove
Prior art date
Application number
PCT/CN2019/124961
Other languages
French (fr)
Chinese (zh)
Inventor
沈沛
Original Assignee
江苏云泓百纳精密机械有限公司
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Publication date
Application filed by 江苏云泓百纳精密机械有限公司 filed Critical 江苏云泓百纳精密机械有限公司
Publication of WO2021088204A1 publication Critical patent/WO2021088204A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter

Definitions

  • the present invention relates to the technical field of medical devices, in particular, to a stapler for laparoscopic surgical instruments that realizes the function of anastomosing and cutting.
  • the cutting and stapling device is composed of a nail bin, a nail pusher, a nail push slider, a nail bin splint, a nail seat cover, a nail seat, a cutting knife, and staples.
  • the nail bin, the nail pusher, and the nail push slider are plastic parts
  • the nail chamber splint, the nail seat cover, the nail seat, the cutting knife, and the staple nail are metal parts.
  • the nail silo plywood and the nail seat cover are mostly processed by stamping, the nail seat and cutting knife are machined, and the nail forming groove on the nail seat is processed by pressing.
  • the cover of the nail seat is welded on the nail seat, the nail magazine is clamped into the nail magazine splint, the staples, the nail pusher, and the nail push slider are arranged from top to bottom.
  • the cutting knife is located in the nail chamber and the nail seat. The rear end of the suture of the nail seat, the upper and lower platforms of the cutting knife are respectively in contact with the nail abutment seat and the nail bin splint.
  • trocar In clinical application, laparoscopic instruments need to use a trocar to establish a channel to enter the abdominal cavity. Different types of trocars can be selected according to the specifications of the equipment. The smaller the instrument, the smaller the puncture and the smaller the wound during the operation, and the more trauma to the patient. small. At present, the specifications of the trocar required for intracavity cutting are 12mm (when using low staples to sew thin tissues) and 15mm (when using high staples to sew thick tissues).
  • the staples In order to achieve a good anastomosis effect, the staples must have high strength, the height of the nails after forming must be consistent and the shape of the standard B-shaped, which has certain requirements for the nail forming system.
  • the nail magazine, the nail pusher, and the nail pusher slider are made of plastic parts, and the nail seat and the staple nail are metal parts. That is, in the hexahedron where the staple nail exists, five sides are made of polymer materials, and only one side is made of polymer materials. Made of metal materials.
  • the stapler it will produce a reaction force on the push nail and push the nail slider, which will compress the height of the plastic part to a certain extent, and affect the consistency of the nail forming height.
  • the nail will sometimes produce lateral direction during the forming process.
  • the force is not formed in the same plane, resulting in abnormal conditions such as dovetail nails and staples (embedded between the nail pusher and the nail bin), which affects the effect of the anastomosis;
  • the cutting knife moves forward along the center seam of the staple cartridge and the staple holder to cut the tissue.
  • the upper and lower platforms of the knife move synchronously along the staple holder and the staple holder splint respectively, and the staple holder and the staple holder splint are moved synchronously in the process.
  • the staple cartridges close together to form a suitable staple forming gap.
  • the forward movement of the knife simultaneously drives the push nail slider forward, and then pushes out the staple nail through the push nail piece to touch the nail seat and form in the formed suitable gap.
  • the main resistance that the user overcomes is the tissue cutting force and the nail forming force, and reducing the resistance to a certain extent has positive significance for clinical use.
  • the I-shaped cutting knife is exposed to greater tension during the cutting and anastomosis process, and there is a risk of being pulled off to a certain extent, which will cause the operation to fail. Further reducing this risk is of great significance to the safety of the use of the device;
  • the machining of the nail seat and the pressing process of the nail forming groove are relatively cumbersome.
  • the nail seat is usually processed with a softer material.
  • the nail seat cover is added to improve the strength.
  • the overall strength of the nail seat part is still not ideal, and a certain degree of deformation will occur when encountering thick tissues.
  • the cover plate of the nail seat and the nail seat need to be connected by laser welding, and the subsequent polishing and grinding treatment are required, and the manufacturing process is cumbersome;
  • the instrument itself is designed with a head swing mechanism, which can realize the front assembly (including the joint) swinging to a certain angle at the steering joint.
  • the steering joint is divided into two upper and lower steering joints.
  • the riveting pin penetrates through the steering joint hole and is fixed by one-side riveting. Its riveting firmness has an important guarantee for the realization of the swing head function.
  • the current method requires high firmness control and has certain risks.
  • one of the objectives of the present invention is to provide a slit assembly of an anastomat.
  • a stapler slitting assembly including: an upper matching member, divided into an upper matching surface and a top surface, from the upper matching surface, the top surface is recessed to form an abutment A nail seat, the nail abutment seat is in 4 rows; a lower fitting piece, one end of which is hinged with one end of the upper fitting piece, and includes a lower fitting surface and a bottom surface, and the bottom surface is recessed from the lower fitting surface to form a staple cartridge,
  • the staple cartridges are 4 rows, the staple cartridges of the second row and the third row are symmetrical about the central axis, the staple cartridges of the first row and the fourth row are symmetrical about the central axis, and the staple cartridges of the first row are symmetrical with respect to the central axis.
  • the second row of staple cartridges is asymmetrical; wherein, the upper matching piece and the lower matching piece are made of metal materials; and the diameter of the slitting component is 10
  • the upper fitting part and the lower fitting part are formed by powder metallurgy technology.
  • an upper slit is provided on the central axis of the upper matching member, a lower slit is provided on the lower matching member, and the upper slit and the The lower gap is on a straight line; it also includes a cutter, the cutter includes an upper baffle, a lower baffle and a blade, the blade passes through the upper gap and the lower gap, and the upper baffle and the The upper gap is restricted, and the lower baffle is restricted from the lower gap.
  • the lower fitting further includes a nail pusher and a nail pusher, the nail pusher is in a chevron shape and includes a first driving block , A second driving block and a third driving block, the second driving block moves linearly along the lower gap;
  • the lower mating member is recessed from the bottom surface in the direction of the mating surface to form a guide groove, and the guide groove is divided into a first A guide matching groove and a second guide matching groove, the first guide matching groove is provided between the third row of nail magazines and the fourth row of nail magazines, and the second guide matching groove is provided between the first row of nail magazines and the first row of nail magazines.
  • the upper fitting member further includes a nail abutment seat cover plate, and the nail abutment seat cover plate and the top surface are welded by laser.
  • Another object of the present invention is to provide a fixation assembly of an anastomat.
  • a fixation assembly of a stapler including a steering connector, including a steering upper connecting piece, a steering lower connecting piece, a fixed connecting piece and an intermediate connecting piece, the steering up The connecting piece is matched with the middle connecting piece, the turning down connecting piece is matched with the fixed connecting piece, the fixed connecting piece is provided with integrated riveting posts on both sides, and the integrated riveting post is connected with the intermediate connecting piece.
  • the intermediate connecting piece is provided with a slitting assembly installation hole, which is hinged to the lower matching piece through a pin; the push-knife connecting piece, the turning connecting piece installs the tool between the upper gap and the lower gap, and the push
  • the knife connector includes a knife connecting piece, and the dovetail groove of the knife is inlaid on the connecting piece.
  • the steering connector is provided with a groove plate groove inside, and the steering elastic piece is installed through the groove plate groove;
  • the steering connector is provided with a housing A space where a steering pull hook is placed in the accommodating space, one end of the steering pull hook is provided with a limiting hole, and the limiting hole is sleeved on the integrated riveting column;
  • the intermediate connector is provided with an upper connecting piece riveting column, The upper steering connecting piece is connected by the upper connecting piece riveting column; the lower steering connecting piece is riveted with the lower riveting column at the bottom end of the fixed connecting piece.
  • the fixing assembly of the stapler of the present invention further comprises a staple cartridge cover plate, which is welded to the bottom surface of the lower fitting piece, and the lower fitting piece is clamped in the steering connecting piece through the staple cartridge cover plate.
  • Another object of the present invention is to provide a stapler.
  • the present invention provides the following technical solutions: including the slitting assembly and the fixing assembly, and further including a gun body and a gun body connecting assembly, one end of the gun body connecting assembly is connected with the gun body, and the other end is connected with the gun body
  • the fixed components are connected.
  • the nail magazine, the nail pusher, the pusher slider, and the tool connecting piece are all metal parts, and the nail warehouse, the pusher nail, and the pusher nail slider are produced by metal powder injection molding technology.
  • the parts are high in strength and all metal.
  • the nail forming system (the hexahedron where the staple is located is made of metal materials) more effectively guides the forming of the staple, with the same height and in the same plane;
  • the thickness of the cutter is increased, thereby increasing the strength and reducing the cutting resistance.
  • the two legs of the anastomosis nail are pre-bent design to reduce the forming resistance.
  • the resistance of the entire cutting and anastomosis process is reduced, and the use is easier and smoother.
  • it effectively reduces the tension of the cutting knife during the cutting and anastomosis process, and increases the safety of use;
  • the integrated design of the nail seat cover and the nail seat reduces the assembly process between the two.
  • the nail seat is produced by metal powder injection molding technology, which avoids the complicated production process of the traditional nail seat, the overall structure is more compact, the strength is better, and the production efficiency is higher;
  • Figure 1 is a schematic diagram of the overall structure of the slitting assembly of the stapler of the present invention
  • FIG. 2 is a partial enlarged schematic view of the position I in FIG. 1 in the slitting assembly of the stapler of the present invention
  • Fig. 3 is a partial enlarged schematic view of the position II in Fig. 1 in the slitting assembly of the stapler of the present invention
  • Figure 4 is a partial enlarged schematic view of the lower fitting member in the slitting assembly of the stapler of the present invention
  • Figure 5 is an exploded schematic diagram of the overall structure of the slitting assembly of the stapler of the present invention.
  • Fig. 6 is a schematic diagram of the overall structure of the pusher slider in the slitting assembly of the stapler of the present invention.
  • Figure 7 is an exploded schematic diagram of the overall structure in the fixing assembly of the stapler of the present invention.
  • Fig. 8 is a schematic structural view of the downward turning connector of the stapler of the present invention from a perspective
  • Fig. 9 is a schematic structural view of the upper steering connecting member of the stapler of the present invention from a perspective
  • Figure 10 is a partial enlarged schematic view of a part of the structure of the stapler of the present invention.
  • Figure 11 is a schematic diagram of the structure of the slider and the paddle of the stapler of the present invention.
  • Figure 12 is a schematic diagram of the overall structure of the stapler of the present invention.
  • Fig. 13 is an exploded schematic diagram of the overall structure of the gun body connecting assembly in the stapler of the present invention.
  • the "one embodiment” or “embodiment” referred to herein refers to a specific feature, structure, or characteristic that can be included in at least one implementation of the present invention.
  • the appearances of "in one embodiment” in different places in this specification do not all refer to the same embodiment, nor are they separate or selectively mutually exclusive embodiments with other embodiments.
  • the present invention provides a stapler slitting assembly.
  • the main body of the stapler slitting assembly includes an upper mating member 100 and a lower mating member 200,
  • the upper fitting piece 100 and the lower fitting piece 200 cooperate with each other.
  • the upper fitting piece 100 and the lower fitting piece 200 are formed by a powder metallurgy process.
  • the upper mating member 100 is divided into an upper mating surface 101 and a top surface 102.
  • the upper mating surface 101 is recessed to the top surface 102 to form a nail abutting seat 103, the nail abutting seat 103 is 4 rows, so
  • the upper slit 104 is provided on the central axis of the mating member 100 described above.
  • each row and each column of the anchor seat 103 are parallel.
  • the lower mating member 200 includes a lower mating surface 201 and a bottom surface 202.
  • the lower mating surface 201 is recessed toward the bottom surface 202 to form a staple cartridge 203
  • the staple cartridge 203 is 4 rows
  • the second row of staple cartridges 203b and the third row of staple cartridges 203c are symmetric about the central axis
  • the first row of staple cartridges 203a and the fourth row of staple cartridges 203d are symmetrical about the central axis.
  • the lower matching member 200 is provided with a lower gap 204, and the upper gap 104 and the lower gap 204 are in a straight line.
  • the staple cartridges 203a of the first row and the staple cartridges 203b of the second row are asymmetrical.
  • the staples are placed in the staple cartridge 203.
  • the lower fitting 200 further includes a nail pushing slider 205 and a nail pushing piece 207, the nail pushing piece 207 is installed under the staples.
  • the nail push slider 205 is shaped like a "mountain” and includes a first drive block 205a, a second drive block 205b, and a third drive block 205c.
  • the second drive block 205b moves linearly along the lower gap 204.
  • the lower mating member 200 is recessed from the bottom surface 202 toward the lower mating surface 201 to form a guide groove 206.
  • the guide groove 206 is divided into a first guide mating groove 206a and a second guide mating groove 206b.
  • the first guide mating groove 206a It is arranged between the third row of staple magazines 203c and the fourth row of staple magazines 203d, and the second guiding and cooperating groove 206b is arranged between the first row of staple magazines 203a and the second row of staple magazines 203b.
  • the first driving block 205a is matched with the first guide fitting groove 206a
  • the third driving block 205c is matched with the second guide fitting groove 206b.
  • the guide groove 206 communicates with the staple cartridge 203.
  • the cutter 300 includes an upper baffle 301, a lower baffle 302, and a blade 303.
  • the blade 303 passes through the upper gap 104 and the lower gap 204, respectively, and the upper baffle 301 is connected to the upper baffle 301.
  • the upper gap 104 is restricted, and the lower baffle 302 and the lower gap 204 are restricted.
  • the upper baffle 301 is placed on one side of the upper gap 104, and the blade 303 is placed on the other side of the upper gap 104.
  • the “other side” here refers to the upper gap 104 and the lower gap 104.
  • the lower baffle 302 is placed on one side of the lower gap 204, and the “side” is not between the upper gap 104 and the lower gap 204.
  • the upper baffle 301 and the lower baffle 302 restrict the angle between the upper mating member 100 and the lower mating member 200.
  • both the nail push slider 205 and the nail push piece 207 are made of metal materials.
  • the diameter of the slitting component is 10 mm.
  • the second embodiment provided by the slitting assembly of the stapler of the present invention is different from the first embodiment: in this embodiment, the upper mating member 100 also includes an abutment The nail seat cover plate is matched with the top surface 102 of the upper matching member 200, and the two are welded by laser to prevent the nail push slider 205 and the nail push piece 207 from falling out.
  • the present invention also provides a stapler fixing assembly.
  • the main body of the stapler fixing assembly includes a steering connector 400 and a push-knife connector 500.
  • the steering connecting piece 400 includes an upper steering connecting piece 401, a lower steering connecting piece 402, a fixed connecting piece 403, and an intermediate connecting piece 405.
  • the upper steering connecting piece 401 is matched with the intermediate connecting piece 405, and the lower steering connecting piece 402 is fixed
  • the connecting piece 403 is matched, the turning upper connecting piece 401 is arranged at the upper part of the middle connecting piece 405, and the turning lower connecting piece 402 is arranged at the lower part of the fixed connecting piece 403.
  • Both sides of the fixed connecting piece 403 are provided with integral riveting posts 403a, which are connected to the intermediate connecting piece 405 through the riveting posts 403a.
  • the front end of the intermediate connecting piece 405 is provided with a slitting component mounting hole, which is hinged by a pin.
  • Lower mating piece 200 is provided with a slitting component mounting hole, which is hinged by a pin.
  • the steering connector 400 is provided with a groove plate and a steering elastic piece 406 is installed through the groove plate groove.
  • An accommodating space is provided inside the steering connector 400, a steering hook 404 is placed in the accommodating space, one end of the steering hook 404 is provided with a limiting hole 404a, and the limiting hole 404a is sleeved on the riveting column 403a .
  • the middle connecting piece 405 is provided with an upper connecting piece riveting post 405a, and the upper turning connecting piece 405b is connected through the upper connecting piece riveting post 405a.
  • the lower steering connecting piece 405c is riveted with the lower riveting post 403b at the bottom end of the fixing connecting member 403.
  • the upper steering connecting piece 401 is provided with an upper matching groove 401a, and the steering connecting piece 405b is placed in the upper matching groove 401a and connected and fixed with the connecting piece riveting post 405a.
  • the specific installation steps are: the upper steering connecting piece 401 is matched with the middle connecting piece 405, the lower steering connecting piece 402 is matched with the fixed connecting piece 403, and the riveting post 403a of the fixed connecting piece 403 is inserted into the middle connecting piece 405.
  • the upper steering connecting piece 405b is placed in the upper matching groove 401a, and the upper steering connecting piece 405b is matched with the upper connecting piece riveting post 405a.
  • the lower steering connecting piece 405c is placed in the lower matching groove 402b on the lower steering connecting piece 402, and is riveted with the lower riveting post 403b at the bottom end of the fixing connecting piece 403.
  • the push-knife connector 500, the steering connector 400 installs the tool 300 between the upper gap 104 and the lower gap 204, the push-knife connector 500 includes a tool connection piece 501, and the dovetail groove of the tool 300 is embedded in the ⁇ 501 ⁇ Said connecting piece 501.
  • the single thickness of the connecting piece 501 is 0.25 mm.
  • the connecting piece 501 in this embodiment is composed of 4 pieces stacked.
  • the staple cartridge cover 600 is welded to the bottom surface 202 of the lower mating member 200, and the lower mating member 200 is clamped in the steering connector 600 through the staple cartridge cover 600.
  • An upper sliding groove 401b is provided on the steering upper connecting piece 401
  • a lower groove 402c is provided on the steering lower connecting piece 402
  • the upper half of the tool connecting piece 501 is engaged in the upper sliding groove 401b
  • the lower half of the tool connecting piece 501 It is engaged in the lower groove 402c.
  • the tool connecting piece 501 is engaged in the upper chute 401b and the lower groove 402c, and the tool connecting piece 501 is along the upper chute 401b
  • the lower groove 402c and the lower groove 402c move in the y-axis direction
  • the turning elastic piece 406 is placed in the elastic piece limiting groove 401c on both sides of the tool connecting piece 501, and the tool connecting piece 501 is reset by the turning elastic piece 406.
  • the steering hook 404 is placed in the right gap of the lower steering connector 402 (the right side referred to here refers to the position shown in the figure, relative to the x-axis direction).
  • a slider 402a-1 and a paddle 402a-2 are placed in the slider groove 402a.
  • 402a-1 and paddle 402a-2 cooperate with each other, and paddle 402a-2 is equivalent to insurance.
  • the paddle 402a-2 is provided with a protrusion 402a-5 that cooperates with the oblique groove 402a-3 on the slider 402a-1.
  • the paddle 402a-2 is a ring-shaped original piece, one end of which is provided with a positioning protrusion 402a-4.
  • the positioning protrusion 402a-4 is opposite to the limiting card slot 501a on the tool connecting piece 501.
  • the slider 402a-1 moves in the negative direction of the y-axis
  • the paddle 402a-2 is rotated.
  • the positioning protrusion 402a-4 disengages from the limit slot 501a, and the tool connecting piece 501 can move forward .
  • a sleeve 407 is provided on the outer side of the fixing assembly, and the whole is fixed and integrated through the sleeve 407.
  • the present invention also provides a stapler, the stapler includes a slitting assembly and a fixing assembly, and also includes a gun body 700 and a gun body connecting assembly 800, one end of the gun body connecting assembly 800 is connected to the The gun body 700 is connected, and the other end is connected to the fixing assembly.
  • the slitting assembly has a diameter of 10 mm, and its main body includes an upper fitting piece 100, a lower fitting piece 200, and a cutter 300, and the upper fitting piece 100 and the lower fitting piece 200 are matched with each other.
  • the upper fitting piece 100 and the lower fitting piece 200 are formed by a powder metallurgy process.
  • the upper mating member 100 is divided into an upper mating surface 101 and a top surface 102.
  • the upper mating surface 101 is recessed to the top surface 102 to form a nail abutting seat 103, the nail abutting seat 103 is 4 rows, and the upper mating
  • An upper slit 104 is provided on the central axis of the piece 100.
  • each row and each column of the anchor seat 103 are parallel.
  • the lower mating member 200 includes a lower mating surface 201 and a bottom surface 202.
  • the lower mating surface 201 is recessed toward the bottom surface 202 to form a staple cartridge 203
  • the staple cartridge 203 is 4 rows
  • the second row of staple cartridges 203b and the third row of staple cartridges 203c are symmetric about the central axis
  • the first row of staple cartridges 203a and the fourth row of staple cartridges 203d are symmetrical about the central axis.
  • the lower matching member 200 is provided with a lower gap 204, and the upper gap 104 and the lower gap 204 are in a straight line.
  • the staple cartridges 203a of the first row are asymmetrical to the staple cartridges 203b of the second row.
  • the staples are placed in the staple cartridge 203.
  • the lower fitting 200 further includes a nail pushing slider 205 and a nail pushing piece 207, the nail pushing piece 207 is installed under the staples.
  • the push nail slider 205 has a "mountain" shape, and includes a first drive block 205a, a second drive block 205b, and a third drive block 205c.
  • the second drive block 205b runs along the upper gap 104 and the lower gap 204. Linear movement.
  • the lower mating member 200 is recessed from the bottom surface 202 toward the lower mating surface 201 to form a guide groove 206.
  • the guide groove 206 is divided into a first guide mating groove 206a and a second guide mating groove 206b.
  • the first guide mating groove 206a It is arranged between the third row of staple magazines 203c and the fourth row of staple magazines 203d, and the second guiding and cooperating groove 206b is arranged between the first row of staple magazines 203a and the second row of staple magazines 203b.
  • the first driving block 205a is matched with the first guide fitting groove 206a
  • the third driving block 205c is matched with the second guide fitting groove 206b.
  • the nail push slider 205 and the nail push piece 207 are made of metal materials.
  • the cutter 300 includes an upper baffle 301, a lower baffle 302, and a blade 303.
  • the blade 303 passes through the upper gap 104 and the lower gap 204, respectively.
  • the upper baffle 301 and the upper The gap 104 is restricted, and the lower baffle 302 and the lower gap 204 are restricted.
  • the upper mating member 100 further includes a nail seat cover plate, which is matched with the top surface 102 of the upper mating member 200, and the two are welded by laser to prevent the push nails from slipping.
  • the block 205 and the nail pusher 207 fall out.
  • the main body of the fixing assembly includes a steering connector 400 and a push knife connector 500.
  • the steering connecting piece 400 includes an upper steering connecting piece 401, a lower steering connecting piece 402, a fixed connecting piece 403, and an intermediate connecting piece 405.
  • the upper steering connecting piece 401 is matched with the intermediate connecting piece 405, and the lower steering connecting piece 402 is fixed
  • the connecting piece 403 is matched, the turning upper connecting piece 401 is arranged at the upper part of the middle connecting piece 405, and the turning lower connecting piece 402 is arranged at the lower part of the fixed connecting piece 403.
  • Both sides of the fixed connecting piece 403 are provided with integral riveting posts 403a, which are connected to the intermediate connecting piece 405 through the riveting posts 403a.
  • the front end of the intermediate connecting piece 405 is provided with a slitting component mounting hole, which is hinged by a pin.
  • Lower mating piece 200 is provided with a slitting component mounting hole, which is hinged by a pin.
  • the steering connector 400 is provided with a groove plate and a steering elastic piece 406 is installed through the groove plate groove.
  • An accommodating space is provided inside the steering connector 400, a steering hook 404 is placed in the accommodating space, one end of the steering hook 404 is provided with a limiting hole 404a, and the limiting hole 404a is sleeved on the riveting column 403a .
  • the middle connecting piece 405 is provided with an upper connecting piece riveting post 405a, and the upper turning connecting piece 405b is connected through the upper connecting piece riveting post 405a.
  • the lower steering connecting piece 405c is riveted with the lower riveting post 403b at the bottom end of the fixing connecting member 403.
  • the upper steering connecting piece 401 is provided with an upper matching groove 401a, and the steering connecting piece 405b is placed in the upper matching groove 401a and connected and fixed with the connecting piece riveting post 405a.
  • the specific installation steps are: the upper steering connecting piece 401 is matched with the middle connecting piece 405, the lower steering connecting piece 402 is matched with the fixed connecting piece 403, and the riveting post 403a of the fixed connecting piece 403 is inserted into the middle connecting piece 405.
  • the upper steering connecting piece 405b is placed in the upper matching groove 401a, and the upper steering connecting piece 405b is matched with the upper connecting piece riveting post 405a.
  • the lower steering connecting piece 405c is placed in the lower matching groove 402b on the lower steering connecting piece 402, and is riveted with the lower riveting post 403b at the bottom end of the fixing connecting piece 403.
  • the push-knife connector 500, the steering connector 400 installs the tool 300 between the upper gap 104 and the lower gap 204, the push-knife connector 500 includes a tool connection piece 501, and the dovetail groove of the tool 300 is embedded in the ⁇ 501 ⁇ Said connecting piece 501.
  • the staple cartridge cover 600 is welded to the bottom surface 202 of the lower mating member 200, and the lower mating member 200 is clamped in the steering connector 600 through the staple cartridge cover 600.
  • An upper sliding groove 401b is provided on the steering upper connecting piece 401
  • a lower groove 402c is provided on the steering lower connecting piece 402
  • the upper half of the tool connecting piece 501 is engaged in the upper sliding groove 401b
  • the lower half of the tool connecting piece 501 It is engaged in the lower groove 402c.
  • the tool connecting piece 501 is engaged in the upper chute 401b and the lower groove 402c, and the tool connecting piece 501 is along the upper chute 401b
  • the lower groove 402c and the lower groove 402c move in the y-axis direction
  • the turning elastic piece 406 is placed in the elastic piece limiting groove 401c on both sides of the tool connecting piece 501, and the tool connecting piece 501 is reset by the turning elastic piece 406.
  • the steering hook 404 is placed in the right gap of the lower steering connector 402 (the right side referred to here refers to the position shown in the figure, relative to the x-axis direction).
  • a slider 402a-1 and a paddle 402a-2 are placed in the slider groove 402a.
  • 402a-1 and paddle 402a-2 cooperate with each other, and paddle 402a-2 is equivalent to insurance.
  • the paddle 402a-2 is provided with a protrusion 402a-5 that cooperates with the oblique groove 402a-3 on the slider 402a-1.
  • the paddle 402a-2 is a ring-shaped original piece, one end of which is provided with a positioning protrusion 402a-4.
  • the positioning protrusion 402a-4 is opposite to the limiting card slot 501a on the tool connecting piece 501.
  • the slider 402a-1 moves in the negative direction of the y-axis
  • the paddle 402a-2 is rotated.
  • the positioning protrusion 402a-4 disengages from the limit slot 501a, and the tool connecting piece 501 can move forward .
  • a sleeve 407 is provided on the outer side of the fixing assembly, and the whole is fixed and integrated through the sleeve 407.
  • a gun body 700 and a gun body connection assembly 800 one end of the gun body connection assembly 800 is connected with the gun body 700, and the other end is connected with a fixing assembly.
  • the gun body connection assembly 800 includes a gun body sleeve 801, a gun body plastic tube 802, a push block 803, a steering adjustment rod 804, a push rod 805, a spring plate 806, a push piece 807, a safety block 808, a sealing ring 809, and a connecting sleeve Back cover and small casing.
  • the left side of the gun body plastic tube 802 is provided with a safety block 808, the right side of the gun body plastic tube 802 is provided with a steering adjustment rod 804, and a pusher rod 805 is penetrated in the middle.
  • the upper circumferential surface of the plastic tube 802 of the gun body is provided with a mounting groove for the pushing block 803.
  • the front of the pushing block 803 is pressed against the pushing piece 807, and the back is pressed against the small sleeve.
  • a spring plate 806 is installed on the lower circumference of the gun body plastic tube 802. The front end of the spring plate 806 is connected with a safety block 808. The safety block 808 and the steering adjustment rod 804 are respectively inserted into the sealing ring 809. The rear cover of the connecting sleeve is sleeved on the gun body plastic tube 802 The tail.

Abstract

An anastomat and a cutting and suturing assembly and a fixing assembly thereof. The cutting and suturing assembly comprises an upper matching member (100), which is divided into an upper matching surface (101) and a top surface (102), a nail abutting seat (103) being formed by recessing from the upper matching surface (101) towards the top surface (102), and the nail abutting seat (103) having four rows; a lower matching member (200), one end thereof being hinged to one end of the upper matching member (100), the lower matching member comprising a lower matching surface (201) and a bottom surface (202), nail bins (203) being formed by recessing from the lower matching surface (201) towards the bottom surface (202), and the nail bins (203) having four rows, wherein the upper matching member (100) and the lower matching member (200) are both made of metal materials, and the diameter of the cutting and suturing assembly is 10 mm. According to an all-metal nail forming system, parts are produced by means of a metal powder injection molding technology, and the nail forming effect is better; cutting anastomosis resistance and the tension applied to a cutting knife are reduced by means of structural optimization; the nail abutting seat (103) and a nail abutting seat cover plate are integrally designed and are produced by using the metal powder injection molding technology; and a separated riveting pin structure is optimized into an integrated riveting column (403a) structure.

Description

一种吻合器及其切缝组件、固定组件Anastomat and its slitting component and fixing component 技术领域Technical field
本发明涉及医疗器械的技术领域,特别是,涉及一种实现吻合切割功能的腹腔镜手术器械的吻合器。The present invention relates to the technical field of medical devices, in particular, to a stapler for laparoscopic surgical instruments that realizes the function of anastomosing and cutting.
背景技术Background technique
传统一次性使用腔镜下切割吻合器:切割吻合装置是由钉仓、推钉片、推钉滑块、钉仓夹板、抵钉座盖板、抵钉座、切割刀、吻合钉等组成。Traditional disposable endoscope cutting and stapling device: The cutting and stapling device is composed of a nail bin, a nail pusher, a nail push slider, a nail bin splint, a nail seat cover, a nail seat, a cutting knife, and staples.
在材料上,钉仓、推钉片、推钉滑块为塑料件,钉仓夹板、抵钉座盖板、抵钉座、切割刀、吻合钉为金属件。In terms of materials, the nail bin, the nail pusher, and the nail push slider are plastic parts, and the nail chamber splint, the nail seat cover, the nail seat, the cutting knife, and the staple nail are metal parts.
在工艺上,钉仓夹板、抵钉座盖板多采用冲压加工,抵钉座、切割刀采用机加工,抵钉座上的钉成形槽通过压形加工。In terms of technology, the nail silo plywood and the nail seat cover are mostly processed by stamping, the nail seat and cutting knife are machined, and the nail forming groove on the nail seat is processed by pressing.
在结构上,抵钉座盖板焊接在抵钉座上面,钉仓卡入钉仓夹板中,吻合钉、推钉片、推钉滑块自上而下依次排列,切割刀位于钉仓及抵钉座中缝线的后端,切割刀的上下平台分别与抵钉座及钉仓夹板接触。钉仓上左右各有三排钉孔,沿中缝从前往后呈品字形对称排列,抵钉座上对应排布有钉槽。Structurally, the cover of the nail seat is welded on the nail seat, the nail magazine is clamped into the nail magazine splint, the staples, the nail pusher, and the nail push slider are arranged from top to bottom. The cutting knife is located in the nail chamber and the nail seat. The rear end of the suture of the nail seat, the upper and lower platforms of the cutting knife are respectively in contact with the nail abutment seat and the nail bin splint. There are three rows of nail holes on the left and right sides of the nail bin, which are arranged symmetrically from front to back along the center seam, and nail grooves are correspondingly arranged on the nail seat.
临床应用上,腹腔镜器械进入腹腔需要借助穿刺器建立通道,根据器械的规格可选择不同型号的穿刺器,越小的器械通过的穿刺器越小,手术中创口越小,对病人的创伤越小。目前的腔内切割需要通过的穿刺器规格为12mm(采用低钉缝合薄组织时)和15mm(采用高钉缝合厚组织时)。In clinical application, laparoscopic instruments need to use a trocar to establish a channel to enter the abdominal cavity. Different types of trocars can be selected according to the specifications of the equipment. The smaller the instrument, the smaller the puncture and the smaller the wound during the operation, and the more trauma to the patient. small. At present, the specifications of the trocar required for intracavity cutting are 12mm (when using low staples to sew thin tissues) and 15mm (when using high staples to sew thick tissues).
根据现有技术的技术,现存在以下缺点:According to the existing technology, there are the following shortcomings:
1.当前六排缝钉的设计使缝合创口宽度大,推送阻力也较大,虽然选用大规格的穿刺器可以满足器械通过的需求,但加大的创口增加了对病人的创伤,术后的恢复时间加长,同时较大的推送阻力也影响了操作的便利性,在狭窄的病灶处问题更显著,能够进一步减小手术创伤及提升操作的便利性是微创外科领域医生追求的不变的目标;1. The current design of six rows of staples makes the width of the sutured wound large and the pushing resistance is also large. Although the selection of a large-sized trocar can meet the needs of the instrument to pass, the enlarged wound increases the trauma to the patient. The recovery time is longer, and the greater push resistance also affects the convenience of the operation. The problem is more obvious in the narrow focus. It can further reduce the surgical trauma and improve the convenience of the operation, which is the constant pursuit of doctors in the field of minimally invasive surgery. the goal;
2.为了实现好的吻合效果,吻合钉要有较高的强度,成形后钉的高度要一致且形状为标准B字形,这对钉子的成形系统有一定的要求。目前钉仓、推钉片、推钉滑块为塑料件,抵钉座、吻合钉为金属件,即吻合钉存在的六面体中,有五个面都是高分子材料制成,仅有一面是金属材料制成。吻合钉在成形过程中会对推钉片、推钉滑块产生反作用力,在一定程度上会压缩塑料件的高度, 影响了钉成形高度的一致性,同时钉在成形中有时会产生侧向力即不在同一平面内成形,导致出现燕尾钉、卡钉(嵌入推钉片与钉仓之间)等异常情况,影响了吻合效果;2. In order to achieve a good anastomosis effect, the staples must have high strength, the height of the nails after forming must be consistent and the shape of the standard B-shaped, which has certain requirements for the nail forming system. At present, the nail magazine, the nail pusher, and the nail pusher slider are made of plastic parts, and the nail seat and the staple nail are metal parts. That is, in the hexahedron where the staple nail exists, five sides are made of polymer materials, and only one side is made of polymer materials. Made of metal materials. During the forming process of the stapler, it will produce a reaction force on the push nail and push the nail slider, which will compress the height of the plastic part to a certain extent, and affect the consistency of the nail forming height. At the same time, the nail will sometimes produce lateral direction during the forming process. The force is not formed in the same plane, resulting in abnormal conditions such as dovetail nails and staples (embedded between the nail pusher and the nail bin), which affects the effect of the anastomosis;
3.器械切割吻合的过程中,切割刀沿着钉仓及抵钉座中缝向前移动切割组织,刀的上下平台分别沿着抵钉座与钉仓夹板同步移动,过程中将抵钉座与钉仓靠拢以形成合适的钉成形间隙。刀的前移同时带动推钉滑块向前,继而再通过推钉片推出吻合钉触碰抵钉座并在已形成的合适间隙内成形。整个过程中使用者主要克服的阻力就是组织切割力及钉成形力,在一定程度上降低阻力对临床使用具有积极的意义。同时切割吻合的过程中工字形的切割刀所受的张力较大,存在一定程度上被拉断的风险,既而造成手术失败,进一步降低此风险对器械使用的安全性有重要的意义;3. During the cutting and anastomosis process of the instrument, the cutting knife moves forward along the center seam of the staple cartridge and the staple holder to cut the tissue. The upper and lower platforms of the knife move synchronously along the staple holder and the staple holder splint respectively, and the staple holder and the staple holder splint are moved synchronously in the process. The staple cartridges close together to form a suitable staple forming gap. The forward movement of the knife simultaneously drives the push nail slider forward, and then pushes out the staple nail through the push nail piece to touch the nail seat and form in the formed suitable gap. During the whole process, the main resistance that the user overcomes is the tissue cutting force and the nail forming force, and reducing the resistance to a certain extent has positive significance for clinical use. At the same time, the I-shaped cutting knife is exposed to greater tension during the cutting and anastomosis process, and there is a risk of being pulled off to a certain extent, which will cause the operation to fail. Further reducing this risk is of great significance to the safety of the use of the device;
4.目前抵钉座的机加工及钉成形槽的压形工序较为繁琐,为了方便压形,抵钉座通常选择偏软的材料加工,为此设计增加了抵钉座盖板以提升强度,但抵钉座部分的整体强度依然不理想,遇到厚的组织时会产生一定程度的变形。同时抵钉座盖板与抵钉座需要通过激光焊接连接,后续还需抛光、打磨处理,制造过程繁琐;4. At present, the machining of the nail seat and the pressing process of the nail forming groove are relatively cumbersome. In order to facilitate the pressing, the nail seat is usually processed with a softer material. For this reason, the nail seat cover is added to improve the strength. However, the overall strength of the nail seat part is still not ideal, and a certain degree of deformation will occur when encountering thick tissues. At the same time, the cover plate of the nail seat and the nail seat need to be connected by laser welding, and the subsequent polishing and grinding treatment are required, and the manufacturing process is cumbersome;
5.为了更适应目标组织的位置,器械本身设计有摆头机构,可以在转向接头处实现前部组件(含接头)向左右摆动一定的角度,转向接头分上下两个,目前多采用的是铆接销贯穿转向接头孔后单侧铆压固定,其铆接牢固度对摆头功能的实现具有重要的保障作用,当前的方式在牢固度的控制方面要求较高,存在一定的风险。5. In order to better adapt to the position of the target tissue, the instrument itself is designed with a head swing mechanism, which can realize the front assembly (including the joint) swinging to a certain angle at the steering joint. The steering joint is divided into two upper and lower steering joints. At present, the most commonly used is The riveting pin penetrates through the steering joint hole and is fixed by one-side riveting. Its riveting firmness has an important guarantee for the realization of the swing head function. The current method requires high firmness control and has certain risks.
发明内容Summary of the invention
本部分的目的在于概述本发明的实施例的一些方面以及简要介绍一些较佳实施例。在本部分以及本申请的说明书摘要和发明名称中可能会做些简化或省略以避免使本部分、说明书摘要和发明名称的目的模糊,而这种简化或省略不能用于限制本发明的范围。The purpose of this section is to outline some aspects of the embodiments of the present invention and briefly introduce some preferred embodiments. Some simplifications or omissions may be made in this part, the description abstract and the title of the invention in this application to avoid obscuring the purpose of this part, the description abstract and the title of the invention, and such simplifications or omissions cannot be used to limit the scope of the present invention.
鉴于上述和/或现有技术中存在的问题,提出了本发明。In view of the above and/or the problems in the prior art, the present invention is proposed.
因此,本发明其中一个目的是提供一种吻合器的切缝组件。Therefore, one of the objectives of the present invention is to provide a slit assembly of an anastomat.
为解决上述技术问题,本发明提供如下技术方案:一种吻合器的切缝组件,包括:上配合件,分为上配合面和顶面,自所述上配合面向所述顶面凹陷形成 抵钉座,所述抵钉座为4行;下配合件,其一端与所述上配合件的一端相铰接,包括下配合面和底面,自所述下配合面向所述底面凹陷形成钉仓,所述钉仓为4行,第二行钉仓和第三行钉仓关于中心轴对称,第一行钉仓和第四行钉仓关于中心轴对称,所述第一行钉仓和所述第二行钉仓不对称;其中,所述上配合件和下配合件均采用金属材质;其中,所述切缝组件的直径为10mm。In order to solve the above technical problems, the present invention provides the following technical solutions: a stapler slitting assembly, including: an upper matching member, divided into an upper matching surface and a top surface, from the upper matching surface, the top surface is recessed to form an abutment A nail seat, the nail abutment seat is in 4 rows; a lower fitting piece, one end of which is hinged with one end of the upper fitting piece, and includes a lower fitting surface and a bottom surface, and the bottom surface is recessed from the lower fitting surface to form a staple cartridge, The staple cartridges are 4 rows, the staple cartridges of the second row and the third row are symmetrical about the central axis, the staple cartridges of the first row and the fourth row are symmetrical about the central axis, and the staple cartridges of the first row are symmetrical with respect to the central axis. The second row of staple cartridges is asymmetrical; wherein, the upper matching piece and the lower matching piece are made of metal materials; and the diameter of the slitting component is 10mm.
作为本发明所述吻合器的切缝组件的一种优选方案,其中:所述上配合件和下配合件采用粉末冶金的工艺成型。As a preferred solution of the slitting assembly of the stapler of the present invention, the upper fitting part and the lower fitting part are formed by powder metallurgy technology.
作为本发明所述吻合器的切缝组件的一种优选方案,其中:所述上配合件的中心轴上设有上缝隙,所述下配合件上设有下缝隙,所述上缝隙和所述下缝隙在一条直线上;还包括刀具,所述刀具包括上挡板、下挡板和刀片,所述刀片分别穿过所述上缝隙和所述下缝隙,所述上挡板与所述上缝隙限位,所述下挡板与所述下缝隙限位。As a preferred solution of the slitting assembly of the stapler of the present invention, wherein: an upper slit is provided on the central axis of the upper matching member, a lower slit is provided on the lower matching member, and the upper slit and the The lower gap is on a straight line; it also includes a cutter, the cutter includes an upper baffle, a lower baffle and a blade, the blade passes through the upper gap and the lower gap, and the upper baffle and the The upper gap is restricted, and the lower baffle is restricted from the lower gap.
作为本发明所述吻合器的切缝组件的一种优选方案,其中:所述下配合件还包括推钉滑块和推钉片,所述推钉滑块呈山字形,包括第一驱动块、第二驱动块和第三驱动块,所述第二驱动块沿着所述下缝隙线性运动;所述下配合件自底面向下配合面方向凹陷形成导向槽,所述导向槽区分为第一导向配合槽和第二导向配合槽,所述第一导向配合槽设于第三行钉仓和第四行钉仓之间,所述第二导向配合槽设于第一行钉仓和第二行钉仓之间;其中,所述第一驱动块与所述第一导向配合槽配合,所述第三驱动块与第二导向配合槽配合;其中,所述导向槽与所述钉仓相连通。As a preferred solution of the slitting assembly of the stapler of the present invention, wherein: the lower fitting further includes a nail pusher and a nail pusher, the nail pusher is in a chevron shape and includes a first driving block , A second driving block and a third driving block, the second driving block moves linearly along the lower gap; the lower mating member is recessed from the bottom surface in the direction of the mating surface to form a guide groove, and the guide groove is divided into a first A guide matching groove and a second guide matching groove, the first guide matching groove is provided between the third row of nail magazines and the fourth row of nail magazines, and the second guide matching groove is provided between the first row of nail magazines and the first row of nail magazines. Between the two rows of staple cartridges; wherein, the first drive block is matched with the first guide fitting groove, and the third drive block is matched with the second guide fitting groove; wherein, the guide groove is matched with the staple cartridge Connected.
作为本发明所述吻合器的切缝组件的一种优选方案,其中:所述上配合件还包括抵钉座盖板,所述抵钉座盖板和顶面通过激光相焊接。As a preferred solution of the slitting assembly of the stapler of the present invention, the upper fitting member further includes a nail abutment seat cover plate, and the nail abutment seat cover plate and the top surface are welded by laser.
本发明的另一个目的是,提供了一种吻合器的固定组件。Another object of the present invention is to provide a fixation assembly of an anastomat.
为了解决上述技术问题,本发明提供如下技术方案:一种吻合器的固定组件,包括,转向连接件,包括转向上连接件、转向下连接件、固定连接件和中间连接件,所述转向上连接件与中间连接件相配合,所述转向下连接件与所述固定连接件相配合,所述固定连接件两侧设有一体式铆接柱,所述一体式铆接柱与所述中间连接件连接,所述中间连接件上设有切缝组件安装孔,通过销轴铰接于下配合件;推刀连接件,所述转向连接件将刀具安装在上缝隙和下缝隙之间,所述推刀连接件包括刀具连接片,所述刀具的燕尾槽镶嵌在所述连接片 上。In order to solve the above technical problems, the present invention provides the following technical solutions: a fixation assembly of a stapler, including a steering connector, including a steering upper connecting piece, a steering lower connecting piece, a fixed connecting piece and an intermediate connecting piece, the steering up The connecting piece is matched with the middle connecting piece, the turning down connecting piece is matched with the fixed connecting piece, the fixed connecting piece is provided with integrated riveting posts on both sides, and the integrated riveting post is connected with the intermediate connecting piece. The intermediate connecting piece is provided with a slitting assembly installation hole, which is hinged to the lower matching piece through a pin; the push-knife connecting piece, the turning connecting piece installs the tool between the upper gap and the lower gap, and the push The knife connector includes a knife connecting piece, and the dovetail groove of the knife is inlaid on the connecting piece.
作为本发明所述吻合器的固定组件的一种优选方案,其中:所述转向连接件内部设有沟板槽,通过所述沟板槽安装转向弹片;所述转向连接件内部设有容置空间,所述容置空间内放置转向拉钩,所述转向拉钩一端设有限位孔,所述限位孔套设于所述一体式铆接柱;所述中间连接件设有上连接片铆接柱,通过所述上连接片铆接柱连接上转向连接片;下转向连接片与固定连接件的底端的下铆接柱相铆接。As a preferred solution of the fixation assembly of the stapler of the present invention, wherein: the steering connector is provided with a groove plate groove inside, and the steering elastic piece is installed through the groove plate groove; the steering connector is provided with a housing A space where a steering pull hook is placed in the accommodating space, one end of the steering pull hook is provided with a limiting hole, and the limiting hole is sleeved on the integrated riveting column; the intermediate connector is provided with an upper connecting piece riveting column, The upper steering connecting piece is connected by the upper connecting piece riveting column; the lower steering connecting piece is riveted with the lower riveting column at the bottom end of the fixed connecting piece.
作为本发明所述吻合器的固定组件的一种优选方案,其中:还包括钉仓盖板,与下配合件的底面焊接,通过钉仓盖板将下配合件夹紧在转向连接件内。As a preferred solution of the fixing assembly of the stapler of the present invention, it further comprises a staple cartridge cover plate, which is welded to the bottom surface of the lower fitting piece, and the lower fitting piece is clamped in the steering connecting piece through the staple cartridge cover plate.
本发明的再一个目的是,提供了一种吻合器。Another object of the present invention is to provide a stapler.
本发明提供如下技术方案:包括所述的切缝组件和所述的固定组件,还包括,枪身和枪身连接组件,所述枪身连接组件一端与所述枪身相连接,另一端与固定组件相连接。The present invention provides the following technical solutions: including the slitting assembly and the fixing assembly, and further including a gun body and a gun body connecting assembly, one end of the gun body connecting assembly is connected with the gun body, and the other end is connected with the gun body The fixed components are connected.
本发明的有益效果:The beneficial effects of the present invention:
(1)采用4行钉仓使缝合宽度变窄,结合高度方向上尺寸的优化设计,实现了器械前端含组件部分尺寸的整体缩减,可顺利通过10mm穿刺器,减小了手术创口,更利于病人伤口的愈合,同时降低了推送阻力,插入待切割缝合的组织更方便,尤其是许多狭窄的病灶处更显优势;(1) The use of 4 rows of staple cartridges to narrow the width of the suture, combined with the optimized design of the size in the height direction, realizes the overall reduction in the size of the front end of the instrument including the component parts, which can pass through the 10mm trocar smoothly, reducing the surgical wound and making it more conducive to The patient’s wound is healed, while the push resistance is reduced, and it is more convenient to insert the tissue to be cut and sutured, especially in many narrow lesions.
(2)钉仓、推钉片、推钉滑块、刀具连接片均为金属零件,并且钉仓、推钉片、推钉滑块采用金属粉末注射成型技术生产,零件强度高,全金属的钉成形系统(吻合钉所处的六面体全是金属材料制成)更有效的导向吻合钉成形,高度一致且在同一平面内;(2) The nail magazine, the nail pusher, the pusher slider, and the tool connecting piece are all metal parts, and the nail warehouse, the pusher nail, and the pusher nail slider are produced by metal powder injection molding technology. The parts are high in strength and all metal. The nail forming system (the hexahedron where the staple is located is made of metal materials) more effectively guides the forming of the staple, with the same height and in the same plane;
(3)刀具增加了厚度,既而提升了强度,减小了切割阻力。吻合钉两条钉腿进行了预弯设计,减小了成形阻力。从而降低了整个切割吻合过程的阻力,使用更轻松顺畅。同时也有效的减少了切割吻合过程中切割刀所受的张力,增加了使用的安全性;(3) The thickness of the cutter is increased, thereby increasing the strength and reducing the cutting resistance. The two legs of the anastomosis nail are pre-bent design to reduce the forming resistance. Thus, the resistance of the entire cutting and anastomosis process is reduced, and the use is easier and smoother. At the same time, it effectively reduces the tension of the cutting knife during the cutting and anastomosis process, and increases the safety of use;
(4)抵钉座盖板与抵钉座一体式设计,减少了两者间的装配工序。同时抵钉座采用金属粉末注射成型技术生产,避免了传统抵钉座繁杂的生产工序,整体结构更紧凑,强度更好,生产效率更高;(4) The integrated design of the nail seat cover and the nail seat reduces the assembly process between the two. At the same time, the nail seat is produced by metal powder injection molding technology, which avoids the complicated production process of the traditional nail seat, the overall structure is more compact, the strength is better, and the production efficiency is higher;
(5)转向连接件上设有一体式铆接柱,铆接牢固度更有保障。(5) There is an integrated riveting column on the steering connector, so the riveting firmness is more secure.
附图说明Description of the drawings
为了更清楚地说明本发明实施例的技术方案,下面将对实施例描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其它的附图。其中:In order to explain the technical solutions of the embodiments of the present invention more clearly, the following will briefly introduce the drawings used in the description of the embodiments. Obviously, the drawings in the following description are only some embodiments of the present invention. For those of ordinary skill in the art, without creative labor, other drawings can be obtained from these drawings. among them:
图1为本发明吻合器的切缝组件的整体结构示意图;Figure 1 is a schematic diagram of the overall structure of the slitting assembly of the stapler of the present invention;
图2为本发明吻合器的切缝组件中图1中I位置的局部放大结构示意图;2 is a partial enlarged schematic view of the position I in FIG. 1 in the slitting assembly of the stapler of the present invention;
图3为本发明吻合器的切缝组件中图1中II位置的局部放大结构示意图;Fig. 3 is a partial enlarged schematic view of the position II in Fig. 1 in the slitting assembly of the stapler of the present invention;
图4为本发明吻合器的切缝组件中所述下配合件的局部放大结构示意图;Figure 4 is a partial enlarged schematic view of the lower fitting member in the slitting assembly of the stapler of the present invention;
图5为本发明吻合器的切缝组件的整体结构爆炸示意图;Figure 5 is an exploded schematic diagram of the overall structure of the slitting assembly of the stapler of the present invention;
图6为本发明吻合器的切缝组件中所述推钉滑块的整体结构示意图;Fig. 6 is a schematic diagram of the overall structure of the pusher slider in the slitting assembly of the stapler of the present invention;
图7为本发明吻合器的固定组件中的整体结构爆炸示意图;Figure 7 is an exploded schematic diagram of the overall structure in the fixing assembly of the stapler of the present invention;
图8为本发明吻合器的所述转向下连接件的一个视角的结构示意图;Fig. 8 is a schematic structural view of the downward turning connector of the stapler of the present invention from a perspective;
图9为本发明吻合器的所述转向上连接件的一个视角的结构示意图;Fig. 9 is a schematic structural view of the upper steering connecting member of the stapler of the present invention from a perspective;
图10为本发明吻合器的部分结构的局部放大示意图;Figure 10 is a partial enlarged schematic view of a part of the structure of the stapler of the present invention;
图11为本发明吻合器的所述滑块和拨片的结构示意图;Figure 11 is a schematic diagram of the structure of the slider and the paddle of the stapler of the present invention;
图12为本发明吻合器的整体结构示意图;Figure 12 is a schematic diagram of the overall structure of the stapler of the present invention;
图13为本发明吻合器中的所述枪身连接组件的整体结构爆炸示意图。Fig. 13 is an exploded schematic diagram of the overall structure of the gun body connecting assembly in the stapler of the present invention.
具体实施方式Detailed ways
为使本发明的上述目的、特征和优点能够更加明显易懂,下面结合说明书附图对本发明的具体实施方式做详细的说明。In order to make the above-mentioned objects, features and advantages of the present invention more obvious and understandable, the specific embodiments of the present invention will be described in detail below in conjunction with the accompanying drawings of the specification.
在下面的描述中阐述了很多具体细节以便于充分理解本发明,但是本发明还可以采用其他不同于在此描述的其它方式来实施,本领域技术人员可以在不违背本发明内涵的情况下做类似推广,因此本发明不受下面公开的具体实施例的限制。In the following description, many specific details are explained in order to fully understand the present invention, but the present invention can also be implemented in other ways different from those described here, and those skilled in the art can do so without departing from the connotation of the present invention. Similar promotion, therefore, the present invention is not limited by the specific embodiments disclosed below.
其次,此处所称的“一个实施例”或“实施例”是指可包含于本发明至少一个实现方式中的特定特征、结构或特性。在本说明书中不同地方出现的“在一个实施例中”并非均指同一个实施例,也不是单独的或选择性的与其他实施例互相排斥的实施例。Secondly, the "one embodiment" or "embodiment" referred to herein refers to a specific feature, structure, or characteristic that can be included in at least one implementation of the present invention. The appearances of "in one embodiment" in different places in this specification do not all refer to the same embodiment, nor are they separate or selectively mutually exclusive embodiments with other embodiments.
实施例1Example 1
参照图1~6,本发明提供了一种吻合器的切缝组件,本发明的第一个实施例中,所述吻合器的切缝组件的主体包括上配合件100和下配合件200,且上配合件100和下配合件200之间相互配合。1 to 6, the present invention provides a stapler slitting assembly. In the first embodiment of the present invention, the main body of the stapler slitting assembly includes an upper mating member 100 and a lower mating member 200, In addition, the upper fitting piece 100 and the lower fitting piece 200 cooperate with each other.
需要注意的是,在本实施例中,所述上配合件100和下配合件200采用粉末冶金的工艺成型。It should be noted that, in this embodiment, the upper fitting piece 100 and the lower fitting piece 200 are formed by a powder metallurgy process.
具体的,上配合件100,分为上配合面101和顶面102,自所述上配合面101向所述顶面102凹陷形成抵钉座103,所述抵钉座103为4行,所述上配合件100的中心轴上设有上缝隙104。Specifically, the upper mating member 100 is divided into an upper mating surface 101 and a top surface 102. The upper mating surface 101 is recessed to the top surface 102 to form a nail abutting seat 103, the nail abutting seat 103 is 4 rows, so The upper slit 104 is provided on the central axis of the mating member 100 described above.
在本实施例中,抵钉座103每行的每列均平行。In this embodiment, each row and each column of the anchor seat 103 are parallel.
下配合件200,其一端与所述上配合件100的一端相铰接,包括下配合面201和底面202,自所述下配合面201向所述底面202凹陷形成钉仓203,所述钉仓203为4行,第二行钉仓203b和第三行钉仓203c关于中心轴对称,第一行钉仓203a和第四行钉仓203d关于中心轴对称。所述下配合件200上设有下缝隙204,所述上缝隙104和所述下缝隙204在一条直线上。The lower mating member 200, one end of which is hinged to one end of the upper mating member 100, includes a lower mating surface 201 and a bottom surface 202. The lower mating surface 201 is recessed toward the bottom surface 202 to form a staple cartridge 203, the staple cartridge 203 is 4 rows, the second row of staple cartridges 203b and the third row of staple cartridges 203c are symmetric about the central axis, and the first row of staple cartridges 203a and the fourth row of staple cartridges 203d are symmetrical about the central axis. The lower matching member 200 is provided with a lower gap 204, and the upper gap 104 and the lower gap 204 are in a straight line.
需要说明的是,第一行钉仓203a与第二行钉仓203b不对称。在钉仓203内放置吻合钉。It should be noted that the staple cartridges 203a of the first row and the staple cartridges 203b of the second row are asymmetrical. The staples are placed in the staple cartridge 203.
较佳的,所述下配合件200还包括推钉滑块205和推钉片207,推钉片207装在吻合钉的下方。Preferably, the lower fitting 200 further includes a nail pushing slider 205 and a nail pushing piece 207, the nail pushing piece 207 is installed under the staples.
所述推钉滑块205呈“山”字形,包括第一驱动块205a、第二驱动块205b和第三驱动块205c,所述第二驱动块205b沿着所述下缝隙204线性运动。所述下配合件200自底面202向下配合面201方向凹陷形成导向槽206,所述导向槽206区分为第一导向配合槽206a和第二导向配合槽206b,所述第一导向配合槽206a设于第三行钉仓203c和第四行钉仓203d之间,所述第二导向配合槽206b设于第一行钉仓203a和第二行钉仓203b之间。The nail push slider 205 is shaped like a "mountain" and includes a first drive block 205a, a second drive block 205b, and a third drive block 205c. The second drive block 205b moves linearly along the lower gap 204. The lower mating member 200 is recessed from the bottom surface 202 toward the lower mating surface 201 to form a guide groove 206. The guide groove 206 is divided into a first guide mating groove 206a and a second guide mating groove 206b. The first guide mating groove 206a It is arranged between the third row of staple magazines 203c and the fourth row of staple magazines 203d, and the second guiding and cooperating groove 206b is arranged between the first row of staple magazines 203a and the second row of staple magazines 203b.
其中,所述第一驱动块205a与所述第一导向配合槽206a配合,所述第三驱动块205c与第二导向配合槽206b配合。Wherein, the first driving block 205a is matched with the first guide fitting groove 206a, and the third driving block 205c is matched with the second guide fitting groove 206b.
需要注意的是,所述导向槽206与所述钉仓203相连通。It should be noted that the guide groove 206 communicates with the staple cartridge 203.
还包括刀具300,所述刀具300包括上挡板301、下挡板302和刀片303,所述刀片303分别穿过所述上缝隙104和所述下缝隙204,所述上挡板301与 所述上缝隙104限位,所述下挡板302与所述下缝隙204限位。It also includes a cutter 300. The cutter 300 includes an upper baffle 301, a lower baffle 302, and a blade 303. The blade 303 passes through the upper gap 104 and the lower gap 204, respectively, and the upper baffle 301 is connected to the upper baffle 301. The upper gap 104 is restricted, and the lower baffle 302 and the lower gap 204 are restricted.
上述“限位”为了能充分理解,以下做举例说明:In order to fully understand the above "limit position", the following is an example for illustration:
装配后,上挡板301置于所述上缝隙104一侧,刀片303置于所述上缝隙104的另一侧,这里的“另一侧”是指在所述上缝隙104和所述下缝隙204之间的一侧。与此类似的是,下挡板302置于所述下缝隙204一侧,该“一侧”不为上缝隙104和所述下缝隙204之间。从而上挡板301和下挡板302对上配合件100和下配合件200之间的夹角有了限制。After assembly, the upper baffle 301 is placed on one side of the upper gap 104, and the blade 303 is placed on the other side of the upper gap 104. The "other side" here refers to the upper gap 104 and the lower gap 104. One side between the gaps 204. Similar to this, the lower baffle 302 is placed on one side of the lower gap 204, and the “side” is not between the upper gap 104 and the lower gap 204. As a result, the upper baffle 301 and the lower baffle 302 restrict the angle between the upper mating member 100 and the lower mating member 200.
其中,所述推钉滑块205和推钉片207均采用金属材质。Wherein, both the nail push slider 205 and the nail push piece 207 are made of metal materials.
其中,所述切缝组件的直径为10mm。Wherein, the diameter of the slitting component is 10 mm.
实施例2Example 2
参照图1~6,本发明吻合器的切缝组件提供的第二个实施例,该实施例不同于第一个实施例的是:在本实施例中,所述上配合件100还包括抵钉座盖板,所述抵钉座盖板与所述上配合件200的顶面102相配合,且两者通过激光焊接,防止推钉滑块205和推钉片207掉出。1 to 6, the second embodiment provided by the slitting assembly of the stapler of the present invention, this embodiment is different from the first embodiment: in this embodiment, the upper mating member 100 also includes an abutment The nail seat cover plate is matched with the top surface 102 of the upper matching member 200, and the two are welded by laser to prevent the nail push slider 205 and the nail push piece 207 from falling out.
实施例3Example 3
参照图7~9,本发明还提供了一种吻合器的固定组件,在本发明的第三个实施例中,吻合器的固定组件的主体包括转向连接件400和推刀连接件500。7-9, the present invention also provides a stapler fixing assembly. In the third embodiment of the present invention, the main body of the stapler fixing assembly includes a steering connector 400 and a push-knife connector 500.
转向连接件400,包括转向上连接件401、转向下连接件402、固定连接件403和中间连接件405,转向上连接件401与中间连接件405相配合,所述转向下连接件402与固定连接件403相配合,转向上连接件401设于所述中间连接件405的上部,转向下连接件402设于所述固定连接件403的下部。所述固定连接件403两侧设有一体式铆接柱403a,通过所述铆接柱403a与所述中间连接件405连接,所述中间连接件405前端设有切缝组件安装孔,通过销轴铰接下配合件200。较佳的,所述转向连接件400内部设有沟板槽,通过所述沟板槽安装转向弹片406。所述转向连接件400内部设有容置空间,所述容置空间内放置转向拉钩404,所述转向拉钩404一端设有限位孔404a,所述限位孔404a套设于所述铆接柱403a。The steering connecting piece 400 includes an upper steering connecting piece 401, a lower steering connecting piece 402, a fixed connecting piece 403, and an intermediate connecting piece 405. The upper steering connecting piece 401 is matched with the intermediate connecting piece 405, and the lower steering connecting piece 402 is fixed The connecting piece 403 is matched, the turning upper connecting piece 401 is arranged at the upper part of the middle connecting piece 405, and the turning lower connecting piece 402 is arranged at the lower part of the fixed connecting piece 403. Both sides of the fixed connecting piece 403 are provided with integral riveting posts 403a, which are connected to the intermediate connecting piece 405 through the riveting posts 403a. The front end of the intermediate connecting piece 405 is provided with a slitting component mounting hole, which is hinged by a pin. Lower mating piece 200. Preferably, the steering connector 400 is provided with a groove plate and a steering elastic piece 406 is installed through the groove plate groove. An accommodating space is provided inside the steering connector 400, a steering hook 404 is placed in the accommodating space, one end of the steering hook 404 is provided with a limiting hole 404a, and the limiting hole 404a is sleeved on the riveting column 403a .
较佳的,所述中间连接件405设有上连接片铆接柱405a,通过所述上连接 片铆接柱405a连接上转向连接片405b。应当说明的是,在本实施例中,下转向连接片405c与固定连接件403的底端的下铆接柱403b相铆接。Preferably, the middle connecting piece 405 is provided with an upper connecting piece riveting post 405a, and the upper turning connecting piece 405b is connected through the upper connecting piece riveting post 405a. It should be noted that, in this embodiment, the lower steering connecting piece 405c is riveted with the lower riveting post 403b at the bottom end of the fixing connecting member 403.
需要说明的是,转向上连接件401设有上配合凹槽401a,所述转向连接片405b置于所述上配合凹槽401a内,并与所述连接片铆接柱405a连接固定。It should be noted that the upper steering connecting piece 401 is provided with an upper matching groove 401a, and the steering connecting piece 405b is placed in the upper matching groove 401a and connected and fixed with the connecting piece riveting post 405a.
具体安装步骤为:转向上连接件401与中间连接件405相配合,所述转向下连接件402与固定连接件403相配合,固定连接件403的铆接柱403a插入到中间连接件405上。上转向连接片405b置于上配合凹槽401a内,上转向连接片405b与上连接片铆接柱405a相配合。与之相似的,下转向连接片405c置于转向下连接件402上的下配合凹槽402b内,并与固定连接件403的底端的下铆接柱403b相铆接。The specific installation steps are: the upper steering connecting piece 401 is matched with the middle connecting piece 405, the lower steering connecting piece 402 is matched with the fixed connecting piece 403, and the riveting post 403a of the fixed connecting piece 403 is inserted into the middle connecting piece 405. The upper steering connecting piece 405b is placed in the upper matching groove 401a, and the upper steering connecting piece 405b is matched with the upper connecting piece riveting post 405a. Similarly, the lower steering connecting piece 405c is placed in the lower matching groove 402b on the lower steering connecting piece 402, and is riveted with the lower riveting post 403b at the bottom end of the fixing connecting piece 403.
推刀连接件500,所述转向连接件400将刀具300安装在上缝隙104和下缝隙204之间,所述推刀连接件500包括刀具连接片501,所述刀具300的燕尾槽镶嵌在所述连接片501上。The push-knife connector 500, the steering connector 400 installs the tool 300 between the upper gap 104 and the lower gap 204, the push-knife connector 500 includes a tool connection piece 501, and the dovetail groove of the tool 300 is embedded in the述连接片501上。 Said connecting piece 501.
需要说明的是,连接片501单片厚度为0.25mm,为了保证转向的灵活性和使用的有效性,本实施例中的连接片501为4片叠加组成。It should be noted that the single thickness of the connecting piece 501 is 0.25 mm. In order to ensure the flexibility of steering and the effectiveness of use, the connecting piece 501 in this embodiment is composed of 4 pieces stacked.
钉仓盖板600,与下配合件200的底面202焊接,通过钉仓盖板600将下配合件200夹紧在转向连接件600内。The staple cartridge cover 600 is welded to the bottom surface 202 of the lower mating member 200, and the lower mating member 200 is clamped in the steering connector 600 through the staple cartridge cover 600.
转向上连接件401上设有上滑槽401b,转向下连接件402上设有下滑槽402c,刀具连接片501的上半部分卡合在上滑槽401b内,刀具连接片501的下半部分卡合在下滑槽402c内,当转向上连接件401和转向下连接件402配合后,刀具连接片501卡合在上滑槽401b和下滑槽402c内,刀具连接片501沿着上滑槽401b和下滑槽402c在y轴方向做运动,将转向弹片406放置到刀具连接片501的两侧的弹片限位槽401c中,通过转向弹片406对刀具连接片501起到复位作用。转向拉钩404置于转向下连接件402的右侧缝隙中(这里说的右侧是指,在附图中所示位置,相对于x轴方向而言)。在转向下连接件402的末端(所述末端相对于y轴正方向而言)设有滑块槽402a,滑块槽402a内放置弹簧、滑块402a-1和拨片402a-2,滑块402a-1和拨片402a-2相互配合,拨片402a-2相当于保险。且拨片402a-2上设有凸起402a-5与滑块402a-1上的斜槽402a-3相配合,当滑块402a-1沿着图中的y轴方向运动时,带动拨片402a-2做旋转运动。An upper sliding groove 401b is provided on the steering upper connecting piece 401, a lower groove 402c is provided on the steering lower connecting piece 402, the upper half of the tool connecting piece 501 is engaged in the upper sliding groove 401b, and the lower half of the tool connecting piece 501 It is engaged in the lower groove 402c. When the upper steering connecting piece 401 and the lower steering connecting piece 402 are matched, the tool connecting piece 501 is engaged in the upper chute 401b and the lower groove 402c, and the tool connecting piece 501 is along the upper chute 401b The lower groove 402c and the lower groove 402c move in the y-axis direction, and the turning elastic piece 406 is placed in the elastic piece limiting groove 401c on both sides of the tool connecting piece 501, and the tool connecting piece 501 is reset by the turning elastic piece 406. The steering hook 404 is placed in the right gap of the lower steering connector 402 (the right side referred to here refers to the position shown in the figure, relative to the x-axis direction). At the end of the lower turning connector 402 (the end is relative to the positive direction of the y-axis) is provided with a slider groove 402a, and a spring, a slider 402a-1 and a paddle 402a-2 are placed in the slider groove 402a. 402a-1 and paddle 402a-2 cooperate with each other, and paddle 402a-2 is equivalent to insurance. And the paddle 402a-2 is provided with a protrusion 402a-5 that cooperates with the oblique groove 402a-3 on the slider 402a-1. When the slider 402a-1 moves along the y-axis direction in the figure, the paddle is driven 402a-2 does a rotating movement.
应当说明的是,拨片402a-2为环形原片,其一端设有定位凸起402a-4,在初始状态下,定位凸起402a-4与刀具连接片501上的限位卡槽501a相配合。当滑块402a-1沿着y轴负方向运动后,使得拨片402a-2做旋转运动,此时定位凸起402a-4与限位卡槽501a脱离配合,刀具连接片501可以向前运动。It should be noted that the paddle 402a-2 is a ring-shaped original piece, one end of which is provided with a positioning protrusion 402a-4. In the initial state, the positioning protrusion 402a-4 is opposite to the limiting card slot 501a on the tool connecting piece 501. Cooperate. When the slider 402a-1 moves in the negative direction of the y-axis, the paddle 402a-2 is rotated. At this time, the positioning protrusion 402a-4 disengages from the limit slot 501a, and the tool connecting piece 501 can move forward .
较佳的,在固定组件的外侧设有套管407,通过套管407对整体进行固定整合。Preferably, a sleeve 407 is provided on the outer side of the fixing assembly, and the whole is fixed and integrated through the sleeve 407.
实施例4Example 4
参照图1~11,本发明还提供了一种吻合器,该吻合器包括切缝组件和固定组件,还包括,枪身700和枪身连接组件800,所述枪身连接组件800一端与所述枪身700相连接,另一端与固定组件相连接。1-11, the present invention also provides a stapler, the stapler includes a slitting assembly and a fixing assembly, and also includes a gun body 700 and a gun body connecting assembly 800, one end of the gun body connecting assembly 800 is connected to the The gun body 700 is connected, and the other end is connected to the fixing assembly.
具体的,所述切缝组件的直径为10mm,其主体包括上配合件100、下配合件200和刀具300,且上配合件100和下配合件200之间相互配合。Specifically, the slitting assembly has a diameter of 10 mm, and its main body includes an upper fitting piece 100, a lower fitting piece 200, and a cutter 300, and the upper fitting piece 100 and the lower fitting piece 200 are matched with each other.
需要注意的是,在本实施例中,所述上配合件100和下配合件200采用粉末冶金的工艺成型。It should be noted that, in this embodiment, the upper fitting piece 100 and the lower fitting piece 200 are formed by a powder metallurgy process.
上配合件100,分为上配合面101和顶面102,自所述上配合面101向所述顶面102凹陷形成抵钉座103,所述抵钉座103为4行,所述上配合件100的中心轴上设有上缝隙104。在本实施例中,抵钉座103每行的每列均平行。The upper mating member 100 is divided into an upper mating surface 101 and a top surface 102. The upper mating surface 101 is recessed to the top surface 102 to form a nail abutting seat 103, the nail abutting seat 103 is 4 rows, and the upper mating An upper slit 104 is provided on the central axis of the piece 100. In this embodiment, each row and each column of the anchor seat 103 are parallel.
下配合件200,其一端与所述上配合件100的一端相铰接,包括下配合面201和底面202,自所述下配合面201向所述底面202凹陷形成钉仓203,所述钉仓203为4行,第二行钉仓203b和第三行钉仓203c关于中心轴对称,第一行钉仓203a和第四行钉仓203d关于中心轴对称。所述下配合件200上设有下缝隙204,所述上缝隙104和所述下缝隙204在一条直线上。第一行钉仓203a与第二行钉仓203b不对称。在钉仓203内放置吻合钉。The lower mating member 200, one end of which is hinged to one end of the upper mating member 100, includes a lower mating surface 201 and a bottom surface 202. The lower mating surface 201 is recessed toward the bottom surface 202 to form a staple cartridge 203, the staple cartridge 203 is 4 rows, the second row of staple cartridges 203b and the third row of staple cartridges 203c are symmetric about the central axis, and the first row of staple cartridges 203a and the fourth row of staple cartridges 203d are symmetrical about the central axis. The lower matching member 200 is provided with a lower gap 204, and the upper gap 104 and the lower gap 204 are in a straight line. The staple cartridges 203a of the first row are asymmetrical to the staple cartridges 203b of the second row. The staples are placed in the staple cartridge 203.
较佳的,所述下配合件200还包括推钉滑块205和推钉片207,推钉片207装在吻合钉的下方。所述推钉滑块205呈“山”字形,包括第一驱动块205a、第二驱动块205b和第三驱动块205c,所述第二驱动块205b沿着所述上缝隙104和下缝隙204线性运动。所述下配合件200自底面202向下配合面201方向凹陷形成导向槽206,所述导向槽206区分为第一导向配合槽206a和第二导向配合槽206b,所述第一导向配合槽206a设于第三行钉仓203c和第四行钉仓203d 之间,所述第二导向配合槽206b设于第一行钉仓203a和第二行钉仓203b之间。Preferably, the lower fitting 200 further includes a nail pushing slider 205 and a nail pushing piece 207, the nail pushing piece 207 is installed under the staples. The push nail slider 205 has a "mountain" shape, and includes a first drive block 205a, a second drive block 205b, and a third drive block 205c. The second drive block 205b runs along the upper gap 104 and the lower gap 204. Linear movement. The lower mating member 200 is recessed from the bottom surface 202 toward the lower mating surface 201 to form a guide groove 206. The guide groove 206 is divided into a first guide mating groove 206a and a second guide mating groove 206b. The first guide mating groove 206a It is arranged between the third row of staple magazines 203c and the fourth row of staple magazines 203d, and the second guiding and cooperating groove 206b is arranged between the first row of staple magazines 203a and the second row of staple magazines 203b.
其中,所述第一驱动块205a与所述第一导向配合槽206a配合,所述第三驱动块205c与第二导向配合槽206b配合。Wherein, the first driving block 205a is matched with the first guide fitting groove 206a, and the third driving block 205c is matched with the second guide fitting groove 206b.
需要注意的是,所述导向槽206与所述钉仓203相连通。所述推钉滑块205和推钉片207均采用金属材质。It should be noted that the guide groove 206 communicates with the staple cartridge 203. The nail push slider 205 and the nail push piece 207 are made of metal materials.
刀具300,所述刀具300包括上挡板301、下挡板302和刀片303,所述刀片303分别穿过所述上缝隙104和所述下缝隙204,所述上挡板301与所述上缝隙104限位,所述下挡板302与所述下缝隙204限位。The cutter 300 includes an upper baffle 301, a lower baffle 302, and a blade 303. The blade 303 passes through the upper gap 104 and the lower gap 204, respectively. The upper baffle 301 and the upper The gap 104 is restricted, and the lower baffle 302 and the lower gap 204 are restricted.
较佳的,所述上配合件100还包括抵钉座盖板,所述抵钉座盖板与所述上配合件200的顶面102相配合,且两者通过激光焊接,防止推钉滑块205和推钉片207掉出。Preferably, the upper mating member 100 further includes a nail seat cover plate, which is matched with the top surface 102 of the upper mating member 200, and the two are welded by laser to prevent the push nails from slipping. The block 205 and the nail pusher 207 fall out.
固定组件的主体包括转向连接件400和推刀连接件500。The main body of the fixing assembly includes a steering connector 400 and a push knife connector 500.
转向连接件400,包括转向上连接件401、转向下连接件402、固定连接件403和中间连接件405,转向上连接件401与中间连接件405相配合,所述转向下连接件402与固定连接件403相配合,转向上连接件401设于所述中间连接件405的上部,转向下连接件402设于所述固定连接件403的下部。所述固定连接件403两侧设有一体式铆接柱403a,通过所述铆接柱403a与所述中间连接件405连接,所述中间连接件405前端设有切缝组件安装孔,通过销轴铰接下配合件200。The steering connecting piece 400 includes an upper steering connecting piece 401, a lower steering connecting piece 402, a fixed connecting piece 403, and an intermediate connecting piece 405. The upper steering connecting piece 401 is matched with the intermediate connecting piece 405, and the lower steering connecting piece 402 is fixed The connecting piece 403 is matched, the turning upper connecting piece 401 is arranged at the upper part of the middle connecting piece 405, and the turning lower connecting piece 402 is arranged at the lower part of the fixed connecting piece 403. Both sides of the fixed connecting piece 403 are provided with integral riveting posts 403a, which are connected to the intermediate connecting piece 405 through the riveting posts 403a. The front end of the intermediate connecting piece 405 is provided with a slitting component mounting hole, which is hinged by a pin. Lower mating piece 200.
较佳的,所述转向连接件400内部设有沟板槽,通过所述沟板槽安装转向弹片406。所述转向连接件400内部设有容置空间,所述容置空间内放置转向拉钩404,所述转向拉钩404一端设有限位孔404a,所述限位孔404a套设于所述铆接柱403a。Preferably, the steering connector 400 is provided with a groove plate and a steering elastic piece 406 is installed through the groove plate groove. An accommodating space is provided inside the steering connector 400, a steering hook 404 is placed in the accommodating space, one end of the steering hook 404 is provided with a limiting hole 404a, and the limiting hole 404a is sleeved on the riveting column 403a .
较佳的,所述中间连接件405设有上连接片铆接柱405a,通过所述上连接片铆接柱405a连接上转向连接片405b。应当说明的是,在本实施例中,下转向连接片405c与固定连接件403的底端的下铆接柱403b相铆接。Preferably, the middle connecting piece 405 is provided with an upper connecting piece riveting post 405a, and the upper turning connecting piece 405b is connected through the upper connecting piece riveting post 405a. It should be noted that, in this embodiment, the lower steering connecting piece 405c is riveted with the lower riveting post 403b at the bottom end of the fixing connecting member 403.
需要说明的是,转向上连接件401设有上配合凹槽401a,所述转向连接片405b置于所述上配合凹槽401a内,并与所述连接片铆接柱405a连接固定。It should be noted that the upper steering connecting piece 401 is provided with an upper matching groove 401a, and the steering connecting piece 405b is placed in the upper matching groove 401a and connected and fixed with the connecting piece riveting post 405a.
具体安装步骤为:转向上连接件401与中间连接件405相配合,所述转向下连接件402与固定连接件403相配合,固定连接件403的铆接柱403a插入到 中间连接件405上。上转向连接片405b置于上配合凹槽401a内,上转向连接片405b与上连接片铆接柱405a相配合。与之相似的,下转向连接片405c置于转向下连接件402上的下配合凹槽402b内,并与固定连接件403的底端的下铆接柱403b相铆接。The specific installation steps are: the upper steering connecting piece 401 is matched with the middle connecting piece 405, the lower steering connecting piece 402 is matched with the fixed connecting piece 403, and the riveting post 403a of the fixed connecting piece 403 is inserted into the middle connecting piece 405. The upper steering connecting piece 405b is placed in the upper matching groove 401a, and the upper steering connecting piece 405b is matched with the upper connecting piece riveting post 405a. Similarly, the lower steering connecting piece 405c is placed in the lower matching groove 402b on the lower steering connecting piece 402, and is riveted with the lower riveting post 403b at the bottom end of the fixing connecting piece 403.
推刀连接件500,所述转向连接件400将刀具300安装在上缝隙104和下缝隙204之间,所述推刀连接件500包括刀具连接片501,所述刀具300的燕尾槽镶嵌在所述连接片501上。The push-knife connector 500, the steering connector 400 installs the tool 300 between the upper gap 104 and the lower gap 204, the push-knife connector 500 includes a tool connection piece 501, and the dovetail groove of the tool 300 is embedded in the述连接片501上。 Said connecting piece 501.
钉仓盖板600,与下配合件200的底面202焊接,通过钉仓盖板600将下配合件200夹紧在转向连接件600内。The staple cartridge cover 600 is welded to the bottom surface 202 of the lower mating member 200, and the lower mating member 200 is clamped in the steering connector 600 through the staple cartridge cover 600.
转向上连接件401上设有上滑槽401b,转向下连接件402上设有下滑槽402c,刀具连接片501的上半部分卡合在上滑槽401b内,刀具连接片501的下半部分卡合在下滑槽402c内,当转向上连接件401和转向下连接件402配合后,刀具连接片501卡合在上滑槽401b和下滑槽402c内,刀具连接片501沿着上滑槽401b和下滑槽402c在y轴方向做运动,将转向弹片406放置到刀具连接片501的两侧的弹片限位槽401c中,通过转向弹片406对刀具连接片501起到复位作用。转向拉钩404置于转向下连接件402的右侧缝隙中(这里说的右侧是指,在附图中所示位置,相对于x轴方向而言)。在转向下连接件402的末端(所述末端相对于y轴正方向而言)设有滑块槽402a,滑块槽402a内放置弹簧、滑块402a-1和拨片402a-2,滑块402a-1和拨片402a-2相互配合,拨片402a-2相当于保险。且拨片402a-2上设有凸起402a-5与滑块402a-1上的斜槽402a-3相配合,当滑块402a-1沿着图中的y轴方向运动时,带动拨片402a-2做旋转运动。An upper sliding groove 401b is provided on the steering upper connecting piece 401, a lower groove 402c is provided on the steering lower connecting piece 402, the upper half of the tool connecting piece 501 is engaged in the upper sliding groove 401b, and the lower half of the tool connecting piece 501 It is engaged in the lower groove 402c. When the upper steering connecting piece 401 and the lower steering connecting piece 402 are matched, the tool connecting piece 501 is engaged in the upper chute 401b and the lower groove 402c, and the tool connecting piece 501 is along the upper chute 401b The lower groove 402c and the lower groove 402c move in the y-axis direction, and the turning elastic piece 406 is placed in the elastic piece limiting groove 401c on both sides of the tool connecting piece 501, and the tool connecting piece 501 is reset by the turning elastic piece 406. The steering hook 404 is placed in the right gap of the lower steering connector 402 (the right side referred to here refers to the position shown in the figure, relative to the x-axis direction). At the end of the lower turning connector 402 (the end is relative to the positive direction of the y-axis) is provided with a slider groove 402a, and a spring, a slider 402a-1 and a paddle 402a-2 are placed in the slider groove 402a. 402a-1 and paddle 402a-2 cooperate with each other, and paddle 402a-2 is equivalent to insurance. And the paddle 402a-2 is provided with a protrusion 402a-5 that cooperates with the oblique groove 402a-3 on the slider 402a-1. When the slider 402a-1 moves along the y-axis direction in the figure, the paddle is driven 402a-2 does a rotating movement.
应当说明的是,拨片402a-2为环形原片,其一端设有定位凸起402a-4,在初始状态下,定位凸起402a-4与刀具连接片501上的限位卡槽501a相配合。当滑块402a-1沿着y轴负方向运动后,使得拨片402a-2做旋转运动,此时定位凸起402a-4与限位卡槽501a脱离配合,刀具连接片501可以向前运动。It should be noted that the paddle 402a-2 is a ring-shaped original piece, one end of which is provided with a positioning protrusion 402a-4. In the initial state, the positioning protrusion 402a-4 is opposite to the limiting card slot 501a on the tool connecting piece 501. Cooperate. When the slider 402a-1 moves in the negative direction of the y-axis, the paddle 402a-2 is rotated. At this time, the positioning protrusion 402a-4 disengages from the limit slot 501a, and the tool connecting piece 501 can move forward .
较佳的,在固定组件的外侧设有套管407,通过套管407对整体进行固定整合。Preferably, a sleeve 407 is provided on the outer side of the fixing assembly, and the whole is fixed and integrated through the sleeve 407.
枪身700和枪身连接组件800,所述枪身连接组件800一端与所述枪身700相连接,另一端与固定组件相连接。A gun body 700 and a gun body connection assembly 800, one end of the gun body connection assembly 800 is connected with the gun body 700, and the other end is connected with a fixing assembly.
枪身连接组件800包括枪身套管801、枪身塑管802、推动块803、转向调节杆804、推刀杆805、簧板806、推动片807、保险块808、密封圈809、连接套后盖和小套管。枪身塑管802的左侧设有保险块808,枪身塑管802的右侧设有转向调节杆804,中间穿有推刀杆805。枪身塑管802的上圆周面设有推动块803的安装槽,推动块803的前面顶着推动片807,后面顶着小套管。枪身塑管802的下圆周面安装簧板806,簧板806前端和保险块808连接,保险块808和转向调节杆804分别插入密封圈809中,连接套后盖套在枪身塑管802的尾部。The gun body connection assembly 800 includes a gun body sleeve 801, a gun body plastic tube 802, a push block 803, a steering adjustment rod 804, a push rod 805, a spring plate 806, a push piece 807, a safety block 808, a sealing ring 809, and a connecting sleeve Back cover and small casing. The left side of the gun body plastic tube 802 is provided with a safety block 808, the right side of the gun body plastic tube 802 is provided with a steering adjustment rod 804, and a pusher rod 805 is penetrated in the middle. The upper circumferential surface of the plastic tube 802 of the gun body is provided with a mounting groove for the pushing block 803. The front of the pushing block 803 is pressed against the pushing piece 807, and the back is pressed against the small sleeve. A spring plate 806 is installed on the lower circumference of the gun body plastic tube 802. The front end of the spring plate 806 is connected with a safety block 808. The safety block 808 and the steering adjustment rod 804 are respectively inserted into the sealing ring 809. The rear cover of the connecting sleeve is sleeved on the gun body plastic tube 802 The tail.
应说明的是,以上实施例仅用以说明本发明的技术方案而非限制,尽管参照较佳实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,可以对本发明的技术方案进行修改或者等同替换,而不脱离本发明技术方案的精神和范围,其均应涵盖在本发明的权利要求范围当中。It should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention and not to limit them. Although the present invention has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the technical solutions of the present invention can be carried out. Modifications or equivalent replacements without departing from the spirit and scope of the technical solutions of the present invention should be covered by the scope of the claims of the present invention.

Claims (9)

  1. 一种吻合器的切缝组件,其特征在于:包括:A slitting assembly of a stapler, which is characterized in that it comprises:
    上配合件(100),分为上配合面(101)和顶面(102),自所述上配合面(101)向所述顶面(102)凹陷形成抵钉座(103),所述抵钉座(103)为4行;The upper mating member (100) is divided into an upper mating surface (101) and a top surface (102). The upper mating surface (101) is recessed toward the top surface (102) to form a nail abutting seat (103). The nail seat (103) has 4 rows;
    下配合件(200),其一端与所述上配合件(100)的一端相铰接,包括下配合面(201)和底面(202),自所述下配合面(201)向所述底面(202)凹陷形成钉仓(203),所述钉仓(203)为4行,第二行钉仓(203b)和第三行钉仓(203c)关于中心轴对称,第一行钉仓(203a)和第四行钉仓(203d)关于中心轴对称,所述第一行钉仓(203a)和所述第二行钉仓(203b)不对称;The lower matching piece (200), one end of which is hingedly connected to one end of the upper matching piece (100), includes a lower matching surface (201) and a bottom surface (202), from the lower matching surface (201) to the bottom surface ( 202) is recessed to form a staple cartridge (203), the staple cartridges (203) are 4 rows, the second row of staple cartridges (203b) and the third row of staple cartridges (203c) are symmetrical about the central axis, and the first row of staple cartridges (203a) ) And the fourth row of staple cartridges (203d) are symmetrical about the central axis, and the first row of staple cartridges (203a) and the second row of staple cartridges (203b) are asymmetrical;
    其中,所述上配合件(100)和下配合件(200)均采用金属材质;Wherein, the upper matching piece (100) and the lower matching piece (200) are made of metal materials;
    其中,所述切缝组件的直径为10mm。Wherein, the diameter of the slitting component is 10 mm.
  2. 根据权利要求1吻合器的切组件缝,其特征在于:所述上配合件(100)和下配合件(200)采用粉末冶金的工艺成型。The slitting assembly of the stapler according to claim 1, characterized in that: the upper fitting piece (100) and the lower fitting piece (200) are formed by powder metallurgy technology.
  3. 根据权利要求1或2吻合器的切缝组件,其特征在于:所述上配合件(100)的中心轴上设有上缝隙(104),所述下配合件(200)上设有下缝隙(204),所述上缝隙(104)和所述下缝隙(204)在一条直线上;The slitting assembly of the stapler according to claim 1 or 2, characterized in that: the central axis of the upper matching member (100) is provided with an upper slit (104), and the lower matching member (200) is provided with a lower slit (204), the upper gap (104) and the lower gap (204) are in a straight line;
    还包括刀具(300),所述刀具(300)包括上挡板(301)、下挡板(302)和刀片(303),所述刀片(303)分别穿过所述上缝隙(104)和所述下缝隙(204),所述上挡板(301)与所述上缝隙(104)限位,所述下挡板(302)与所述下缝隙(204)限位。It also includes a cutter (300). The cutter (300) includes an upper baffle (301), a lower baffle (302), and a blade (303). The blade (303) passes through the upper gap (104) and The lower gap (204) is restricted by the upper baffle (301) and the upper gap (104), and the lower baffle (302) is restricted by the lower gap (204).
  4. 根据权利要求3吻合器的切缝组件,其特征在于:所述下配合件(200)还包括推钉滑块(205)和推钉片(207),所述推钉滑块(205)呈山字形,包括第一驱动块(205a)、第二驱动块(205b)和第三驱动块(205c),所述第二驱动块(205b)沿着所述下缝隙(204)线性运动;The slitting assembly of the stapler according to claim 3, characterized in that: the lower mating member (200) further comprises a nail pusher slider (205) and a nail pusher piece (207), and the nail pusher slider (205) is in the shape of The chevron shape includes a first driving block (205a), a second driving block (205b) and a third driving block (205c), the second driving block (205b) moves linearly along the lower gap (204);
    所述下配合件(200)自底面(202)向下配合面(201)方向凹陷形成导向槽(206),所述导向槽(206)区分为第一导向配合槽(206a)和第二导向配合槽(206b),所述第一导向配合槽(206a)设于第三行钉仓(203c)和第四行钉仓(203d)之间,所述第二导向配合槽(206b)设于第一行钉仓(203a)和第二行钉仓(203b)之间;The lower mating member (200) is recessed from the bottom surface (202) toward the lower mating surface (201) to form a guide groove (206), and the guide groove (206) is divided into a first guide mating groove (206a) and a second guide Matching grooves (206b), the first guiding matching grooves (206a) are provided between the third row of staple cartridges (203c) and the fourth row of staple cartridges (203d), and the second guiding matching slots (206b) are provided Between the first row of staple warehouses (203a) and the second row of staple warehouses (203b);
    其中,所述第一驱动块(205a)与所述第一导向配合槽(206a)配合,所述第三驱动块(205c)与第二导向配合槽(206b)配合;Wherein, the first driving block (205a) is matched with the first guide fitting groove (206a), and the third driving block (205c) is matched with the second guide fitting groove (206b);
    其中,所述导向槽(206)与所述钉仓(203)相连通。Wherein, the guide groove (206) is communicated with the staple cartridge (203).
  5. 根据权利要求4吻合器的切缝组件,其特征在于:所述上配合件(100)还包括抵钉座盖板,所述抵钉座盖板和顶面(102)通过激光相焊接。The slitting assembly of the stapler according to claim 4, characterized in that the upper matching member (100) further comprises a nail seat cover plate, and the nail seat cover plate and the top surface (102) are welded by laser.
  6. 一种吻合器的固定组件,其特征在于:包括,A fixed component of an anastomat, which is characterized in that it comprises:
    转向连接件(400),包括转向上连接件(401)、转向下连接件(402)、固定连接件(403)和中间连接件(405),所述转向上连接件(401)与中间连接件(405)相配合,所述转向下连接件(402)与所述固定连接件(403)相配合,所述固定连接件(403)两侧设有一体式铆接柱(403a),所述一体式铆接柱(403a)与所述中间连接件(405)连接,所述中间连接件(405)上设有切缝组件安装孔,通过销轴铰接于下配合件(200);Steering connecting piece (400), including steering upper connecting piece (401), steering down connecting piece (402), fixed connecting piece (403) and intermediate connecting piece (405), said steering upper connecting piece (401) is connected to the middle (405), the downward steering connection (402) and the fixed connection (403) are matched, the fixed connection (403) is provided with integrated riveting posts (403a) on both sides, the The integrated riveting column (403a) is connected to the intermediate connecting piece (405), and the intermediate connecting piece (405) is provided with a slitting assembly installation hole, which is hinged to the lower matching piece (200) through a pin shaft;
    推刀连接件(500),所述转向连接件(400)将刀具(300)安装在上缝隙(104)和下缝隙(204)之间,所述推刀连接件(500)包括刀具连接片(501),所述刀具(300)的燕尾槽镶嵌在所述连接片(501)上。The push-knife connector (500), the steering connector (400) installs the tool (300) between the upper gap (104) and the lower gap (204), and the push-knife connector (500) includes a tool connection piece (501), the dovetail groove of the cutter (300) is inlaid on the connecting piece (501).
  7. 根据权利要求6所述的吻合器的固定组件,其特征在于:所述转向连接件(400)内部设有沟板槽,通过所述沟板槽安装转向弹片(406);The stapler fixing assembly according to claim 6, characterized in that: the steering connector (400) is provided with a groove plate inside, and the steering elastic piece (406) is installed through the groove plate groove;
    所述转向连接件(400)内部设有容置空间,所述容置空间内放置转向拉钩(404),所述转向拉钩(404)一端设有限位孔(404a),所述限位孔(404a)套设于所述一体式铆接柱(403a);The steering connector (400) is provided with an accommodating space inside, and a steering pull hook (404) is placed in the accommodating space. One end of the steering pull hook (404) is provided with a limiting hole (404a), and the limiting hole ( 404a) sleeved on the integrated riveting post (403a);
    所述中间连接件(405)设有上连接片铆接柱(405a),通过所述上连接片铆接柱(405a)连接上转向连接片(405b);The middle connecting piece (405) is provided with an upper connecting piece riveting post (405a), and the upper steering connecting piece (405b) is connected through the upper connecting piece riveting post (405a);
    下转向连接片(405c)与固定连接件(403)的底端的下铆接柱(403b)相铆接。The lower steering connecting piece (405c) is riveted with the lower riveting post (403b) at the bottom end of the fixing connecting piece (403).
  8. 根据权利要求7所述的吻合器的固定组件,其特征在于:还包括钉仓盖板(600),与下配合件(200)的底面(202)焊接,通过钉仓盖板(600)将下配合件(200)夹紧在转向连接件(400)内。The stapler fixing assembly according to claim 7, characterized in that it further comprises a staple cartridge cover plate (600), which is welded to the bottom surface (202) of the lower mating member (200), and the staple cartridge cover plate (600) is used for welding The lower matching piece (200) is clamped in the steering connection piece (400).
  9. 一种吻合器,包括如权利要求5所述的切缝组件和如权利要求8所述的固定组件,其特征在于:还包括,枪身(700)和枪身连接组件(800),所述枪身连接组件(800)一端与所述枪身(700)相连接,另一端与固定组件相连接。A stapler, comprising the slitting assembly according to claim 5 and the fixing assembly according to claim 8, characterized in that it further comprises a gun body (700) and a gun body connecting assembly (800), said One end of the gun body connection assembly (800) is connected with the gun body (700), and the other end is connected with the fixing assembly.
PCT/CN2019/124961 2019-11-05 2019-12-13 Anastomat and cutting and suturing assembly and fixing assembly thereof WO2021088204A1 (en)

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