CN101947117B - Side-falling nail-supporting seat components and anastomat using side-falling nail seat components - Google Patents

Side-falling nail-supporting seat components and anastomat using side-falling nail seat components Download PDF

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Publication number
CN101947117B
CN101947117B CN2010101125114A CN201010112511A CN101947117B CN 101947117 B CN101947117 B CN 101947117B CN 2010101125114 A CN2010101125114 A CN 2010101125114A CN 201010112511 A CN201010112511 A CN 201010112511A CN 101947117 B CN101947117 B CN 101947117B
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China
Prior art keywords
anastomat
supporting base
nail supporting
nail
jump ring
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CN2010101125114A
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CN101947117A (en
Inventor
乔伟
何凡锋
曲直
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BEIJING PANTHER MEDICAL TECHNOLOGY CO., LTD.
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BJ ZHF Panther Medical Equipment Co Ltd
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Abstract

The invention provides a side-falling nail-supporting seat component and an anastomat using the side-falling nail-supporting seat components. The nail seat components (1) comprises a nail-supporting seat (9), a stopper (10), and a connecting part for flexible connection; when the anastomat is operated, the stopper (10) is clamped at the joint of the nail-supporting seat (9) and the anastomat so as to keep the vertical state of the nail-supporting seat (9); after the operation of the anastomat is completed, the stopper (10) moves away from the joint of the nail-supporting seat component (1) and the anastomat, so that the nail-supporting seat component (1) can fall obliquely. The invention is also provided with an anastomat using the side-falling nail-supporting seat component. The side-falling nail-supporting seat component and the anastomat of the invention have the advantages of simple structure and convenient operation, can avoid the damage on tissues at anastomosis parts when taking out the side-falling nail-supporting seat component and the anastomat; and in the processes of production and inspection, a scalpel gasket can be replaced conveniently so as to carry out repeated tests.

Description

But nail supporting base assembly that side is fallen and the anastomat that adopts this nail supporting base assembly
Technical field
The present invention relates to medical apparatus and instruments, more specifically, but relate to nail supporting base assembly that a kind of side falls and the anastomat that adopts this nail supporting base assembly.
Background technology
Anastomat is the medical apparatus and instruments that substitutes traditional manual suture in the surgical operation.Wherein, tube type anastomat is widely used in the human body alimentary canal operation, for example is used for termination or end-to-side anastomosis operations such as digestive tract esophagus, stomach, duodenum, small intestinal.Especially under the short or unclear situation of sight line, just more need adopt anastomat to realize the stitching of wound in operated interface portion bit comparison.In such as surgical operations such as reconstruction of digestive tract, adopt medical anastomat to assist the edge of a knife to sew up, have simple to operate, sew up and be free from side effects rapidly, basically and the advantage of complication.
High-quality anastomosis is a decision surgical operation key of success; And the anastomosis success or not has close getting in touch with employed anastomat structure.The safety, ease for use and the stability that the success or not of anastomosis are had material coinciding machine are the keys that this type operation is carried out in success.
Medical anastomat generally comprises nail supporting base assembly, nail bin groupware, coupling assembling, percussion assembly, transmission component, flexible handle, fixed handle and adjusting part etc.The also known disposable medical anastomat that has after the multiple improvement in the prior art.For example Chinese invention patent 200710107833.8 discloses a kind of disposable anastomat with automatic safety.In this anastomat, the flexible handle that is positioned at the rear portion is the voluntary insurance handle, and it is installed on the fixed handle through pivot pin, and this pivot pin is connected with back-moving spring.Adopt such setting, solved doctor's false touch handle in operation and pull the trigger out the problem of anastomosis staple unfavourably.Here introduce this patent as a reference in full.For example Chinese utility model patent 200820178201.0 discloses a kind of disposable anastomat of letting out the hole with wash with watercolours; The nail supporting base of this anastomat head is provided with one to three wash with watercolours and lets out the hole; Thereby eliminated the excess pressure in the anastomotic stoma; Avoided anastomotic stoma to be risen and split, the effect that influence coincide is also avoided the harmful effect that human body postoperative organized renewing is caused simultaneously.Here introduce this patent as a reference in full.
On the other hand, after operation finishes, need whole anastomat be extracted out together with nail supporting base.Therefore under the situation of Minimally Invasive Surgery, the diameter of anastomotic stoma is less relatively, and anastomat of the prior art causes the seam nail of anastomat to come off when taking out easily, and rises and split anastomotic stoma.For fear of this phenomenon, needing a kind of nail supporting base can be easily through less anastomotic stoma and anastomat simple in structure, easy-to-operate after coincideing.
Summary of the invention
To the defective of anastomat in the above-mentioned prior art, but nail supporting base assembly that proposition side of the present invention is fallen and the anastomat that adopts this nail supporting base assembly.
But in the nail supporting base assembly that falls according to the side of one aspect of the invention, the connecting portion that the nail supporting base assembly is provided with nail supporting base, stop and is used to flexibly connect; Under the duty of anastomat, thereby said stop is stuck in the plumbness that the connecting portion of said nail supporting base and anastomat keeps said nail supporting base; Behind the anastomat end of operation, said stop moves away the connecting portion of said nail supporting base assembly and anastomat, thereby said nail supporting base assembly can side fall.
This nail supporting base assembly on the one hand flexibly connects according to the present invention, thereby after accomplishing the coincideing of anastomat, cut-out, endless knife further moves ahead; Promote the connecting portion that said stop leaves nail supporting base assembly and anastomat; Nail supporting base can be realized side, and the profile area of whole device reduces, and withdraws from from the oral area that coincide thereby be convenient to apparatus; Protect anastomotic stoma and surrounding tissue thereof well, and avoided when withdrawing from apparatus, being with anastomosis staple.Thereby help the healing and the recovery of anastomotic stoma, to the success of operation assurance is provided.
In nail supporting base assembly according to a further aspect of the invention, on near-end one side of said stop, also removably be provided with knife washer.
This nail supporting base assembly on the one hand according to the present invention; Owing on near-end one side of stop, be provided with knife washer; Thereby when in operation process, exciting the endless knife of anastomat; Can hear the sound of " click ", show that the tissue on the knife washer is effectively cut off, prompting can be safely, successfully take out anastomat from anastomotic stoma; In addition, knife washer also can play the effect of chopping block, and is more even when guaranteeing to coincide; And, in production and checkout procedure, can change knife washer easily to carry out repeatedly repeated trials, reduced cost.
In nail supporting base assembly according to a further aspect of the invention, said nail supporting base also is provided with plural through hole.
In this nail supporting base assembly on the one hand according to the present invention, through hole can play the effect that the wash with watercolours that is used to eliminate excess pressure in the anastomotic stoma is let out the hole on the one hand; On the other hand, these through holes can also play the effect of hanging wire, make things convenient for the doctor in passing stomach tube or drainage tube to be imported the purpose position when withdrawing anastomotic stoma coincideing to finish.
The anastomat of the above-mentioned nail supporting base assembly of employing according to a further aspect of the invention comprises the jump ring pipe; This jump ring pipe is movably connected through the connecting portion of pin with said nail supporting base assembly; And be provided with torsion spring coaxially at the place of being movably connected and said pin; The said jump ring pipe of one end butt of this torsion spring, the said nail supporting base assembly of other end butt.
This anastomat on the one hand according to the present invention; Said nail supporting base assembly and flexible connection have been realized owing to adopt pin as the jump ring pipe of parts of anastomat; And be provided with torsion spring, the said jump ring pipe of an end butt of this torsion spring, the said nail supporting base assembly of other end butt coaxially with pin; Thereby, to accomplish identical, cut-out at anastomat, and return after the endless knife, said nail supporting base assembly automatically side falls, thus can operation easily as safe as a house.
In anastomat according to a further aspect of the invention, the remote design of said jump ring pipe becomes blunt nosed shape.
This anastomat on the one hand can avoid the jump ring pipe to puncture surrounding tissue according to the present invention, further guarantees the safety of performing the operation.
In anastomat according to a further aspect of the invention, the length of said jump ring pipe is less than 40mm.
This anastomat on the one hand makes anastomat be fit to the deep operation according to the present invention.
In anastomat according to a further aspect of the invention, on the outer peripheral face of said jump ring pipe, be provided with more than one positioning bar.
This anastomat on the one hand can make things convenient for aiming at of said nail supporting base assembly and said jump ring pipe according to the present invention, is convenient to doctor's operation.
In anastomat according to a further aspect of the invention, on the side face of said jump ring pipe, be provided with more than one jump ring sheet, said jump ring sheet has inwardly outstanding convexity at near-end.
This anastomat on the one hand can be convenient to connect the transmission component of said jump ring pipe and anastomat according to the present invention.
In anastomat according to a further aspect of the invention, said jump ring pipe is integrated.
This anastomat on the one hand can be simplified its manufacturing and assembling according to the present invention, thereby reduces the manufacturing cost of anastomat.
Description of drawings
Fig. 1 is the structural representation according to anastomat of the present invention.
Fig. 2 shows the decomposing schematic representation according to nail supporting base assembly of the present invention with the form of profile.
Fig. 3 shows according to nail supporting base assembly of the present invention with the form of part sectioned view with amplifying, wherein on stop, is combined with knife washer.
Fig. 4 is the structural representation according to the jump ring pipe in the anastomat of the present invention, the pin that wherein also shows torsion spring and be used to flexibly connect.
Fig. 5 shows nail supporting base assembly and the jump ring pipe that is under the different conditions with the mode of biopsy cavity marker devices.
Fig. 6 shows according to nail supporting base assembly of the present invention with the form of part sectioned view with amplifying, and wherein endless knife has been cut off knife washer and shifted stop onto the nail supporting base top.
Thereby having schematically shown, Fig. 7 has the sketch map that three through holes can be realized the nail supporting base of hanging wire function.
The specific embodiment
Below in conjunction with accompanying drawing, describe in detail according to the embodiment of the present invention.It is pointed out that these accompanying drawings only are schematically, nor necessarily be drawn to scale, do not constitute qualification to protection scope of the present invention.
Fig. 1 shows the structural representation according to anastomat of the present invention.As shown in Figure 1, this anastomat comprises: nail supporting base assembly 1, nail bin groupware 2, coupling assembling 3, percussion assembly 4, transmission component 5, flexible handle 6, fixed handle 7 and adjusting part 8.For convenience's sake, near-end (that is, a side at adjusting part 8 places) will be called in the following description, far-end (that is a side at nail supporting base assembly 1 place) will be called away from operator's a side near operator's a side.
In this anastomat; Nail supporting base assembly 1 links to each other with transmission component 5 at near-end through jump ring pipe 12; Transmission component 5 links to each other with adjusting part 8 at near-end, and percussion assembly 4 extends in coupling assembling 3 and fixed handle 7, and percussion assembly 4 links to each other with flexible handle 6 at near-end.
Fig. 2 shows the decomposing schematic representation according to nail supporting base assembly 1 of the present invention.This nail supporting base assembly 1 can comprise the nail supporting base 9 that is the medicated cap shape.In embodiment shown in the drawings, can be provided with stair-stepping cannelure in this nail supporting base, and stretch out connecting portion from the central part of this nail supporting base 9, this connecting portion has through hole.This nail supporting base assembly 1 also comprises stop 10.This stop 10 also has through hole, thereby can be enclosed within on the connecting portion.This nail supporting base assembly 1 also can removably be provided with knife washer 11, and this knife washer 11 can be combined on the stop 10 from near-end one side.Fig. 3 shows stop 10 with the mode of broken section with amplifying and is assemblied in the state in the nail supporting base 9 with knife washer 11, can see in such state lower retainer 10 being arranged in the cannelure of nail supporting base 9.
In addition, as shown in Figure 7, nail supporting base 9 also can be provided with three through holes.These through holes can play the effect that wash with watercolours is let out the hole on the one hand, to discharge the excess pressure in the anastomotic stoma, split thereby avoided anastomotic stoma to be risen, and influence the effect of coincideing, and help patient's post-operative recovery simultaneously.On the other hand, can surgical thread 18 be passed wherein two in these through holes, and make the two ends of surgical thread 18 combine and tie a knot with stomach tube or drainage tube 17.Like this, the doctor finishes the back when anastomotic stoma is extracted anastomat out coincideing, and can in passing stomach tube or drainage tube 17 be imported to the purpose position.
Fig. 4 shows according to the jump ring pipe 12 in the anastomat of the present invention and is used to flexibly connect jump ring pipe 12 and the pin 13 and torsion spring 14 of nail supporting base assembly 1.As falling from the vertical and side that shows nail supporting base assembly 1 with the mode of dissecing Fig. 5 of state can see; This jump ring pipe 12 can comprise that two are with foraminous auricle at far-end; Through will pin 13 insert through hole He these two auricles pass nail supporting base 9 connecting portions the hole, can flexibly connect nail supporting base assembly 1 and jump ring pipe 12; And can pin with this and 13 torsion spring 14 is set coaxially, an end butt of this torsion spring jump ring pipe 12, and other end butt nail supporting base assembly 1.In addition, on the side face of jump ring pipe 12, also can be provided with one or more jump ring sheet, these jump ring sheets can along jump ring pipe 12 circumferentially all with distribute, can be provided with inside convexity of giving prominence in the proximal lateral, thereby be convenient to being connected of jump ring pipe 12 and transmission component 5.
The extraction of anastomat is under the state that nail supporting base assembly 1 side is fallen, to carry out, thereby the far-end of jump ring pipe 12 will contact with surrounding tissue.Consider this point, the far-end of jump ring pipe 12 can be designed to blunt nosed shape, can avoid jump ring pipe 12 to puncture surrounding tissue like this, further guarantees the safety of performing the operation.In addition, in order to make anastomat be fit to the deep operation, for example under the mirror of chamber, carry out operations such as esophagus, stomach, it is shorter that the length of jump ring pipe 12 can be designed to, and for example its Design of length become less than 40mm.
Left side view like Fig. 5 is schematically shown, and stop 10 is stuck in the connecting portion of nail supporting base assembly 1 and jump ring pipe 12.So although be provided with torsion spring 14 between nail supporting base assembly 1 and the jump ring pipe 12, nail supporting base assembly 1 also can keep with respect to jump ring pipe 12 vertical states.Under such state, operations such as the doctor can coincide, cut-out.
As shown in Figure 6, the doctor presses flexible handle 6 and excites after the percussion assembly 4, and endless knife 16 is cut off knife washers 11, can send clearly " click " sound this moment, is convenient to the success that the doctor judges operation and carries out; And knife washer also can play the effect of chopping block, and it is more even to guarantee to coincide.Cut off after the knife washer 11, endless knife 16 continues to move ahead, and promotes the connecting portion that stop 10 leaves nail supporting base assembly 1 and jump ring pipe 12, abuts to the distal tip of nail supporting base 9 up to stop 10.At this moment, in case recall endless knife, but nail supporting base assembly 1 side fall, form the state that the right side view like Fig. 5 schematically shows; Like this, when taking out anastomat, just be not easy to cause the seam nail of anastomotic stoma to come off, also can not rise and split anastomotic stoma.
Below the operational approach according to anastomat of the present invention will be described roughly.
In operation process, but the doctor at first from aseptic package bag, take out and be equipped with anastomat according to the side assembly of falling the nail supporting base of the present invention, rotation adjusting assembly 8 makes distance between the far-end of nail supporting base 9 and coupling assembling 3 more than or equal to 5cm; Then anastomat is put into the tissue that need to coincide, accomplish fluently pocket, rotation adjusting assembly 8 makes the far-end of nail supporting base 9 butt coupling assemblings 3; Then excite percussion assembly 4, after the correct percussion of titanium nail, endless knife 16 will be organized with knife washer 11 and cut off together; And endless knife 16 continues to move ahead, and stop 10 is pushed away the connecting portion of nail supporting base assembly 1 and jump ring pipe 12, is resisted against the top of nail supporting base 9 until stop 10; Return endless knife 16 then, rotation adjusting assembly 8, nail supporting base assembly 1 side is fallen; So can easily take out anastomat.
Specific embodiment described herein only is that the present invention's spirit is illustrated.Person of ordinary skill in the field of the present invention can make various modifications or replenishes or adopt similar mode to substitute described specific embodiment; And can be individually or adopt above-mentioned each characteristic in combination; Do not depart from spirit of the present invention, do not exceed the appended claims restricted portion yet.
For example, in the embodiment shown, the movable connection method of nail supporting base assembly and jump ring pipe is realized through pin; What but those of ordinary skills can expect is, can adopt other movable connection method, and this does not depart from protection scope of the present invention.
For example, in the embodiment shown, stop is arranged in the cannelure in the nail supporting base; What but those of ordinary skills can expect is, can adopt any suitable manner that stop is arranged in the nail supporting base, and this does not depart from protection scope of the present invention.
For example, in the embodiment shown, nail supporting base has three through holes; What but those of ordinary skills can expect is, can be according to actual needs at the through hole that is provided with on the nail supporting base more than two or three.
For example, the present invention does not have concrete restriction to the shape and the structure of stop 10, and those of ordinary skills can adopt any suitable shape and structure for stop 10, and this does not depart from protection scope of the present invention.
For example, the present invention does not have concrete restriction to the combining form of stop 10 and knife washer 11, and those of ordinary skills can adopt any suitable manner, and this does not depart from protection scope of the present invention.

Claims (10)

1. but the nail supporting base assembly that the side that is used for anastomat is fallen is characterized in that the connecting portion that said nail supporting base assembly (1) is provided with nail supporting base (9), stop (10) and is used to flexibly connect; Under the duty of anastomat, said stop (10) is stuck in said nail supporting base (9) thereby keeps the plumbness of said nail supporting base (9) with the connecting portion of anastomat; Behind the anastomat end of operation, said stop (10) moves away the connecting portion of said nail supporting base assembly (1) and anastomat, thereby said nail supporting base assembly (1) can side fall.
2. nail supporting base assembly according to claim 1 is characterized in that, on near-end one side of said stop (10), also removably is provided with knife washer (11).
3. nail supporting base assembly according to claim 1 and 2 is characterized in that, said nail supporting base (9) also is provided with plural through hole.
4. an anastomat is characterized in that, said anastomat comprises according to each described nail supporting base assembly in the claim 1 to 3 and the connecting device that flexibly connects with the connecting portion of this nail supporting base assembly.
5. anastomat according to claim 4; It is characterized in that; The said connecting device of said anastomat comprises jump ring pipe (12), and this jump ring pipe (12) is movably connected through the connecting portion of pin with said nail supporting base assembly (1), and is provided with torsion spring (14) at the place of being movably connected coaxially with said pin; The said jump ring pipe of one end butt (12) of this torsion spring (14), the said nail supporting base assembly of other end butt (1).
6. anastomat according to claim 5 is characterized in that, the remote design of said jump ring pipe (12) becomes blunt nosed shape.
7. according to claim 5 or 6 described anastomats, it is characterized in that the length of said jump ring pipe (12) is less than 40mm.
8. according to claim 5 or 6 described anastomats, it is characterized in that, on the outer peripheral face of said jump ring pipe (12), be provided with more than one positioning bar.
9. according to claim 5 or 6 described anastomats, it is characterized in that, on the side face of said jump ring pipe (12), be provided with more than one jump ring sheet, said jump ring sheet has inwardly outstanding convexity at near-end.
10. according to claim 5 or 6 described anastomats, it is characterized in that said jump ring pipe (12) is integrated.
CN2010101125114A 2009-07-08 2010-02-10 Side-falling nail-supporting seat components and anastomat using side-falling nail seat components Active CN101947117B (en)

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CN200920163688.X 2009-07-08
CN2010101125114A CN101947117B (en) 2009-07-08 2010-02-10 Side-falling nail-supporting seat components and anastomat using side-falling nail seat components

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CN2010201220970U Expired - Lifetime CN201642173U (en) 2009-07-08 2010-02-10 Nail propping block assembly capable of falling on side and anastomat adopting the same

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101947117B (en) * 2009-07-08 2012-04-25 北京中法派尔特医疗设备有限公司 Side-falling nail-supporting seat components and anastomat using side-falling nail seat components
CN104207815B (en) * 2013-05-30 2017-02-22 瑞奇外科器械(中国)有限公司 Stapler nail anvil assembly and stapler
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

Citations (4)

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Publication number Priority date Publication date Assignee Title
US5240163A (en) * 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
CN200957100Y (en) * 2006-08-03 2007-10-10 瑞奇外科器械(北京)有限公司 Plug on/off structure between body and anvil of surgery anastomat
CN101322655A (en) * 2008-06-27 2008-12-17 常州市康迪医用吻合器有限公司 Curved-cutter mechanism of disposal curved-cutter-stapler
CN201642173U (en) * 2009-07-08 2010-11-24 北京中法派尔特医疗设备有限公司 Nail propping block assembly capable of falling on side and anastomat adopting the same

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5240163A (en) * 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
CN200957100Y (en) * 2006-08-03 2007-10-10 瑞奇外科器械(北京)有限公司 Plug on/off structure between body and anvil of surgery anastomat
CN101322655A (en) * 2008-06-27 2008-12-17 常州市康迪医用吻合器有限公司 Curved-cutter mechanism of disposal curved-cutter-stapler
CN201642173U (en) * 2009-07-08 2010-11-24 北京中法派尔特医疗设备有限公司 Nail propping block assembly capable of falling on side and anastomat adopting the same

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CN201642173U (en) 2010-11-24

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Address after: 102200 Changping District science and Technology Park, Beijing torch street, building 28, building three, floor 1

Patentee after: BEIJING PANTHER MEDICAL TECHNOLOGY CO., LTD.

Address before: 100018, No. 2, west of Bai Qiao Industrial Zone, West Avenue, Calendula Road, Beijing, Chaoyang District

Patentee before: Beijing Panther Medical Equipment Co., Ltd.,