WO2023029842A1 - Skin stapler convenient to operate - Google Patents

Skin stapler convenient to operate Download PDF

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Publication number
WO2023029842A1
WO2023029842A1 PCT/CN2022/108890 CN2022108890W WO2023029842A1 WO 2023029842 A1 WO2023029842 A1 WO 2023029842A1 CN 2022108890 W CN2022108890 W CN 2022108890W WO 2023029842 A1 WO2023029842 A1 WO 2023029842A1
Authority
WO
WIPO (PCT)
Prior art keywords
teeth
clamping
occlusal
clip
staple
Prior art date
Application number
PCT/CN2022/108890
Other languages
French (fr)
Chinese (zh)
Inventor
何晓东
葛振东
吴旺键
韩伟强
吴兴
Original Assignee
浙江微度医疗器械有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 浙江微度医疗器械有限公司 filed Critical 浙江微度医疗器械有限公司
Publication of WO2023029842A1 publication Critical patent/WO2023029842A1/en

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Classifications

    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • 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
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081Tissue approximator

Definitions

  • the invention relates to an easy-to-operate skin stapler, which belongs to the technical field of medical instruments.
  • a skin stapler is a device that inserts staples into both sides of a skin wound to suture the skin.
  • the skin stapler occludes the skin on both sides of the wound with the tooth plate that comes with the instrument, and the staple pushing device pushes the staples out of the staple cartridge, and sutures the wound epidermis in a direction parallel to the inner surface of the wound.
  • auxiliary instruments such as tweezers to lift the epidermal tissue on both sides of the wound to be sutured, so that the tooth plate can successfully bite the skin on both sides of the wound.
  • the existing Chinese patent number is 201520318196.9, and the patent name is a patent for a subcutaneous stapler with absorbable staples, which discloses a subcutaneous stapler with absorbable staples, including a housing, a staple pushing device, a transmission device, a staple cartridge and a staple output device
  • a subcutaneous stapler with absorbable staples including a housing, a staple pushing device, a transmission device, a staple cartridge and a staple output device
  • suture staples its beneficial effect is that the suture staples can be pushed out along the direction parallel to the surface of the sutured wound, and sutured under the skin epidermis, that is, the dermis is sutured, avoiding damage to the skin epidermis, and beautifying the healed wound .
  • the purpose of the present invention is to provide an easy-to-operate skin stapler, which solves the need to use tissue forceps to lift the epidermal tissue on both sides of the wound to be sutured before each suturing in the prior art, and then embed the stapler head into it.
  • the operation is cumbersome, which increases the workload of the operator and the difficulty of the operation, and affects the efficiency of suturing and other issues.
  • an easy-to-operate skin stapler comprising a stapler body, the bottom of the stapler body is provided with a nail pushing device, and the nail pushing device includes a front and rear extending The sliding sleeve and the sliding needle slidingly fitted in the sliding sleeve, the bottom of the front end of the stapler body is formed with a sewing area located at the front side of the extension end of the sliding sleeve, and the bottom of the stapler body is symmetrically installed with a
  • the two clamping protrusions are formed on the opposite inner ends of the two occlusal discs at opposite sides of the stitching area and two gathering protrusions are located at the front
  • the operator when suturing for the first time, the operator first uses tissue tweezers to lift the epidermal tissue on both sides of the wound to be sutured, embeds the head end of the stapler in the wound to be sutured, and keeps the staples in the stapler.
  • the push-out direction is parallel to the surface of the sutured tissue, and then the two occlusal tooth discs are controlled to rotate around their roots to switch from the open state to the closed state.
  • the two clamping protrusions cooperate with each other to clamp the upper suture
  • the epidermal tissue on both sides of the nail part and send the subcutaneous dermal tissue to be sutured into the suturing area, and then control the sliding needle to move along the sliding sleeve to push the staples in the sliding sleeve in a direction parallel to the surface of the wound to be sutured, and Suture the subcutaneous layer of the wound to be sutured horizontally, lift the stapler vertically from the wound after suturing, and complete the first suture; when performing subsequent sutures, directly bury the head of the stapler in the wound to be sutured And adjust it to a suitable position, and then control the two occlusal tooth discs to rotate around their roots to switch from the open state to the closed state.
  • the two gathered protrusions cooperate with each other to clamp the upper staple part
  • the epidermal tissue on both sides of the upper suture part can be brought together, so that the two clamping protrusions can clamp the epidermal tissue on both sides of the upper suture part through the cooperation of the two clamping protrusions, and the subcutaneous dermal tissue to be sutured Send it into the suture area, and then control the sliding needle to push out to complete one suture.
  • the suture position will form a bulge after the first suture, the protrusions will be gathered together during the subsequent suture.
  • the device of the present invention only needs to use auxiliary instruments such as tweezers to clamp the first suture, and the subsequent suture operation is convenient, which can greatly reduce the work of the operator.
  • the amount and difficulty of operation can be improved at the same time, and the efficiency of suturing can be improved, and the operation time can be shortened.
  • the two epidermal tissues on both sides of the wound can be clamped by the clamping protrusion and the gathering protrusion, which can effectively prevent the wound from slipping during occlusal. At the same time, it can Ensure the regularity of the wound after suturing, which is conducive to wound healing.
  • the protrusion distance of the gathering protrusion relative to the inner end surface of the articulation tooth plate is greater than the distance of the clamping protrusion protrusion relative to the inner end surface of the articulation tooth plate.
  • the two gathering protrusions can clamp the epidermal tissue on both sides of the front side of the upper staple part first, so as to ensure that the epidermal tissue on both sides of the upper staple part can be gathered first, and then clamp the protrusions to achieve alignment Accurate clamping of the epidermal tissue on both sides of the staple portion.
  • a plurality of occlusal teeth are formed on the surfaces of each of the clamping protrusions and the gathering protrusions, and the plurality of occlusal teeth are evenly spaced, and the occlusal teeth include a set of occlusal teeth set at the thickness of the occlusal tooth plate. There are two rows of high teeth at both ends of the direction and multiple rows of low teeth between the two rows of high teeth.
  • the surface of the clamping protrusion is also formed with a plurality of anti-slip teeth located on the rear side of the occlusal teeth. The anti-skid teeth are evenly spaced.
  • a plurality of occlusal teeth are formed on the surface of each clamping protrusion and gathering protrusion, and the plurality of occlusal teeth are evenly spaced. There are multiple rows of low teeth between the rows of high teeth, and the surface of the clamping protrusions is also formed with multiple anti-slip teeth located on the back side of the occlusal teeth.
  • the anti-slip teeth can contact the skin on the back side of the clamping part, because when the suture needle enters the skin from the back side, there will be a squeeze on the skin. Therefore, it can prevent the skin from slipping when the staples enter the skin, so that the staples can enter the skin smoothly for suturing.
  • the anti-slip teeth can also play a certain anti-slip effect when sliding and squeezing occur.
  • two rows of high teeth are arranged parallel to each other, wherein each of the high teeth is arranged at a distance from each other, and multiple rows of the low teeth are arranged at intervals and parallel to each other, wherein each of the low teeth is arranged at a distance from each other.
  • each high tooth is spaced apart from each other
  • multiple rows of low teeth are spaced apart and parallel to each other, wherein each low tooth is spaced apart from each other, so that when the surrounding epidermal tissue is clamped by the high teeth
  • the extrusion force on the epidermal tissue between the two rows of high teeth is relatively uniform, and the deformation of this part of the epidermal tissue is also relatively uniform, so as to clamp this part of the epidermal tissue stably.
  • part of the epidermal tissue when the epidermal tissue is squeezed and deformed, part of the epidermal tissue will Sliding into the gap formed by the high teeth can effectively prevent the skin from sliding, so that the suture operation can be performed, so that when the epidermal tissue of the upper suturing nail is clamped by the low teeth, the extrusion force on this part of the epidermal tissue is relatively uniform, and the resulting The deformation is also relatively uniform, so that this part of the tissue can be sutured, and at the same time, the aesthetics of the wound after suturing can be guaranteed.
  • part of the epidermal tissue when the skin is squeezed and deformed, part of the epidermal tissue will slide into the gap formed by the lower teeth, which can effectively prevent the skin from sliding, making The wound was neat after suturing.
  • an arc-shaped groove is formed between the clamping protrusion and the gathering protrusion on the same occlusal tooth plate.
  • a space for the surrounding skin tissue to slide can be provided during occlusal, which can prevent the surrounding skin tissue from being greatly deformed , to avoid affecting the aesthetics of the wound after suturing.
  • the stapler body is provided with a staple storage device located above the nail pushing device, and the staple storage device includes a staple cartridge fixed directly above the front end of the sliding sleeve with an opening at the bottom.
  • a clip cartridge penetrating up and down and used for storing staples is detachably fixed, and the clip cartridge can be taken out from the bottom opening of the staple cartridge.
  • the stapler body is provided with a staple storage device located above the nail pushing device.
  • the staple storage device includes a staple magazine fixed directly above the front end of the sliding sleeve and with an open bottom.
  • the clip bin of the staple bin, the clip bin can be taken out from the bottom opening of the staple bin, so that after the staples in the clip bin are used up, the clip bin can be taken out from the bottom opening of the staple bin, and then new sutures can be put into the clip bin Nails can ensure the repeated use of the stapler.
  • a push button is provided on the front surface of the stapler body, the rear end of the push button is fixed with push pieces that pass through the stapler body and the staple cartridge housing in turn, and the stapler body and the The casing of the staple cartridge is provided with a limit groove for the push piece to move up and down. end slip fit.
  • a push-out button is provided on the front surface of the stapler body, and the rear end of the push-out button is fixed with push pieces that pass through the stapler body and the staple cartridge shell in turn, and the stapler body and the staple cartridge shells are provided with push pieces
  • the limit groove that moves up and down, the cross-sectional shape of the limit groove is rectangular, the two opposite side walls of the limit groove slide and cooperate with the two ends of the push piece, so that when the push button is pushed down, the push piece can be driven downward at the same time, The moving direction of the push piece can be guided by the sliding fit between the push piece and the limiting groove, and at the same time, the distance of the push piece moving up and down can be limited by the limiting groove, thereby limiting the distance of the push button moving up and down.
  • connection groove is formed on the outer surface of the clip, openings are formed on the top of the connection groove and on the side corresponding to the push piece, and an inclined clamping part is formed on the bottom of the connection groove, so The end of the push piece is bent downwards to form an elastic part that movably cooperates with the clamping part, the bottom end of the elastic part is set in a semi-cylindrical shape, and the connecting groove is formed above the clamping part for As for the guide part that deforms the elastic part, the rear side of the bottom end of the elastic part is located at the front side of the top end of the guide part in a natural state.
  • a connection groove is formed on the outer surface of the clip, openings are provided on the top of the connection groove and on the side corresponding to the push piece, an inclined clamping portion is formed on the bottom of the connection groove, and the end of the push piece is bent downward to form a
  • the elastic part that is movably matched with the clamping part.
  • the bottom end of the elastic part is set in a semi-cylindrical shape.
  • the connecting groove is formed with a guide part that is located above the clamping part and is used to deform the elastic part.
  • the clamping part and the elastic part can simultaneously push the clip cartridge down to move the same distance, so that the bottom end of the clip cartridge can be moved from the staple cartridge
  • the opening at the bottom protrudes so that the operator can take out the staple cartridge from the cartridge and put it into a new suture needle.
  • a lateral force can be applied to the cartridge, which can improve the clip cartridge.
  • the cartridge moves upward from the bottom of the staple cartridge, and the elastic part can be deformed by the guide part and slide into the clamping part Cooperating with it, at the same time, the staple cartridge will not interfere with the elastic part when it moves upwards.
  • the push piece can be pushed back to the top dead center position, thereby driving the push button to reset to the top dead center position, so that the staple cartridge can be pushed out next time.
  • the clip strips have elastic recovery characteristics
  • the inner surface of the staple cartridge is formed with a clip slot that movably cooperates with the clip strips.
  • the surface profile of the bar is U-shaped, and the locking groove is set as a semi-cylindrical shape matching the arc portion of the bar.
  • the inner surface of the staple magazine is formed with a clamping groove that cooperates with the clamping strips.
  • the surface profile of the clamping strips is U-shaped, and the clamping grooves are set It is a semi-cylindrical shape matched with the arc part of the clip, so that when the clip cartridge is installed in the staple cartridge, the axial limit of the clip cartridge can be realized through the movable cooperation between the clip clip and the clip groove, so that the clip cartridge can be stabilized
  • the clamp strip can be deformed under the action of external force so that the clamp cartridge can move axially relative to the staple cartridge, so that the clamp cartridge can be taken out from the staple cartridge, and the distance between the clamp strip and the slot The fit will not be too tight, so that the clip cartridge and the staple cartridge can move axially after being subjected to an external force while ensuring relative fixation.
  • the stapler body is provided with a staple output device directly above the staple storage device, and the staple output device is used to push out the staples in the clip from the bottom opening of the clip Into the sliding sleeve, the nail output device includes a positioning belt that can move along the axial direction of the clip, one end of the positioning belt extends into the clip and is connected to the uppermost suture in the clip. Nails offset.
  • a staple output device located directly above the staple storage device is provided in the stapler body.
  • the staple output device is used to press out the staples in the clip from the bottom opening of the clip into the sliding sleeve.
  • the staple output device includes a The positioning belt for the axial movement of the clip bin, one end of the positioning band extends into the clip bin and is offset against the uppermost staple in the clip bin, so that the lowermost staple in the clip bin can be moved by controlling the axial movement of the positioning band along the clip bin The staples are pressed into the sleeve to be pushed out by the sliding needle for suturing.
  • the device of the present invention only needs to be clamped by auxiliary instruments such as tweezers during the first suture, and the subsequent suture operation is convenient, which can greatly reduce the workload of the operator and the difficulty of operation, and can improve the efficiency of suture at the same time, shorten the operation time.
  • auxiliary instruments such as tweezers
  • Fig. 1 is a schematic diagram of the three-dimensional structure of the present invention.
  • Fig. 2 is a partial bottom view structure diagram of the present invention.
  • Fig. 3 is an enlarged schematic diagram of the structure at A in Fig. 2 of the present invention.
  • Fig. 4 is a schematic diagram of the structure of the occlusal disc in the present invention when it is opened.
  • Fig. 5 is a structural schematic view of the occlusal disc of the present invention when it is closed.
  • Fig. 6 is a schematic diagram of part of the internal structure of the stapler body in the present invention.
  • Fig. 7 is a schematic diagram of the connection structure between the staple cartridge and the clip cartridge in the present invention.
  • Fig. 8 is a three-dimensional schematic diagram of the push button in the present invention.
  • Fig. 9 is a schematic perspective view of the three-dimensional structure of the staple cartridge in the present invention.
  • Fig. 10 is a schematic perspective view of the three-dimensional structure of the magazine in the present invention.
  • Fig. 11 is a schematic diagram of the connection structure between the push piece and the connection groove in the present invention.
  • a skin stapler that is easy to operate according to the present invention includes a stapler body 1, and a nail pushing device 2 is provided at the bottom of the stapler body 1, and the nail pushing device 2 includes a slide extending forward and backward.
  • the sleeve 3 and the sliding needle 4 are slidably fitted in the sliding sleeve 3.
  • the sliding sleeve 3 is slidably installed on the bottom of the stapler body 1 so that the sliding sleeve 3 can move along its extension direction. 3.
  • the bottom of the stapler body 1 is symmetrically installed with two occlusal discs 6 located on both sides perpendicular to the extension direction of the sliding sleeve 3.
  • the roots of the two occlusal discs 6 are respectively connected to the stapler body 1.
  • the rotation support is formed so that the two occlusal chainrings 6 can be opened and closed centered on their roots. When they are opened, the two occlusal chainrings 6 form a right angle. When they are closed, the lower surfaces of the two occlusal chainrings 6 are on the same horizontal plane.
  • Two clamping projections 7 positioned at the opposite sides of the stitching area 5 and two gathering projections 8 positioned at the front side of the two clamping projections 7 are formed at the opposite inner ends of each occlusal tooth plate 6, and the gathering projections 8 are opposite to each other.
  • the protrusion distance of the inner end surface of the occlusal tooth plate 6 is greater than the protrusion distance of the clamping protrusion 7 relative to the inner end surface of the occlusal tooth plate 6 .
  • an arc-shaped groove 13 is formed between the clamping protrusion 7 and the gathering protrusion 8 on the same occlusal tooth plate 6, and each clamping protrusion 7 and gathering protrusion
  • the surface of 8 is formed with a plurality of occlusal teeth 9, and the plurality of occlusal teeth 9 are evenly distributed.
  • the occlusal teeth 9 include two rows of high teeth 10 located at both ends of the occlusal tooth plate 6 in the thickness direction and between the two rows of high teeth 10. There are many rows of low teeth 11, and the surface of the clamping protrusion 7 is also formed with a plurality of anti-skid teeth 12 positioned at the rear side of the bite teeth 9.
  • the plurality of anti-skid teeth 12 are evenly spaced, and two rows of high teeth 10 are arranged parallel to each other. Two high teeth 10 are arranged at intervals from each other. The cross-sectional shape of the high teeth 10 is trapezoidal. Multiple rows of low teeth 11 are arranged at intervals and parallel to each other. Each of the low teeth 11 is arranged at intervals. The height is twice of the low teeth 11 heights.
  • the stapler body 1 is provided with a nail storage device 14 located above the nail pushing device 2.
  • the staple bin 15 is detachably fixed with a clip bin 16 that penetrates up and down and is used to store staples.
  • the clip bin 16 can be taken out from the bottom opening of the staple bin 15.
  • the outer surface of the clip bin 16 is fixed with two opposite The clip 24 provided, the clip 24 has elastic recovery characteristics, the inner surface of the staple bin 15 is formed with a clip groove 25 that is movably matched with the clip 24, the surface profile of the clip 24 is U-shaped, and the clip 25 is arranged to be connected with the clip.
  • the arc part of 24 fits into a semi-cylindrical shape.
  • the stapler body 1 is provided with a staple output device 26 directly above the staple storage device 14.
  • the staple output device 26 is used to remove the staples in the clip bin 16 from the bottom of the clip bin 16.
  • the opening is pressed out into the sliding sleeve 3, and the nail ejecting device 26 includes a positioning belt 27 that can move along the axial direction of the clip bin 16.
  • One end of the positioning strap 27 extends into the clip bin 16 and is opposed to the uppermost staple in the clip bin 16. .
  • the front side surface of the stapler body 1 is provided with a push-out button 17, and the rear end of the push-out button 17 is fixed with a push piece 18 which passes through the stapler body 1 and the shell of the staple bin 15 in sequence.
  • the housings of the stapler body 1 and the staple cartridge 15 are all provided with a limit groove 19 for the push piece 18 to move up and down, the cross-sectional shape of the limit groove 19 is rectangular, and the two side walls of the limit groove 19 are opposite to the push piece. 18 Slip fit at both ends.
  • the outer surface of the clip bin 16 is formed with a connecting groove 20, the top of the connecting groove 20 and the side corresponding to the push piece 18 are provided with openings, and the bottom of the connecting groove 20 is formed with an inclined locking part 21, the end of the push piece 18 is bent downwards to form an elastic part 22 that movably cooperates with the clamping part 21.
  • the guide part 23 for deforming the elastic part 22 , the rear side of the bottom end of the elastic part 22 is located at the front side of the top end of the guide part 23 in a natural state.
  • the operator when suturing for the first time, the operator first lifts the epidermal tissue on both sides of the wound to be sutured with tissue tweezers, embeds the head end of the stapler in the wound to be sutured, and keeps the staples in the stapler
  • the push-out direction is parallel to the surface of the sutured tissue, and then the two occlusal tooth discs 6 are controlled to rotate around their roots to switch from the open state to the closed state.
  • the two clamping protrusions 7 cooperate with each other to clamp Tighten the epidermal tissue on both sides of the staple part, and send the subcutaneous dermis tissue to be sutured into the suturing area 5, and then control the sliding needle 4 to move along the sliding sleeve 3 to move the staples in the sliding sleeve 3 along the direction parallel to the suture area. Push out in the direction of the wound surface, and suture the subcutaneous layer of the wound to be sutured horizontally.
  • the two gathering protrusions 8 Cooperate with each other to clamp the epidermal tissue on both sides of the front side of the upper staple part, and at the same time, the epidermal tissue on both sides of the upper staple part can be gathered together, so that the epidermis on both sides of the upper staple part can be clamped by the mutual cooperation of the two clamping protrusions 7 tissue, and send the subcutaneous dermal tissue to be sutured into the suture area, and then control the sliding needle 4 to push out to complete a suture, repeat the above operation, and then complete the subsequent suture; when the staples in the clip compartment 16 are used up, operate The personnel pushes the sliding sleeve 3 to move to the rear side, and then pushes the ejection button 17 downward to push the clip bin 16 to move down a certain distance through the push piece 18, so that the bottom end of the clip bin 16 protrudes from the bottom opening of the staple bin 15 , and then the operator can clamp the bottom end of the clip bin 16 with tweezers
  • the device of the present invention only needs to be clamped by auxiliary instruments such as tweezers during the first suture, and the subsequent suture operation is convenient, which can greatly reduce the workload of the operator and the difficulty of operation, and at the same time can improve the efficiency of suture and shorten the operation time .

Abstract

The invention relates to a skin stapler convenient to operate, belonging to the technical field of medical instruments, and comprising a stapler body. Two meshing tooth discs are symmetrically mounted at the bottom of the stapler body, and are positioned on the two sides of the stapler body in a direction perpendicular to the extending direction of a sliding sleeve. The root parts of the two meshing tooth discs respectively form a rotatable support with the stapler body, such that the two meshing tooth discs are capable of opening and closing actions centered at the root parts. At the opposite inner ends of the two meshing tooth discs, two clamping protrusions are formed on two opposite sides of a suturing area, and two gathering protrusions are formed on the front side of the two clamping protrusions. The device in the present invention only needs to use auxiliary clamping instruments such as tweezers during the first suturing, is convenient for subsequent suturing and operation, can greatly reduce the workload and operation difficulty of operators, and can also improve the efficiency of suturing and shorten the operation time.

Description

一种便于操作的皮肤吻合器An easy-to-operate skin stapler 技术领域technical field
本发明涉及一种便于操作的皮肤吻合器,属于医疗器械技术领域。The invention relates to an easy-to-operate skin stapler, which belongs to the technical field of medical instruments.
背景技术Background technique
皮肤吻合器是一种将缝合钉嵌入皮肤伤口两侧起到缝合皮肤效果的装置。皮肤吻合器用器械自带的牙盘咬合伤口两侧皮肤,推钉装置将缝合钉从钉仓推出,沿着平行与伤口内表面的方向缝合伤口表皮。现有的皮肤吻合器使用前需要先使用镊子等辅助器械提起待缝合伤口两边的表皮组织,以便牙盘能够成功咬合伤口两侧皮肤。现有中国专利号为201520318196.9,专利名称为一种可吸收钉皮下缝合器的专利,公开了一种可吸收钉皮下缝合器,包括壳体、推钉装置、传动装置、钉仓和出钉装置以及缝合钉,其有益效果是能沿平行于被缝合伤口表面的方向将缝合钉推出,并缝合在皮肤表皮之下,即对真皮层进行缝合,避免伤及皮肤表皮组织,美化愈合后的伤口。但其还存在以下缺点:每进行一次缝合之前都需要先用组织镊提起待缝合伤口两边的表皮组织,再将缝合器头端埋入待缝合的伤口内,操作繁琐,使得操作人员的工作量和操作的难度增加,同时影响缝合的效率等问题。A skin stapler is a device that inserts staples into both sides of a skin wound to suture the skin. The skin stapler occludes the skin on both sides of the wound with the tooth plate that comes with the instrument, and the staple pushing device pushes the staples out of the staple cartridge, and sutures the wound epidermis in a direction parallel to the inner surface of the wound. Before using the existing skin stapler, it is necessary to use auxiliary instruments such as tweezers to lift the epidermal tissue on both sides of the wound to be sutured, so that the tooth plate can successfully bite the skin on both sides of the wound. The existing Chinese patent number is 201520318196.9, and the patent name is a patent for a subcutaneous stapler with absorbable staples, which discloses a subcutaneous stapler with absorbable staples, including a housing, a staple pushing device, a transmission device, a staple cartridge and a staple output device As well as suture staples, its beneficial effect is that the suture staples can be pushed out along the direction parallel to the surface of the sutured wound, and sutured under the skin epidermis, that is, the dermis is sutured, avoiding damage to the skin epidermis, and beautifying the healed wound . But it also has the following disadvantages: before each suture, it is necessary to use tissue forceps to lift the epidermal tissue on both sides of the wound to be sutured, and then bury the head end of the stapler in the wound to be sutured. The operation is cumbersome and makes the workload of the operator And the difficulty of operation increases, affects the problems such as the efficiency of stitching at the same time.
技术问题technical problem
本发明目的在于提供一种便于操作的皮肤吻合器,解决了现有技术中存在的每进行一次缝合之前都需要先用组织镊提起待缝合伤口两边的表皮组织,再将缝合器头端埋入待缝合的伤口内,操作繁琐,使得操作人员的工作量和操作的难度增加,同时影响缝合的效率等问题。The purpose of the present invention is to provide an easy-to-operate skin stapler, which solves the need to use tissue forceps to lift the epidermal tissue on both sides of the wound to be sutured before each suturing in the prior art, and then embed the stapler head into it. In the wound to be sutured, the operation is cumbersome, which increases the workload of the operator and the difficulty of the operation, and affects the efficiency of suturing and other issues.
技术解决方案technical solution
本发明的上述技术目的主要是通过以下技术方案解决的:一种便于操作的皮肤吻合器,包括吻合器本体,所述吻合器本体底部设有推钉装置,所述推钉装置包括前后延伸的滑套和滑配于所述滑套内的滑针,所述吻合器本体前端底部形成有位于所述滑套延伸端前侧的缝合区域,所述吻合器本体底部对称安装有位于垂直于所述滑套延伸方向两侧的两个咬合牙盘,两个所述咬合牙盘的根部分别与所述吻合器本体形成旋转支撑以使两个所述咬合牙盘能以其根部为中心进行张合动作,两个所述咬合牙盘相对的内端形成有位于所述缝合区域相对两侧的两个夹持凸起以及位于两个所述夹持凸起前侧的两个聚拢凸起。The above-mentioned technical purpose of the present invention is mainly solved by the following technical solutions: an easy-to-operate skin stapler, comprising a stapler body, the bottom of the stapler body is provided with a nail pushing device, and the nail pushing device includes a front and rear extending The sliding sleeve and the sliding needle slidingly fitted in the sliding sleeve, the bottom of the front end of the stapler body is formed with a sewing area located at the front side of the extension end of the sliding sleeve, and the bottom of the stapler body is symmetrically installed with a There are two occlusal discs on both sides of the extension direction of the sliding sleeve, and the roots of the two occlusal discs form a rotating support with the stapler body so that the two occlusal discs can be stretched around their roots. The two clamping protrusions are formed on the opposite inner ends of the two occlusal discs at opposite sides of the stitching area and two gathering protrusions are located at the front side of the two clamping protrusions.
本发明装置使用时,进行第一次缝合时,操作人员首先用组织镊提起待缝合伤口两边的表皮组织,将本吻合器的头端埋入待缝合的伤口内,保持吻合器内缝合钉的推出方向与被缝合组织表面平行,再控制两个咬合牙盘以其根部为中心转动使其从张开状态切换至闭合状态,在此过程中,两个夹持凸起相互配合夹紧上缝合钉部分两边的表皮组织,并把待缝合的皮下真皮组织送入缝合区域,再控制滑针沿着滑套移动将位于滑套内的缝合钉沿着平行于被缝合伤口表面的方向推出,并对待缝合伤口表皮下真皮层进行水平缝合,缝合后从伤口中垂直提起本吻合器,由此完成第一次缝合;进行后续缝合时,直接将本吻合器的头端埋入待缝合的伤口内并调整至合适的位置,然后控制两个咬合牙盘以其根部为中心转动使其从张开状态切换至闭合状态,在此过程中,两个聚拢凸起相互配合夹紧上缝合钉部分前侧两边的表皮组织,同时能够使上缝合钉部分两边的表皮组织相互聚拢,从而通过两个夹持凸起相互配合能够夹紧上缝合钉部分两边的表皮组织,并把待缝合的皮下真皮组织送入缝合区域,再控制滑针推出即可完成一次缝合,重复以上操作,即可完成后续缝合,由于第一次缝合后其缝合的位置会形成一个凸起,使得后续缝合时聚拢凸起相互配合能够成功夹紧上缝合钉部分前侧两边的表皮组织,通过本发明装置缝合时只需要在第一次缝合时使用镊子等辅助器械夹持,后续缝合操作方便,能够大大降低操作人员的工作量和操作的难度,同时能够提高缝合的效率,缩短手术时间,另外通过夹持凸起和聚拢凸起能够夹紧伤口两边的两处表皮组织,能够有效防止咬合时伤口发生侧滑,同时能够保证缝合后的伤口规整,利于伤口愈合。When the device of the present invention is in use, when suturing for the first time, the operator first uses tissue tweezers to lift the epidermal tissue on both sides of the wound to be sutured, embeds the head end of the stapler in the wound to be sutured, and keeps the staples in the stapler. The push-out direction is parallel to the surface of the sutured tissue, and then the two occlusal tooth discs are controlled to rotate around their roots to switch from the open state to the closed state. During this process, the two clamping protrusions cooperate with each other to clamp the upper suture The epidermal tissue on both sides of the nail part, and send the subcutaneous dermal tissue to be sutured into the suturing area, and then control the sliding needle to move along the sliding sleeve to push the staples in the sliding sleeve in a direction parallel to the surface of the wound to be sutured, and Suture the subcutaneous layer of the wound to be sutured horizontally, lift the stapler vertically from the wound after suturing, and complete the first suture; when performing subsequent sutures, directly bury the head of the stapler in the wound to be sutured And adjust it to a suitable position, and then control the two occlusal tooth discs to rotate around their roots to switch from the open state to the closed state. During this process, the two gathered protrusions cooperate with each other to clamp the upper staple part At the same time, the epidermal tissue on both sides of the upper suture part can be brought together, so that the two clamping protrusions can clamp the epidermal tissue on both sides of the upper suture part through the cooperation of the two clamping protrusions, and the subcutaneous dermal tissue to be sutured Send it into the suture area, and then control the sliding needle to push out to complete one suture. Repeat the above operation to complete the subsequent suture. Since the suture position will form a bulge after the first suture, the protrusions will be gathered together during the subsequent suture. Cooperating with the epidermal tissue on both sides of the front side of the upper suture nail, the device of the present invention only needs to use auxiliary instruments such as tweezers to clamp the first suture, and the subsequent suture operation is convenient, which can greatly reduce the work of the operator. The amount and difficulty of operation can be improved at the same time, and the efficiency of suturing can be improved, and the operation time can be shortened. In addition, the two epidermal tissues on both sides of the wound can be clamped by the clamping protrusion and the gathering protrusion, which can effectively prevent the wound from slipping during occlusal. At the same time, it can Ensure the regularity of the wound after suturing, which is conducive to wound healing.
作为优选,所述聚拢凸起相对于所述咬合牙盘内端面凸起的距离大于所述夹持凸起相对于所述咬合牙盘内端面凸起的距离。Preferably, the protrusion distance of the gathering protrusion relative to the inner end surface of the articulation tooth plate is greater than the distance of the clamping protrusion protrusion relative to the inner end surface of the articulation tooth plate.
通过将聚拢凸起相对于咬合牙盘内端面凸起的距离设置为大于夹持凸起相对于咬合牙盘内端面凸起的距离,使得两个咬合牙盘从张开状态切换至闭合状态时,两个聚拢凸起能够先夹紧上缝合钉部分前侧两边的表皮组织,以此保证上缝合钉部分两边的表皮组织能够先聚拢,夹持凸起再将其夹紧,以便实现对上缝合钉部分两边表皮组织的准确夹持。By setting the distance of the gathering protrusion relative to the inner end face of the occlusal disc to be greater than the distance of the clamping protrusion relative to the inner end face of the occlusal disc, when the two occlusal discs are switched from the open state to the closed state , the two gathering protrusions can clamp the epidermal tissue on both sides of the front side of the upper staple part first, so as to ensure that the epidermal tissue on both sides of the upper staple part can be gathered first, and then clamp the protrusions to achieve alignment Accurate clamping of the epidermal tissue on both sides of the staple portion.
作为优选,每个所述夹持凸起和所述聚拢凸起的表面均形成有多个咬合齿,多个所述咬合齿间隔均匀分布,所述咬合齿包括设于所述咬合牙盘厚度方向两端的两排高牙以及设于两排所述高牙之间的多排低牙,所述夹持凸起的表面还形成有位于所述咬合齿后侧的多个防滑齿,多个所述防滑齿间隔均匀分布。Preferably, a plurality of occlusal teeth are formed on the surfaces of each of the clamping protrusions and the gathering protrusions, and the plurality of occlusal teeth are evenly spaced, and the occlusal teeth include a set of occlusal teeth set at the thickness of the occlusal tooth plate. There are two rows of high teeth at both ends of the direction and multiple rows of low teeth between the two rows of high teeth. The surface of the clamping protrusion is also formed with a plurality of anti-slip teeth located on the rear side of the occlusal teeth. The anti-skid teeth are evenly spaced.
通过在每个夹持凸起和聚拢凸起的表面均形成有多个咬合齿,多个咬合齿间隔均匀分布,咬合齿包括设于咬合牙盘厚度方向两端的两排高牙以及设于两排高牙之间的多排低牙,夹持凸起的表面还形成有位于咬合齿后侧的多个防滑齿,多个防滑齿间隔均匀分布,使得通过夹持凸起夹紧表皮组织时,主要是通过两侧的高牙将周围表皮组织夹紧,通过中间的低牙夹紧上缝合钉部分的表皮组织,能够防止上缝合钉部分的表皮组织在缝合时因受力过大而损伤,同时能够防止该部分表皮组织因大幅度变形而导致缝合后的伤口不美观,另外防滑齿能够与夹持部位后侧的皮肤接触,由于缝合针从后侧进入皮肤时会对皮肤产生一个挤压力,因此能够防止缝合钉进入皮肤时皮肤发生滑动,以便缝合钉能够顺利进入皮肤进行缝合,另外防滑齿也能在发生滑动挤压时起到一定的防滑作用。A plurality of occlusal teeth are formed on the surface of each clamping protrusion and gathering protrusion, and the plurality of occlusal teeth are evenly spaced. There are multiple rows of low teeth between the rows of high teeth, and the surface of the clamping protrusions is also formed with multiple anti-slip teeth located on the back side of the occlusal teeth. , mainly through the high teeth on both sides to clamp the surrounding epidermal tissue, and through the middle low teeth to clamp the epidermal tissue of the upper suturing nail part, which can prevent the epidermal tissue of the upper suturing nail part from being damaged due to excessive force during suturing At the same time, it can prevent the part of the epidermal tissue from being greatly deformed and cause the sutured wound to be unsightly. In addition, the anti-slip teeth can contact the skin on the back side of the clamping part, because when the suture needle enters the skin from the back side, there will be a squeeze on the skin. Therefore, it can prevent the skin from slipping when the staples enter the skin, so that the staples can enter the skin smoothly for suturing. In addition, the anti-slip teeth can also play a certain anti-slip effect when sliding and squeezing occur.
作为优选,两排所述高牙相互平行设置,其中每个所述高牙相互间隔设置,多排所述低牙相互间隔且平行设置,其中每个所述低牙相互间隔设置。Preferably, two rows of high teeth are arranged parallel to each other, wherein each of the high teeth is arranged at a distance from each other, and multiple rows of the low teeth are arranged at intervals and parallel to each other, wherein each of the low teeth is arranged at a distance from each other.
通过将两排高牙设置为相互平行,其中每个高牙相互间隔设置,多排低牙相互间隔且平行设置,其中每个低牙相互间隔设置,使得通过高牙夹紧周围表皮组织时位于两排高牙之间的表皮组织受到的挤压力相对均匀,该部分表皮组织产生的变形也相对均匀,以便对该部分表皮组织进行稳定夹持,另外表皮组织挤压变形时部分表皮组织会滑入高牙形成的间隙内,能够有效防止皮肤发生滑动,以便进行缝合操作,使得通过低牙夹紧上缝合钉部分的表皮组织时,该部分表皮组织受到的挤压力相对均匀,产生的变形也相对均匀,以便对该部分组织进行缝合,同时能够保证缝合后伤口的美观性,另外皮肤挤压变形时部分表皮组织会滑入低牙形成的间隙内,能够有效防止皮肤发生滑动,使得缝合后的伤口规整。By setting two rows of high teeth parallel to each other, wherein each high tooth is spaced apart from each other, multiple rows of low teeth are spaced apart and parallel to each other, wherein each low tooth is spaced apart from each other, so that when the surrounding epidermal tissue is clamped by the high teeth The extrusion force on the epidermal tissue between the two rows of high teeth is relatively uniform, and the deformation of this part of the epidermal tissue is also relatively uniform, so as to clamp this part of the epidermal tissue stably. In addition, when the epidermal tissue is squeezed and deformed, part of the epidermal tissue will Sliding into the gap formed by the high teeth can effectively prevent the skin from sliding, so that the suture operation can be performed, so that when the epidermal tissue of the upper suturing nail is clamped by the low teeth, the extrusion force on this part of the epidermal tissue is relatively uniform, and the resulting The deformation is also relatively uniform, so that this part of the tissue can be sutured, and at the same time, the aesthetics of the wound after suturing can be guaranteed. In addition, when the skin is squeezed and deformed, part of the epidermal tissue will slide into the gap formed by the lower teeth, which can effectively prevent the skin from sliding, making The wound was neat after suturing.
作为优选,同一个所述咬合牙盘上的所述夹持凸起和所述聚拢凸起之间形成有圆弧状的凹槽。Preferably, an arc-shaped groove is formed between the clamping protrusion and the gathering protrusion on the same occlusal tooth plate.
通过在同一个咬合牙盘上的夹持凸起和聚拢凸起之间形成有圆弧状的凹槽,能够在咬合时提供一个供周围皮肤组织滑动的空间,能够防止周围皮肤组织大幅度变形,避免其影响缝合后伤口的美观性。By forming an arc-shaped groove between the clamping protrusion and the gathering protrusion on the same occlusal tooth plate, a space for the surrounding skin tissue to slide can be provided during occlusal, which can prevent the surrounding skin tissue from being greatly deformed , to avoid affecting the aesthetics of the wound after suturing.
作为优选,所述吻合器本体内设有位于所述推钉装置上方的储钉装置,所述储钉装置包括固定在所述滑套前端正上方且底部开口的钉仓,所述钉仓内可拆卸地固定有上下贯通且用于存放缝合钉的夹仓,所述夹仓能从所述钉仓的底部开口取出。Preferably, the stapler body is provided with a staple storage device located above the nail pushing device, and the staple storage device includes a staple cartridge fixed directly above the front end of the sliding sleeve with an opening at the bottom. A clip cartridge penetrating up and down and used for storing staples is detachably fixed, and the clip cartridge can be taken out from the bottom opening of the staple cartridge.
通过在吻合器本体内设有位于推钉装置上方的储钉装置,储钉装置包括固定在滑套前端正上方且底部开口的钉仓,钉仓内可拆卸地固定有上下贯通且用于存放缝合钉的夹仓,夹仓能从钉仓的底部开口取出,使得当夹仓内的缝合钉使用完之后,能够将夹仓从钉仓的底部开口取出,再向夹仓内装入新的缝合钉,以此能够保证缝合器的重复使用。The stapler body is provided with a staple storage device located above the nail pushing device. The staple storage device includes a staple magazine fixed directly above the front end of the sliding sleeve and with an open bottom. The clip bin of the staple bin, the clip bin can be taken out from the bottom opening of the staple bin, so that after the staples in the clip bin are used up, the clip bin can be taken out from the bottom opening of the staple bin, and then new sutures can be put into the clip bin Nails can ensure the repeated use of the stapler.
作为优选,所述吻合器本体前侧表面设有推出按钮,所述推出按钮的后端固定有依次穿过所述吻合器本体和所述钉仓壳体的推片,所述吻合器本体和所述钉仓的壳体内均设有供所述推片上下移动的限位槽,所述限位槽的截面形状为矩形,所述限位槽相对的两个侧壁与所述推片两端滑动配合。Preferably, a push button is provided on the front surface of the stapler body, the rear end of the push button is fixed with push pieces that pass through the stapler body and the staple cartridge housing in turn, and the stapler body and the The casing of the staple cartridge is provided with a limit groove for the push piece to move up and down. end slip fit.
通过在吻合器本体前侧表面设有推出按钮,推出按钮的后端固定有依次穿过吻合器本体和钉仓壳体的推片,吻合器本体和钉仓的壳体内均设有供推片上下移动的限位槽,限位槽的截面形状为矩形,限位槽相对的两个侧壁与推片两端滑动配合,使得向下推动推出按钮时,能够同时带动推片向下运动,通过推片与限位槽之间的滑动配合能够对推片的移动方向进行导向,同时通过限位槽能够限制推片上下移动的距离,从而限制推出按钮上下移动的距离。A push-out button is provided on the front surface of the stapler body, and the rear end of the push-out button is fixed with push pieces that pass through the stapler body and the staple cartridge shell in turn, and the stapler body and the staple cartridge shells are provided with push pieces The limit groove that moves up and down, the cross-sectional shape of the limit groove is rectangular, the two opposite side walls of the limit groove slide and cooperate with the two ends of the push piece, so that when the push button is pushed down, the push piece can be driven downward at the same time, The moving direction of the push piece can be guided by the sliding fit between the push piece and the limiting groove, and at the same time, the distance of the push piece moving up and down can be limited by the limiting groove, thereby limiting the distance of the push button moving up and down.
作为优选,所述夹仓的外表面形成有连接槽,所述连接槽的顶部以及与所述推片对应的一侧均开设有开口,所述连接槽底部形成有倾斜的卡紧部,所述推片的末端向下弯折形成与所述卡紧部活动配合的弹性部,所述弹性部的底端设置为半圆柱状,所述连接槽形成有位于所述卡紧部上方且用于使所述弹性部变形的导向部,所述弹性部自然状态下其底端后侧位置位于所述导向部的顶端前侧。Preferably, a connection groove is formed on the outer surface of the clip, openings are formed on the top of the connection groove and on the side corresponding to the push piece, and an inclined clamping part is formed on the bottom of the connection groove, so The end of the push piece is bent downwards to form an elastic part that movably cooperates with the clamping part, the bottom end of the elastic part is set in a semi-cylindrical shape, and the connecting groove is formed above the clamping part for As for the guide part that deforms the elastic part, the rear side of the bottom end of the elastic part is located at the front side of the top end of the guide part in a natural state.
通过在夹仓的外表面形成有连接槽,连接槽的顶部以及与推片对应的一侧均开设有开口,连接槽底部形成有倾斜的卡紧部,推片的末端向下弯折形成与卡紧部活动配合的弹性部,弹性部的底端设置为半圆柱状,连接槽形成有位于卡紧部上方且用于使弹性部变形的导向部,弹性部自然状态下其底端后侧位置位于导向部的顶端前侧,使得推片向下移动时,通过卡紧部与弹性部之间的配合能够同时推动夹仓向下移动同样的距离,使得夹仓的底端能够从钉仓的底部开口伸出,以便操作人员将钉仓从夹仓内取出装入新的缝合针,另外通过卡紧部与弹性部之间的配合还能对夹仓施加一个横向的力,能够提高夹仓安装在钉仓内的稳定性,另外使得将装满缝合钉的夹仓装入钉仓内时,夹仓从钉仓的底部向上移动,通过导向部能够使弹性部变形并滑入卡紧部内与之配合,同时使得钉仓向上移动时不会与弹性部发生干涉,另外能够推动推片复位至上止点位置,从而带动推出按钮复位至上止点位置,以便下一次推出钉仓。A connection groove is formed on the outer surface of the clip, openings are provided on the top of the connection groove and on the side corresponding to the push piece, an inclined clamping portion is formed on the bottom of the connection groove, and the end of the push piece is bent downward to form a The elastic part that is movably matched with the clamping part. The bottom end of the elastic part is set in a semi-cylindrical shape. The connecting groove is formed with a guide part that is located above the clamping part and is used to deform the elastic part. It is located on the front side of the top end of the guide part, so that when the push piece moves downward, the clamping part and the elastic part can simultaneously push the clip cartridge down to move the same distance, so that the bottom end of the clip cartridge can be moved from the staple cartridge The opening at the bottom protrudes so that the operator can take out the staple cartridge from the cartridge and put it into a new suture needle. In addition, through the cooperation between the clamping part and the elastic part, a lateral force can be applied to the cartridge, which can improve the clip cartridge. The stability of the installation in the staple cartridge, in addition, when the cartridge full of staples is loaded into the staple cartridge, the cartridge moves upward from the bottom of the staple cartridge, and the elastic part can be deformed by the guide part and slide into the clamping part Cooperating with it, at the same time, the staple cartridge will not interfere with the elastic part when it moves upwards. In addition, the push piece can be pushed back to the top dead center position, thereby driving the push button to reset to the top dead center position, so that the staple cartridge can be pushed out next time.
作为优选,所述夹仓外表面固定有两个相对设置的卡条,所述卡条具有弹性恢复特性,所述钉仓内表面形成有与所述卡条活动配合的卡槽,所述卡条的表面轮廓呈U型,所述卡槽设置为与所述卡条的弧形部分配合的半圆柱状。As a preference, two opposite clip strips are fixed on the outer surface of the magazine, the clip strips have elastic recovery characteristics, and the inner surface of the staple cartridge is formed with a clip slot that movably cooperates with the clip strips. The surface profile of the bar is U-shaped, and the locking groove is set as a semi-cylindrical shape matching the arc portion of the bar.
通过在夹仓外表面固定有两个相对设置的卡条,卡条具有弹性恢复特性,钉仓内表面形成有与卡条活动配合的卡槽,卡条的表面轮廓呈U型,卡槽设置为与卡条的弧形部分配合的半圆柱状,使得夹仓安装在钉仓内时,通过卡条与卡槽之间的活动配合能够实现对夹仓的轴向限位,使得夹仓能够稳定安装在钉仓内,同时在外力的作用下卡条能够发生形变使得夹仓能够相对于钉仓发生轴向移动,以便将夹仓从钉仓内取出,另外使得卡条与卡槽之间的配合不会过于紧密,使得夹仓与钉仓在保证相对固定的同时钉仓受到外力后能够发生轴向移动。Two opposing clamping strips are fixed on the outer surface of the magazine, and the clamping strips have elastic recovery characteristics. The inner surface of the staple magazine is formed with a clamping groove that cooperates with the clamping strips. The surface profile of the clamping strips is U-shaped, and the clamping grooves are set It is a semi-cylindrical shape matched with the arc part of the clip, so that when the clip cartridge is installed in the staple cartridge, the axial limit of the clip cartridge can be realized through the movable cooperation between the clip clip and the clip groove, so that the clip cartridge can be stabilized Installed in the staple cartridge, at the same time, the clamp strip can be deformed under the action of external force so that the clamp cartridge can move axially relative to the staple cartridge, so that the clamp cartridge can be taken out from the staple cartridge, and the distance between the clamp strip and the slot The fit will not be too tight, so that the clip cartridge and the staple cartridge can move axially after being subjected to an external force while ensuring relative fixation.
作为优选,所述吻合器本体内设有位于所述储钉装置正上方的出钉装置,所述出钉装置用于将所述夹仓内的缝合钉从所述夹仓的底部开口压出至所述滑套内,所述出钉装置包括可沿所述夹仓的轴向移动的定位带,所述定位带一端伸入所述夹仓内且与所述夹仓内最上方的缝合钉相抵。Preferably, the stapler body is provided with a staple output device directly above the staple storage device, and the staple output device is used to push out the staples in the clip from the bottom opening of the clip Into the sliding sleeve, the nail output device includes a positioning belt that can move along the axial direction of the clip, one end of the positioning belt extends into the clip and is connected to the uppermost suture in the clip. Nails offset.
通过在吻合器本体内设有位于储钉装置正上方的出钉装置,出钉装置用于将夹仓内的缝合钉从夹仓的底部开口压出至滑套内,出钉装置包括可沿夹仓的轴向移动的定位带,定位带一端伸入夹仓内且与夹仓内最上方的缝合钉相抵,使得通过控制定位带沿夹仓的轴向移动能够将夹仓内最下方的缝合钉压入至滑套内,以便被滑针推出进行缝合。A staple output device located directly above the staple storage device is provided in the stapler body. The staple output device is used to press out the staples in the clip from the bottom opening of the clip into the sliding sleeve. The staple output device includes a The positioning belt for the axial movement of the clip bin, one end of the positioning band extends into the clip bin and is offset against the uppermost staple in the clip bin, so that the lowermost staple in the clip bin can be moved by controlling the axial movement of the positioning band along the clip bin The staples are pressed into the sleeve to be pushed out by the sliding needle for suturing.
有益效果Beneficial effect
因此,本发明装置缝合时只需要在进行第一次缝合时使用镊子等辅助器械夹持,后续缝合操作方便,能够大大降低操作人员的工作量和操作的难度,同时能够提高缝合的效率,缩短手术时间。Therefore, the device of the present invention only needs to be clamped by auxiliary instruments such as tweezers during the first suture, and the subsequent suture operation is convenient, which can greatly reduce the workload of the operator and the difficulty of operation, and can improve the efficiency of suture at the same time, shorten the operation time.
附图说明Description of drawings
图1是本发明的立体结构示意图。Fig. 1 is a schematic diagram of the three-dimensional structure of the present invention.
图2是本发明的部分仰视结构示意图。Fig. 2 is a partial bottom view structure diagram of the present invention.
图3是本发明图2中A处的结构放大示意图。Fig. 3 is an enlarged schematic diagram of the structure at A in Fig. 2 of the present invention.
图4是本发明中咬合牙盘张开时的结构示意图。Fig. 4 is a schematic diagram of the structure of the occlusal disc in the present invention when it is opened.
图5是本发明咬合牙盘闭合时的结构示意图。Fig. 5 is a structural schematic view of the occlusal disc of the present invention when it is closed.
图6是本发明中吻合器本体的部分内部结构示意图。Fig. 6 is a schematic diagram of part of the internal structure of the stapler body in the present invention.
图7是本发明中钉仓与夹仓的连接结构示意图。Fig. 7 is a schematic diagram of the connection structure between the staple cartridge and the clip cartridge in the present invention.
图8是本发明中推出按钮的立体结构示意图。Fig. 8 is a three-dimensional schematic diagram of the push button in the present invention.
图9是本发明中钉仓的立体结构示意图。Fig. 9 is a schematic perspective view of the three-dimensional structure of the staple cartridge in the present invention.
图10是本发明中夹仓的立体结构示意图。Fig. 10 is a schematic perspective view of the three-dimensional structure of the magazine in the present invention.
图11是本发明中推片与连接槽的连接结构示意图。Fig. 11 is a schematic diagram of the connection structure between the push piece and the connection groove in the present invention.
附图中标记分述如下:1、吻合器本体;2、推钉装置;3、滑套;4、滑针;5、缝合区域;6、咬合牙盘;7、夹持凸起;8、聚拢凸起;9、咬合齿;10、高牙;11、低牙;12、防滑齿;13、凹槽;14、储钉装置;15、钉仓;16、夹仓;17、推出按钮;18、推片;19、限位槽;20、连接槽;21、卡紧部;22、弹性部;23、导向部;24、卡条;25、卡槽;26、出钉装置;27、定位带。The marks in the accompanying drawings are described as follows: 1. Stapler body; 2. Nail pushing device; 3. Sliding sleeve; 4. Sliding needle; 5. Suture area; Gathering protrusions; 9, occlusal teeth; 10, high teeth; 11, low teeth; 12, anti-skid teeth; 13, grooves; 14, nail storage device; 15, nail magazine; 16, clip magazine; 17, push button; 18. Push piece; 19. Limiting groove; 20. Connecting groove; 21. Clamping part; 22. Elastic part; 23. Guide part; positioning belt.
本发明的最佳实施方式BEST MODE FOR CARRYING OUT THE INVENTION
在此处键入本发明的最佳实施方式描述段落。Type the paragraph describing the best mode for carrying out the invention here.
本发明的实施方式Embodiments of the present invention
下面通过实施例,并结合附图,对本发明的技术方案作进一步具体的说明。The technical solutions of the present invention will be further specifically described below through the embodiments and in conjunction with the accompanying drawings.
如图1和图3所示,本发明所述的一种便于操作的皮肤吻合器,包括吻合器本体1,吻合器本体1底部设有推钉装置2,推钉装置2包括前后延伸的滑套3和滑配于滑套3内的滑针4,滑套3滑动安装于吻合器本体1底部以使滑套3能沿其延伸方向发生移动,吻合器本体1前端底部形成有位于滑套3延伸端前侧的缝合区域5,吻合器本体1底部对称安装有位于垂直于滑套3延伸方向两侧的两个咬合牙盘6,两个咬合牙盘6的根部分别与吻合器本体1形成旋转支撑以使两个咬合牙盘6能以其根部为中心进行张合动作,张开时两个咬合牙盘6构成一个直角,闭合时两个咬合牙盘6的下表面处于同一水平面上,两个咬合牙盘6相对的内端形成有位于缝合区域5相对两侧的两个夹持凸起7以及位于两个夹持凸起7前侧的两个聚拢凸起8,聚拢凸起8相对于咬合牙盘6内端面凸起的距离大于夹持凸起7相对于咬合牙盘6内端面凸起的距离。As shown in Figures 1 and 3, a skin stapler that is easy to operate according to the present invention includes a stapler body 1, and a nail pushing device 2 is provided at the bottom of the stapler body 1, and the nail pushing device 2 includes a slide extending forward and backward. The sleeve 3 and the sliding needle 4 are slidably fitted in the sliding sleeve 3. The sliding sleeve 3 is slidably installed on the bottom of the stapler body 1 so that the sliding sleeve 3 can move along its extension direction. 3. The suturing area 5 on the front side of the extension end. The bottom of the stapler body 1 is symmetrically installed with two occlusal discs 6 located on both sides perpendicular to the extension direction of the sliding sleeve 3. The roots of the two occlusal discs 6 are respectively connected to the stapler body 1. The rotation support is formed so that the two occlusal chainrings 6 can be opened and closed centered on their roots. When they are opened, the two occlusal chainrings 6 form a right angle. When they are closed, the lower surfaces of the two occlusal chainrings 6 are on the same horizontal plane. Two clamping projections 7 positioned at the opposite sides of the stitching area 5 and two gathering projections 8 positioned at the front side of the two clamping projections 7 are formed at the opposite inner ends of each occlusal tooth plate 6, and the gathering projections 8 are opposite to each other. The protrusion distance of the inner end surface of the occlusal tooth plate 6 is greater than the protrusion distance of the clamping protrusion 7 relative to the inner end surface of the occlusal tooth plate 6 .
如图2和图3所示,同一个咬合牙盘6上的夹持凸起7和聚拢凸起8之间形成有圆弧状的凹槽13,每个夹持凸起7和聚拢凸起8的表面均形成有多个咬合齿9,多个咬合齿9间隔均匀分布,咬合齿9包括设于咬合牙盘6厚度方向两端的两排高牙10以及设于两排高牙10之间的多排低牙11,夹持凸起7的表面还形成有位于咬合齿9后侧的多个防滑齿12,多个防滑齿12间隔均匀分布,两排高牙10相互平行设置,其中每个高牙10相互间隔设置,高牙10的截面形状为梯形,多排低牙11相互间隔且平行设置,其中每个低牙11相互间隔设置,低牙11的截面形状为矩形,高牙10的高度为低牙11高度的两倍。As shown in Figure 2 and Figure 3, an arc-shaped groove 13 is formed between the clamping protrusion 7 and the gathering protrusion 8 on the same occlusal tooth plate 6, and each clamping protrusion 7 and gathering protrusion The surface of 8 is formed with a plurality of occlusal teeth 9, and the plurality of occlusal teeth 9 are evenly distributed. The occlusal teeth 9 include two rows of high teeth 10 located at both ends of the occlusal tooth plate 6 in the thickness direction and between the two rows of high teeth 10. There are many rows of low teeth 11, and the surface of the clamping protrusion 7 is also formed with a plurality of anti-skid teeth 12 positioned at the rear side of the bite teeth 9. The plurality of anti-skid teeth 12 are evenly spaced, and two rows of high teeth 10 are arranged parallel to each other. Two high teeth 10 are arranged at intervals from each other. The cross-sectional shape of the high teeth 10 is trapezoidal. Multiple rows of low teeth 11 are arranged at intervals and parallel to each other. Each of the low teeth 11 is arranged at intervals. The height is twice of the low teeth 11 heights.
如图6、图7、图9和图10所示,吻合器本体1内设有位于推钉装置2上方的储钉装置14,储钉装置14包括固定在滑套3前端正上方且底部开口的钉仓15,钉仓15内可拆卸地固定有上下贯通且用于存放缝合钉的夹仓16,夹仓16能从钉仓15的底部开口取出,夹仓16外表面固定有两个相对设置的卡条24,卡条24具有弹性恢复特性,钉仓15内表面形成有与卡条24活动配合的卡槽25,卡条24的表面轮廓呈U型,卡槽25设置为与卡条24的弧形部分配合的半圆柱状,吻合器本体1内设有位于储钉装置14正上方的出钉装置26,出钉装置26用于将夹仓16内的缝合钉从夹仓16的底部开口压出至滑套3内,出钉装置26包括可沿夹仓16的轴向移动的定位带27,定位带27一端伸入夹仓16内且与夹仓16内最上方的缝合钉相抵。As shown in Fig. 6, Fig. 7, Fig. 9 and Fig. 10, the stapler body 1 is provided with a nail storage device 14 located above the nail pushing device 2. The staple bin 15 is detachably fixed with a clip bin 16 that penetrates up and down and is used to store staples. The clip bin 16 can be taken out from the bottom opening of the staple bin 15. The outer surface of the clip bin 16 is fixed with two opposite The clip 24 provided, the clip 24 has elastic recovery characteristics, the inner surface of the staple bin 15 is formed with a clip groove 25 that is movably matched with the clip 24, the surface profile of the clip 24 is U-shaped, and the clip 25 is arranged to be connected with the clip. The arc part of 24 fits into a semi-cylindrical shape. The stapler body 1 is provided with a staple output device 26 directly above the staple storage device 14. The staple output device 26 is used to remove the staples in the clip bin 16 from the bottom of the clip bin 16. The opening is pressed out into the sliding sleeve 3, and the nail ejecting device 26 includes a positioning belt 27 that can move along the axial direction of the clip bin 16. One end of the positioning strap 27 extends into the clip bin 16 and is opposed to the uppermost staple in the clip bin 16. .
如图6、图7和图8所示,吻合器本体1前侧表面设有推出按钮17,推出按钮17的后端固定有依次穿过吻合器本体1和钉仓15壳体的推片18,吻合器本体1和钉仓15的壳体内均设有供推片18上下移动的限位槽19,限位槽19的截面形状为矩形,限位槽19相对的两个侧壁与推片18两端滑动配合。As shown in Fig. 6, Fig. 7 and Fig. 8, the front side surface of the stapler body 1 is provided with a push-out button 17, and the rear end of the push-out button 17 is fixed with a push piece 18 which passes through the stapler body 1 and the shell of the staple bin 15 in sequence. , the housings of the stapler body 1 and the staple cartridge 15 are all provided with a limit groove 19 for the push piece 18 to move up and down, the cross-sectional shape of the limit groove 19 is rectangular, and the two side walls of the limit groove 19 are opposite to the push piece. 18 Slip fit at both ends.
如图10和图11所示,夹仓16的外表面形成有连接槽20,连接槽20的顶部以及与推片18对应的一侧均开设有开口,连接槽20底部形成有倾斜的卡紧部21,推片18的末端向下弯折形成与卡紧部21活动配合的弹性部22,弹性部22的底端设置为半圆柱状,连接槽20形成有位于卡紧部21上方且用于使弹性部22变形的导向部23,弹性部22自然状态下其底端后侧位置位于导向部23的顶端前侧。As shown in Figure 10 and Figure 11, the outer surface of the clip bin 16 is formed with a connecting groove 20, the top of the connecting groove 20 and the side corresponding to the push piece 18 are provided with openings, and the bottom of the connecting groove 20 is formed with an inclined locking part 21, the end of the push piece 18 is bent downwards to form an elastic part 22 that movably cooperates with the clamping part 21. The guide part 23 for deforming the elastic part 22 , the rear side of the bottom end of the elastic part 22 is located at the front side of the top end of the guide part 23 in a natural state.
本实施例具体实施时,进行第一次缝合时,操作人员首先用组织镊提起待缝合伤口两边的表皮组织,将本吻合器的头端埋入待缝合的伤口内,保持吻合器内缝合钉的推出方向与被缝合组织表面平行,再控制两个咬合牙盘6以其根部为中心转动使其从张开状态切换至闭合状态,在此过程中,两个夹持凸起7相互配合夹紧上缝合钉部分两边的表皮组织,并把待缝合的皮下真皮组织送入缝合区域5,再控制滑针4沿着滑套3移动将位于滑套3内的缝合钉沿着平行于被缝合伤口表面的方向推出,并对待缝合伤口表皮下真皮层进行水平缝合,缝合后从伤口中垂直提起本吻合器,由此完成第一次缝合;进行后续缝合时,直接将本吻合器的头端埋入待缝合的伤口内并调整至合适的位置,然后控制两个咬合牙盘6以其根部为中心转动使其从张开状态切换至闭合状态,在此过程中,两个聚拢凸起8相互配合夹紧上缝合钉部分前侧两边的表皮组织,同时能够使上缝合钉部分两边的表皮组织相互聚拢,从而通过两个夹持凸起7相互配合能够夹紧上缝合钉部分两边的表皮组织,并把待缝合的皮下真皮组织送入缝合区域,再控制滑针4推出即可完成一次缝合,重复以上操作,即可完成后续缝合;当夹仓16内的缝合钉使用完之后,操作人员推动滑套3使其向后侧移动,然后向下推动推出按钮17使其通过推片18推动夹仓16向下移动一定距离,使得夹仓16底端从钉仓15的底部开口伸出,然后操作人员可通过镊子夹住夹仓16底端将其从钉仓15的底部开口取出,再向夹仓16内装入新的缝合钉,然后再将装满缝合钉的夹仓16装入钉仓15内,通过卡条24与卡槽25之间的配合实现连接固定,然后推动滑套3向前侧复位。During the specific implementation of this embodiment, when suturing for the first time, the operator first lifts the epidermal tissue on both sides of the wound to be sutured with tissue tweezers, embeds the head end of the stapler in the wound to be sutured, and keeps the staples in the stapler The push-out direction is parallel to the surface of the sutured tissue, and then the two occlusal tooth discs 6 are controlled to rotate around their roots to switch from the open state to the closed state. During this process, the two clamping protrusions 7 cooperate with each other to clamp Tighten the epidermal tissue on both sides of the staple part, and send the subcutaneous dermis tissue to be sutured into the suturing area 5, and then control the sliding needle 4 to move along the sliding sleeve 3 to move the staples in the sliding sleeve 3 along the direction parallel to the suture area. Push out in the direction of the wound surface, and suture the subcutaneous layer of the wound to be sutured horizontally. After suturing, lift the stapler vertically from the wound to complete the first suture; Embed in the wound to be sutured and adjust to a suitable position, and then control the two occlusal discs 6 to rotate around their roots to switch from the open state to the closed state. In the process, the two gathering protrusions 8 Cooperate with each other to clamp the epidermal tissue on both sides of the front side of the upper staple part, and at the same time, the epidermal tissue on both sides of the upper staple part can be gathered together, so that the epidermis on both sides of the upper staple part can be clamped by the mutual cooperation of the two clamping protrusions 7 tissue, and send the subcutaneous dermal tissue to be sutured into the suture area, and then control the sliding needle 4 to push out to complete a suture, repeat the above operation, and then complete the subsequent suture; when the staples in the clip compartment 16 are used up, operate The personnel pushes the sliding sleeve 3 to move to the rear side, and then pushes the ejection button 17 downward to push the clip bin 16 to move down a certain distance through the push piece 18, so that the bottom end of the clip bin 16 protrudes from the bottom opening of the staple bin 15 , and then the operator can clamp the bottom end of the clip bin 16 with tweezers and take it out from the bottom opening of the staple bin 15, then load new staples into the clip bin 16, and then put the clip bin 16 full of staples into In the staple magazine 15, the connection and fixation are realized through the cooperation between the clip bar 24 and the clip slot 25, and then the sliding sleeve 3 is pushed to reset to the front side.
本发明装置缝合时只需要在进行第一次缝合时使用镊子等辅助器械夹持,后续缝合操作方便,能够大大降低操作人员的工作量和操作的难度,同时能够提高缝合的效率,缩短手术时间。The device of the present invention only needs to be clamped by auxiliary instruments such as tweezers during the first suture, and the subsequent suture operation is convenient, which can greatly reduce the workload of the operator and the difficulty of operation, and at the same time can improve the efficiency of suture and shorten the operation time .

Claims (10)

  1. 一种便于操作的皮肤吻合器,包括吻合器本体(1),所述吻合器本体(1)底部设有推钉装置(2),所述推钉装置(2)包括前后延伸的滑套(3)和滑配于所述滑套(3)内的滑针(4),其特征在于:所述吻合器本体(1)前端底部形成有位于所述滑套(3)延伸端前侧的缝合区域(5),所述吻合器本体(1)底部对称安装有位于垂直于所述滑套(3)延伸方向两侧的两个咬合牙盘(6),两个所述咬合牙盘(6)的根部分别与所述吻合器本体(1)形成旋转支撑以使两个所述咬合牙盘(6)能以其根部为中心进行张合动作,两个所述咬合牙盘(6)相对的内端形成有位于所述缝合区域(5)相对两侧的两个夹持凸起(7)以及位于两个所述夹持凸起(7)前侧的两个聚拢凸起(8)。An easy-to-operate skin stapler, comprising a stapler body (1), the bottom of the stapler body (1) is provided with a nail pushing device (2), and the nail pushing device (2) includes a sliding sleeve ( 3) and the sliding needle (4) slidingly fitted in the sliding sleeve (3), characterized in that: the bottom of the front end of the stapler body (1) is formed with a needle located on the front side of the extension end of the sliding sleeve (3). In the stitching area (5), the bottom of the stapler body (1) is symmetrically equipped with two occlusal discs (6) located on both sides perpendicular to the extension direction of the sliding sleeve (3), and the two occlusal discs ( 6), the roots of the stapler body (1) respectively form a rotational support so that the two occlusal discs (6) can be opened and closed centering on their roots, and the two occlusal discs (6) The opposite inner end is formed with two clamping protrusions (7) located on opposite sides of the sewing area (5) and two gathering protrusions (8) located at the front side of the two clamping protrusions (7). ).
  2. 根据权利要求1所述的一种便于操作的皮肤吻合器,其特征在于:所述聚拢凸起(8)相对于所述咬合牙盘(6)内端面凸起的距离大于所述夹持凸起(7)相对于所述咬合牙盘(6)内端面凸起的距离。An easy-to-operate skin stapler according to claim 1, characterized in that: the distance of the gathering protrusion (8) relative to the inner end surface of the occlusal tooth plate (6) is greater than that of the clamping protrusion The protruding distance of the protrusion (7) relative to the inner end surface of the occlusal tooth plate (6).
  3. 根据权利要求1或2所述的一种便于操作的皮肤吻合器,其特征在于:每个所述夹持凸起(7)和所述聚拢凸起(8)的表面均形成有多个咬合齿(9),多个所述咬合齿(9)间隔均匀分布,所述咬合齿(9)包括设于所述咬合牙盘(6)厚度方向两端的两排高牙(10)以及设于两排所述高牙(10)之间的多排低牙(11),所述夹持凸起(7)的表面还形成有位于所述咬合齿(9)后侧的多个防滑齿(12),多个所述防滑齿(12)间隔均匀分布。An easy-to-operate skin stapler according to claim 1 or 2, characterized in that: the surfaces of each of the clamping protrusions (7) and the gathering protrusions (8) are formed with multiple bites Teeth (9), a plurality of occlusal teeth (9) are evenly spaced, and the occlusal teeth (9) include two rows of high teeth (10) arranged at both ends of the occlusal tooth plate (6) in the thickness direction and located at Multiple rows of low teeth (11) between the two rows of high teeth (10), the surface of the clamping protrusion (7) is also formed with a plurality of anti-slip teeth ( 12), a plurality of said anti-skid teeth (12) are evenly spaced.
  4. 根据权利要求3所述的一种便于操作的皮肤吻合器,其特征在于:两排所述高牙(10)相互平行设置,其中每个所述高牙(10)相互间隔设置,多排所述低牙(11)相互间隔且平行设置,其中每个所述低牙(11)相互间隔设置。An easy-to-operate skin stapler according to claim 3, characterized in that: two rows of high teeth (10) are arranged parallel to each other, wherein each of the high teeth (10) is arranged at intervals from each other, and multiple rows of high teeth (10) are arranged at intervals. The low teeth (11) are spaced apart from each other and arranged in parallel, wherein each of the low teeth (11) is set apart from each other.
  5. 根据权利要求1或2所述的一种便于操作的皮肤吻合器,其特征在于:同一个所述咬合牙盘(6)上的所述夹持凸起(7)和所述聚拢凸起(8)之间形成有圆弧状的凹槽(13)。An easy-to-operate skin stapler according to claim 1 or 2, characterized in that: the clamping protrusion (7) and the gathering protrusion ( 8) Arc-shaped grooves (13) are formed between them.
  6. 根据权利要求1或2所述的一种便于操作的皮肤吻合器,其特征在于:所述吻合器本体(1)内设有位于所述推钉装置(2)上方的储钉装置(14),所述储钉装置(14)包括固定在所述滑套(3)前端正上方且底部开口的钉仓(15),所述钉仓(15)内可拆卸地固定有上下贯通且用于存放缝合钉的夹仓(16),所述夹仓(16)能从所述钉仓(15)的底部开口取出。An easy-to-operate skin stapler according to claim 1 or 2, characterized in that: the stapler body (1) is provided with a staple storage device (14) located above the staple pusher (2) , the staple storage device (14) includes a staple cartridge (15) fixed directly above the front end of the sliding sleeve (3) and with an open bottom, the staple cartridge (15) is detachably fixed with up and down penetrating holes for A clip bin (16) for storing staples, the clip bin (16) can be taken out from the bottom opening of the staple bin (15).
  7. 根据权利要求1或2所述的一种便于操作的皮肤吻合器,其特征在于:所述吻合器本体(1)前侧表面设有推出按钮(17),所述推出按钮(17)的后端固定有依次穿过所述吻合器本体(1)和所述钉仓(15)壳体的推片(18),所述吻合器本体(1)和所述钉仓(15)的壳体内均设有供所述推片(18)上下移动的限位槽(19),所述限位槽(19)的截面形状为矩形,所述限位槽(19)相对的两个侧壁与所述推片(18)两端滑动配合。An easy-to-operate skin stapler according to claim 1 or 2, characterized in that: a push-out button (17) is provided on the front side surface of the stapler body (1), and the rear of the push-out button (17) The end is fixed with a push piece (18) passing through the shell of the stapler body (1) and the staple cartridge (15) in turn, and the stapler body (1) and the shell of the staple cartridge (15) are Each is provided with a limit groove (19) for the push piece (18) to move up and down. The two ends of the push piece (18) are slidingly fitted.
  8. 根据权利要求7所述的一种便于操作的皮肤吻合器,其特征在于:所述夹仓(16)的外表面形成有连接槽(20),所述连接槽(20)的顶部以及与所述推片(18)对应的一侧均开设有开口,所述连接槽(20)底部形成有倾斜的卡紧部(21),所述推片(18)的末端向下弯折形成与所述卡紧部(21)活动配合的弹性部(22),所述弹性部(22)的底端设置为半圆柱状,所述连接槽(20)形成有位于所述卡紧部(21)上方且用于使所述弹性部(22)变形的导向部(23),所述弹性部(22)自然状态下其底端后侧位置位于所述导向部(23)的顶端前侧。An easy-to-operate skin stapler according to claim 7, characterized in that: a connecting groove (20) is formed on the outer surface of the clip (16), and the top of the connecting groove (20) and the The corresponding side of the push piece (18) is provided with an opening, the bottom of the connecting groove (20) is formed with an inclined clamping part (21), and the end of the push piece (18) is bent downward to form a The elastic part (22) that is movably matched with the clamping part (21), the bottom end of the elastic part (22) is set in a semi-cylindrical shape, and the connecting groove (20) is formed with a And for the guide part (23) used to deform the elastic part (22), the rear side of the bottom end of the elastic part (22) is located at the front side of the top end of the guide part (23) in a natural state.
  9. 根据权利要求6所述的一种便于操作的皮肤吻合器,其特征在于:所述夹仓(16)外表面固定有两个相对设置的卡条(24),所述卡条(24)具有弹性恢复特性,所述钉仓(15)内表面形成有与所述卡条(24)活动配合的卡槽(25),所述卡条(24)的表面轮廓呈U型,所述卡槽(25)设置为与所述卡条(24)的弧形部分配合的半圆柱状。An easy-to-operate skin stapler according to claim 6, characterized in that: two opposite clamping strips (24) are fixed on the outer surface of the clip (16), and the clamping strips (24) have Elastic recovery characteristics, the inner surface of the staple cartridge (15) is formed with a draw-in groove (25) that movably cooperates with the clamp strip (24), the surface profile of the clamp strip (24) is U-shaped, and the draw-in groove (25) is arranged as a semi-cylindrical shape matched with the arc portion of the clamping strip (24).
  10. 根据权利要求6所述的一种便于操作的皮肤吻合器,其特征在于:所述吻合器本体(1)内设有位于所述储钉装置(14)正上方的出钉装置(26),所述出钉装置(26)用于将所述夹仓(16)内的缝合钉从所述夹仓(16)的底部开口压出至所述滑套(3)内,所述出钉装置(26)包括可沿所述夹仓(16)的轴向移动的定位带(27),所述定位带(27)一端伸入所述夹仓(16)内且与所述夹仓(16)内最上方的缝合钉相抵。An easy-to-operate skin stapler according to claim 6, characterized in that: the stapler body (1) is provided with a staple output device (26) directly above the staple storage device (14), The nail ejector (26) is used to press out the staples in the clip (16) from the bottom opening of the clip (16) into the sliding sleeve (3). (26) includes a positioning belt (27) that can move along the axial direction of the folder (16), and one end of the positioning belt (27) extends into the folder (16) and is connected to the folder (16). ) offset against the topmost staples.
PCT/CN2022/108890 2021-09-06 2022-07-29 Skin stapler convenient to operate WO2023029842A1 (en)

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113633336B (en) * 2021-09-06 2022-10-28 浙江微度医疗器械有限公司 Skin anastomat convenient to operation

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050149064A1 (en) * 2002-06-25 2005-07-07 Peterson James A. Method and apparatus for tissue fastening with single translating trigger operation
US20080249563A1 (en) * 2007-04-04 2008-10-09 Peterson James A Method and apparatus for tissue fastening
US20120145765A1 (en) * 2002-06-25 2012-06-14 Peterson James A Mechanical method and apparatus for bilateral tissue fastening
CN106264637A (en) * 2015-05-15 2017-01-04 北京颐合恒瑞医疗科技有限公司 A kind of Absorbable plate subcuticular suture device
CN211484737U (en) * 2019-07-24 2020-09-15 常州市康迪医用吻合器有限公司 Skin anastomat with multiple protection devices
CN113633336A (en) * 2021-09-06 2021-11-12 浙江微度医疗器械有限公司 Skin anastomat convenient to operate
CN215739194U (en) * 2021-09-06 2022-02-08 浙江微度医疗器械有限公司 Double-dental-disc occlusion enhanced skin anastomat
CN215739189U (en) * 2021-09-06 2022-02-08 浙江微度医疗器械有限公司 Detachable subcutaneous stitching instrument

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN85104962A (en) * 1985-06-29 1987-01-07 戴维·彼特·威廉·普奇 Surgical stapler
CN203303098U (en) * 2013-05-20 2013-11-27 常州同创医疗器械科技有限公司 Disposable finger-pushing type skin anastomat
CN103431884B (en) * 2013-08-14 2015-04-22 常州洛克曼医疗器械有限公司 Open type flatly-paved skin stitching instrument
CN208319252U (en) * 2017-08-08 2019-01-04 广州科荟泽生物科技有限公司 A kind of Skin sewing needle of replaceable nail bin
CN112603417B (en) * 2020-12-18 2022-02-18 常州安康医疗器械有限公司 Skin anastomat convenient to multi-angle is used
CN112869808B (en) * 2021-02-22 2022-01-28 苏州法兰克曼医疗器械有限公司 Skin anastomat with differential structure

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050149064A1 (en) * 2002-06-25 2005-07-07 Peterson James A. Method and apparatus for tissue fastening with single translating trigger operation
US20120145765A1 (en) * 2002-06-25 2012-06-14 Peterson James A Mechanical method and apparatus for bilateral tissue fastening
US20080249563A1 (en) * 2007-04-04 2008-10-09 Peterson James A Method and apparatus for tissue fastening
CN106264637A (en) * 2015-05-15 2017-01-04 北京颐合恒瑞医疗科技有限公司 A kind of Absorbable plate subcuticular suture device
CN211484737U (en) * 2019-07-24 2020-09-15 常州市康迪医用吻合器有限公司 Skin anastomat with multiple protection devices
CN113633336A (en) * 2021-09-06 2021-11-12 浙江微度医疗器械有限公司 Skin anastomat convenient to operate
CN215739194U (en) * 2021-09-06 2022-02-08 浙江微度医疗器械有限公司 Double-dental-disc occlusion enhanced skin anastomat
CN215739189U (en) * 2021-09-06 2022-02-08 浙江微度医疗器械有限公司 Detachable subcutaneous stitching instrument

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