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CN103876796A - Abdominal cavity inner wall anastomat - Google Patents

Abdominal cavity inner wall anastomat Download PDF

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Publication number
CN103876796A
CN103876796A CN201410132569.3A CN201410132569A CN103876796A CN 103876796 A CN103876796 A CN 103876796A CN 201410132569 A CN201410132569 A CN 201410132569A CN 103876796 A CN103876796 A CN 103876796A
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China
Prior art keywords
hole
housing
pin
pull bar
abdominal cavity
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CN201410132569.3A
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Chinese (zh)
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CN103876796B (en
Inventor
荆文普
余勇
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ZHENGZHOU DIALL MEDICAL TECHNOLOGY Co Ltd
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ZHENGZHOU DIALL MEDICAL TECHNOLOGY Co Ltd
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Publication of CN103876796A publication Critical patent/CN103876796A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

An abdominal cavity inner wall anastomat comprises a columnar shell, a pulling rod, a columnar drive handle and a turnover supporting plate body connected to the lower end of the shell and the lower end of the pulling rod. The abdominal cavity inner wall anastomat can be placed deep in the abdominal cavity, can lead a needle and a thread in and out of the inner wall of the abdominal cavity, in this way, suture of the inside of the abdominal cavity can be achieved, suture strength and healing strength of endoscopic surgery perforation are improved, postoperative feeling of a patient can be improved to the maximum extent, and secondary cracking is avoided.

Description

Abdominal cavity inwall anastomat
Technical field
The present invention relates to the technical field of medical apparatus and instruments, particularly relate to a kind of abdominal cavity inwall anastomat.
Background technology
For endoscopic surgery, perforation on human body after operation is all generally to sew up at exocuticle, because the bore of perforation is little, have no idea to carry out inner stitching, so just cause just epidermis healing of perforation, and inner not healing, such healing is shaky, and the later stage, because the event such as patient activity or sneeze causes the phenomenon that pain or perforation are broken, needs secondary to sew up, also easily cause in addition infection, the life security that jeopardizes patient.
Summary of the invention
Of the present invention for addressing the above problem, a kind of abdominal cavity inwall anastomat is provided.
Technical scheme of the present invention is: a kind of abdominal cavity inwall anastomat, comprise cylindrical shell, pull bar, column driving handle, be connected to the turning poppet body of housing lower end and pull bar lower end, it is characterized in that: described enclosure interior is provided with the through hole running through up and down, the bottom of through hole is and the square opening of pull bar form fit, through hole top is and the cylindrical hole of driving handle form fit, the lower end of housing is provided with two symmetrical otic placodes, between two otic placodes, there is space, the lower end of pull bar passes square opening and is positioned at this space, be respectively equipped with horizontal bearing pin first in the two sides, lower end of pull bar, the axis of two bearing pin first is in the same plane and in this horizontal plane layout that is centrosymmetric, on the inner surface of two otic placodes, be respectively equipped with horizontal bearing pin second, the axis of two bearing pin second is positioned in same level and in this horizontal plane layout in a center of symmetry, in described turning poppet body, it is two, turning poppet body comprises installation portion and clamping part, the installation portion of each turning poppet body is provided with the cylindrical pin axis hole mating with bearing pin first, the circular arc slide opening mating with bearing pin second, and the clamping part of each upset poppet body is inlaid with silica gel piece, the position that is positioned at through hole both sides in described housing is respectively equipped with pin hole, and two pin holes are X cross-like to be arranged, pin hole sidepiece is provided with the linear slit gap that extends to housing outer surface, described silica gel piece is positioned on the extended line of pin hole after rising with turning planker body, the upper end of pull bar is provided with T shape dop, and this T shape dop snaps onto in the T shape draw-in groove of driving handle lower end, and driving handle can drive pull bar lifting and can rotate with respect to pull bar, be provided with the chute that is centrosymmetric and the locating notch at chute two ends in the two sides of driving handle, the inner surface of described housing is provided with and is positioned at the alignment pins relative with two of chute coupling.
Two and half housings symmetrical centered by described housing form, and are separated into half housing first and half housing second along two linear slit gap place planes and square opening median plane, and the upper and lower of two and half housings is equipped with the interface arrangment matching each other; Through hole in each halfbody, pin hole are half that separates vertically; On each half housing, there is an otic placode, an alignment pin.
The top of described driving handle is provided with annular grip part.
Beneficial effect of the present invention
Abdominal cavity of the present invention inwall anastomat, inside, abdominal cavity that can be deep enough, and the abdominal cavity inwall of pin and line introducing can also be able to be drawn, so just can realize the stitching to inside, abdominal cavity, thereby improve suture strength and the Healing strength of endoscopic surgery perforation, at utmost improve patient's postoperative impression and avoid secondary cracking.
Brief description of the drawings
Fig. 1 is the main TV structure schematic diagram of this abdominal cavity inwall anastomat;
Fig. 2 is the left TV structure schematic diagram of Fig. 1;
Fig. 3 is the plan structure schematic diagram of Fig. 1;
Fig. 4 is the A-A cross-sectional view in Fig. 1;
Fig. 5 is B-B cross-sectional view in Fig. 2;
Fig. 6 is C-C cross-sectional view in Fig. 2;
Fig. 7 is the main TV structure schematic diagram of the housing of this abdominal cavity inwall anastomat;
Fig. 8 is the left TV structure schematic diagram of the housing of this abdominal cavity inwall anastomat;
Fig. 9 is the D-D cross-sectional view of Fig. 7;
Figure 10 is E-E, the F-F cross-sectional view of Fig. 8;
Figure 11 is the G-G cross-sectional view of Fig. 8;
Figure 12 is the H-H cross-sectional view of Fig. 8;
Figure 13 is the main TV structure schematic diagram of half housing of this abdominal cavity inwall anastomat;
Figure 14 is the left TV structure schematic diagram of half housing of this abdominal cavity inwall anastomat;
Figure 15 is one of perspective view of half housing of this abdominal cavity inwall anastomat;
Figure 16 be half housing of this abdominal cavity inwall anastomat perspective view two;
Figure 17 is the driving handle of this abdominal cavity inwall anastomat and the main TV structure schematic diagram of rod assembly;
Figure 18 is the driving handle of this abdominal cavity inwall anastomat and the backsight structural representation of rod assembly;
Figure 19 is the J-J cross-sectional view of Figure 17;
Figure 20 is the K-K cross-sectional view of Figure 17;
Figure 21 is one of perspective view of turning poppet body;
Figure 22 be turning poppet body perspective view two;
Figure 23 is the front view of the state that turns in the turning poppet body of this abdominal cavity inwall anastomat;
Figure 24 is the structural representation of looking up of Figure 23;
Figure 25 is the front view of the turning poppet body closure state of this abdominal cavity inwall anastomat;
1. housings in figure, 2. driving handle, 3. turning poppet body, 4. pull bar, wherein 1-1. pin hole, 1-2. linear slit gap, 1-3. otic placode, 1-5. bearing pin second, the first half of 1-6. through hole is cylindrical hole, 1-7. alignment pin, the Lower Half of 1-8. through hole is square opening, the interface arrangment of 1-9. lower housing portion, the interface arrangment on 1-10. housing top, 2-1. chute, the locating notch of 2-2. chute upper end, the locating notch of 2-3. chute lower end, 2-4.T shape draw-in groove, 3-1. silica gel piece, the circular shape pin shaft hole of 3-2., 3-3. circular arc slide opening, 3-4. installation portion, 3-5. clamping part, 4-1. bearing pin first, 4-2.T shape dop.
Detailed description of the invention
Embodiment: referring to Fig. 1-2 5, a kind of abdominal cavity inwall anastomat, comprise cylindrical shell, pull bar, column driving handle, be connected to the turning poppet body of housing lower end and pull bar lower end, it is characterized in that: described enclosure interior is provided with the through hole running through up and down, the bottom of through hole is and the square opening of pull bar form fit, through hole top is and the cylindrical hole of driving handle form fit, the lower end of housing is provided with two symmetrical otic placodes, between two otic placodes, there is space, the lower end of pull bar passes square opening and is positioned at this space, be respectively equipped with horizontal bearing pin first in the two sides, lower end of pull bar, the axis of two bearing pin first is in the same plane and in this horizontal plane layout that is centrosymmetric, on the inner surface of two otic placodes, be respectively equipped with horizontal bearing pin second, the axis of two bearing pin second is positioned in same level and in this horizontal plane layout in a center of symmetry, in described turning poppet body, it is two, turning poppet body comprises installation portion and clamping part, the installation portion of each turning poppet body is provided with the cylindrical pin axis hole mating with bearing pin first, the circular arc slide opening mating with bearing pin second, and the clamping part of each upset poppet body is inlaid with silica gel piece, the position that is positioned at through hole both sides in described housing is respectively equipped with pin hole, and two pin holes are X cross-like to be arranged, pin hole sidepiece is provided with the linear slit gap that extends to housing outer surface, described silica gel piece is positioned on the extended line of pin hole after rising with turning planker body, the upper end of pull bar is provided with T shape dop, and this T shape dop snaps onto in the T shape draw-in groove of driving handle lower end, and driving handle can drive pull bar lifting and can rotate with respect to pull bar, be provided with the chute that is centrosymmetric and the locating notch at chute two ends in the two sides of driving handle, the inner surface of described housing is provided with and is positioned at the alignment pins relative with two of chute coupling.Two and half housings symmetrical centered by described housing form, and are separated into half housing first and half housing second along two linear slit gap place planes and square opening median plane, and the upper and lower of two and half housings is equipped with the interface arrangment matching each other; Through hole in each halfbody, pin hole are half that separates vertically; On each half housing, there is an otic placode, an alignment pin.Such housing is simple for production, and installation rate is fast.The top of described driving handle is provided with annular grip part.
The using method of this abdominal cavity inwall anastomat:
First push away down driving handle, moved downward by its pushing drawing rod, now the alignment pin in housing moves up to chute top with respect to the chute on driving handle surface, turning poppet body below produces inwardly closed motion under the effect of the bearing pin first of pull bar lower end and the bearing pin second of lower housing portion otic placode inner surface, in two final closures of turning poppet body, as shown in figure 25, after turning poppet body closure, rotarily actuate hands handle, alignment pin in housing is rotated with respect to driving handle, alignment pin proceeds in the locating notch of driving handle chute upper end, realize the locking to driving handle axially-movable, so just realize the locking of pull bar, realized the locking to the turning poppet body in bottom simultaneously, abdominal cavity inwall anastomat after locking just inserts the surgical aperture of (most applications is stomach wall) on patient's body wall, after in turning poppet body is inserted body wall, reverse rotation driving handle, alignment pin relative motion in housing is arrived in the chute of driving handle, then stationary housing is motionless, upwards pull driving handle, alignment pin in housing is moved downward with respect to chute, driving handle drives pull bar to move upward, turning poppet body below produces the outside motion of opening under the effect of the bearing pin first of pull bar lower end and the bearing pin second of lower housing portion otic placode inner surface, two turning poppet body finally open to both sides and the axial vertical direction of the perforation of performing the operation, just hold up the body wall inner surface of the inner both sides of operation perforation, rotarily actuate hands handle, alignment pin in housing is rotated with respect to driving handle, alignment pin proceeds in the locating notch of driving handle chute lower end, realize the locking to driving handle axially-movable, so just realize the locking of pull bar, realized the locking to the turning poppet body in bottom simultaneously, then enable inwall and sew up special needle, the front end of this special needle is provided with line sending breach forward, pin hole insertion with this pin with a sutural outside from housing, because being X shape, arranges pin hole, syringe needle just penetrates into the side of operation perforation after operation perforation inside passes housing, penetrate body wall inner surface until tilt to, last syringe needle passes the silica gel piece in turning poppet body with stitching thread, then extract pin out, because silica gel piece has clamping action, in the time that pin is extracted out, the end of a thread can be clamped in silica gel piece, sutural other end adopts same way the end of a thread to be penetrated into the symmetric position of the opposite side of operation perforation, and another the end of a thread is clamped in the silica gel piece of another turning poppet body, complete after the introducing of above-mentioned two the end of a thread, rotarily actuate hands handle, alignment pin in housing is turned in chute with respect to driving handle, then make driving handle move downward, drive the turning poppet body closure of bottom, after closure, again screw out driving handle, alignment pin in housing is turned to respect to driving handle in the locating slot on top, realize the locking of the turning poppet body to bottom closure state, the two ends of sewing up the end of a thread are clamped in inside by two turning poppet body after locking, now whole abdominal cavity inwall anastomat can be extracted out to operation perforation, take sutural two the end of a thread out of operation perforation outside, stitching thread remainder can be extracted out outside pin hole by linear slit, thereby anastomat and stitching thread are departed from, latter two the end of a thread is done from above-mentioned two silica gel pieces, pull then and fasten, stitching thread forgets about it the two side of operation perforation inner side together, realize the stitching to operation transmission inner side.

Claims (3)

1. an abdominal cavity inwall anastomat, comprise cylindrical shell, pull bar, column driving handle, be connected to the turning poppet body of housing lower end and pull bar lower end, it is characterized in that: described enclosure interior is provided with the through hole running through up and down, the bottom of through hole is and the square opening of pull bar form fit, through hole top is and the cylindrical hole of driving handle form fit, the lower end of housing is provided with two symmetrical otic placodes, between two otic placodes, there is space, the lower end of pull bar passes square opening and is positioned at this space, be respectively equipped with horizontal bearing pin first in the two sides, lower end of pull bar, the axis of two bearing pin first is in the same plane and in this horizontal plane layout that is centrosymmetric, on the inner surface of two otic placodes, be respectively equipped with horizontal bearing pin second, the axis of two bearing pin second is positioned in same level and in this horizontal plane layout in a center of symmetry, in described turning poppet body, it is two, turning poppet body comprises installation portion and clamping part, the installation portion of each turning poppet body is provided with the cylindrical pin axis hole mating with bearing pin first, the circular arc slide opening mating with bearing pin second, and the clamping part of each upset poppet body is inlaid with silica gel piece, the position that is positioned at through hole both sides in described housing is respectively equipped with pin hole, and two pin holes are X cross-like to be arranged, pin hole sidepiece is provided with the linear slit gap that extends to housing outer surface, described silica gel piece is positioned on the extended line of pin hole after rising with turning planker body, the upper end of pull bar is provided with T shape dop, and this T shape dop snaps onto in the T shape draw-in groove of driving handle lower end, and driving handle can drive pull bar lifting and can rotate with respect to pull bar, be provided with the chute that is centrosymmetric and the locating notch at chute two ends in the two sides of driving handle, the inner surface of described housing is provided with and is positioned at the alignment pins relative with two of chute coupling.
2. abdominal cavity according to claim 1 inwall anastomat, it is characterized in that: two and half housings symmetrical centered by described housing form, be separated into half housing first and half housing second along two linear slit gap place planes and square opening median plane, the upper and lower of two and half housings is equipped with the interface arrangment matching each other; Through hole in each halfbody, pin hole are half that separates vertically; On each half housing, there is an otic placode, an alignment pin.
3. abdominal cavity inwall anastomat according to claim 1, is characterized in that: the top of described driving handle is provided with annular grip part.
CN201410132569.3A 2014-04-03 2014-04-03 Internal abdominal wall anastomat Active CN103876796B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410132569.3A CN103876796B (en) 2014-04-03 2014-04-03 Internal abdominal wall anastomat

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Application Number Priority Date Filing Date Title
CN201410132569.3A CN103876796B (en) 2014-04-03 2014-04-03 Internal abdominal wall anastomat

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CN103876796B CN103876796B (en) 2016-03-23

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106308857A (en) * 2015-07-03 2017-01-11 常州市延陵电子设备有限公司 Swinging positioning mechanism for selective tissue removing directional positioning drawing device
CN106308856A (en) * 2015-07-03 2017-01-11 常州市延陵电子设备有限公司 Selective tissue removing directional positioning drawing device
CN107582116A (en) * 2017-09-01 2018-01-16 佛山市优特医疗科技有限公司 A kind of operative incision inwall stitching unstrument
CN110786905A (en) * 2019-12-04 2020-02-14 邦尼医疗科技(常州)有限公司 Laparoscope anastomat

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060030868A1 (en) * 2004-08-05 2006-02-09 Bennett Richard M Iii Laparoscopic port site closure tool
WO2010081096A2 (en) * 2009-01-12 2010-07-15 Option 3, Llc Apparatus and methods for tissue closure
WO2013103682A2 (en) * 2012-01-04 2013-07-11 Teleflex Medical Incorporated Apparatus and methods for tissue closure
US20130317525A1 (en) * 2006-10-05 2013-11-28 Covidien Lp Flexible endoscopic stitching devices
CN103654902A (en) * 2012-09-07 2014-03-26 柯惠Lp公司 Methods for applying surgical staples to internal walls of hollow tissue organs
CN204072191U (en) * 2014-04-03 2015-01-07 郑州迪奥医学技术有限公司 Internal abdominal wall anastomat

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060030868A1 (en) * 2004-08-05 2006-02-09 Bennett Richard M Iii Laparoscopic port site closure tool
US20130317525A1 (en) * 2006-10-05 2013-11-28 Covidien Lp Flexible endoscopic stitching devices
WO2010081096A2 (en) * 2009-01-12 2010-07-15 Option 3, Llc Apparatus and methods for tissue closure
WO2013103682A2 (en) * 2012-01-04 2013-07-11 Teleflex Medical Incorporated Apparatus and methods for tissue closure
CN103654902A (en) * 2012-09-07 2014-03-26 柯惠Lp公司 Methods for applying surgical staples to internal walls of hollow tissue organs
CN204072191U (en) * 2014-04-03 2015-01-07 郑州迪奥医学技术有限公司 Internal abdominal wall anastomat

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106308857A (en) * 2015-07-03 2017-01-11 常州市延陵电子设备有限公司 Swinging positioning mechanism for selective tissue removing directional positioning drawing device
CN106308856A (en) * 2015-07-03 2017-01-11 常州市延陵电子设备有限公司 Selective tissue removing directional positioning drawing device
CN106308857B (en) * 2015-07-03 2018-07-20 常州市延陵电子设备有限公司 Swing locating mechanism for selective cutting tissue direction and location tractor
CN106308856B (en) * 2015-07-03 2018-07-20 常州市延陵电子设备有限公司 Selective cutting tissue direction and location tractor
CN107582116A (en) * 2017-09-01 2018-01-16 佛山市优特医疗科技有限公司 A kind of operative incision inwall stitching unstrument
CN110786905A (en) * 2019-12-04 2020-02-14 邦尼医疗科技(常州)有限公司 Laparoscope anastomat

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Address after: 450000 Zhengzhou Economic and Technological Development Zone, Henan Province, No. 87 Building, Jingbei Road

Patentee after: Zhengzhou Diall Medical Technology Co., Ltd.

Address before: 450016 No. 16 Jingnan Five Road, Zhengzhou Economic and Technological Development Zone, Henan Province

Patentee before: Zhengzhou Diall Medical Technology Co., Ltd.

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