CN103876796B - Internal abdominal wall anastomat - Google Patents
Internal abdominal wall anastomat Download PDFInfo
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- CN103876796B CN103876796B CN201410132569.3A CN201410132569A CN103876796B CN 103876796 B CN103876796 B CN 103876796B CN 201410132569 A CN201410132569 A CN 201410132569A CN 103876796 B CN103876796 B CN 103876796B
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- pull bar
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
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- Life Sciences & Earth Sciences (AREA)
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
A kind of internal abdominal wall 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, internal abdominal wall anastomat of the present invention, abdominal cavity that can be deep enough, and the internal abdominal wall that pin and line are introduced can also be able to be drawn, so just can realize the stitching to abdominal cavity, thus improve suture strength and the Healing strength of endoscopic surgery perforation, at utmost improve the postoperative impression of patient and avoid secondary to ftracture.
Description
Technical field
The present invention relates to the technical field of medical apparatus and instruments, particularly relate to a kind of internal abdominal wall anastomat.
Background technology
For endoscopic surgery, perforation on human body after operation is all generally sew up at exocuticle, because the bore of perforation is little, have no idea to carry out inner stitching, so just cause perforation just epidermis healing, and inner not healing, such healing is shaky, the phenomenon that the later stage causes pain or perforation to break due to the event such as patient activity or sneeze, needs secondary to sew up, also easily cause infection in addition, jeopardize the life security of patient.
Summary of the invention
Of the present invention for solving the problem, a kind of internal abdominal wall anastomat is provided.
Technical scheme of the present invention is: a kind of internal abdominal wall 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 run through up and down, the bottom of through hole is the square opening with pull bar form fit, through hole top is the cylindrical hole with driving handle form fit, the lower end of housing is provided with two symmetrical otic placodes, space is had between two otic placodes, the lower end of pull bar passes square opening and is positioned at this space, horizontal bearing pin first is respectively equipped with in the two sides, lower end of pull bar, the axis of two bearing pin first is in the same plane and to be centrosymmetric layout at this horizontal plane, the inner surface of two otic placodes is respectively equipped with horizontal bearing pin second, the axis of two bearing pin second to be positioned in same level and in this horizontal plane layout in a center of symmetry, described turning poppet body 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 mated with bearing pin first, the circular arc slide opening mated with bearing pin second, and the clamping part of each turning poppet body is inlaid with silica gel block, the position being positioned at through hole both sides in described housing is respectively equipped with pin hole, and two pin holes are that X cross-like is arranged, pin hole sidepiece is provided with the linear slit gap extending to housing outer surface, described silica gel block 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-shaped dop, and this T-shaped dop snaps onto in the T-shaped draw-in groove of driving handle lower end, and driving handle can drive pull bar be elevated and can rotate relative to pull bar, be provided with the locating notch at chute and the chute two ends be centrosymmetric in the two sides of driving handle, the inner surface of described housing is provided with and is positioned at the alignment pin relative with two that chute mates.
Two and half housing compositions symmetrical centered by described housing, 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 matched each other; Through hole in each halfbody, pin hole are half that separates vertically; 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
Internal abdominal wall anastomat of the present invention, abdominal cavity that can be deep enough, and the internal abdominal wall that pin and line are introduced can also be able to be drawn, so just can realize the stitching to abdominal cavity, thus improve suture strength and the Healing strength of endoscopic surgery perforation, at utmost improve the postoperative impression of patient and avoid secondary to ftracture.
Accompanying drawing explanation
Fig. 1 is the main TV structure schematic diagram of this internal abdominal wall 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 internal abdominal wall anastomat;
Fig. 8 is the left TV structure schematic diagram of the housing of this internal abdominal wall anastomat;
Fig. 9 is the D-D cross-sectional view of Fig. 7;
Figure 10 is E-E, 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 internal abdominal wall anastomat;
Figure 14 is the left TV structure schematic diagram of half housing of this internal abdominal wall anastomat;
Figure 15 is one of perspective view of half housing of this internal abdominal wall anastomat;
Figure 16 is the perspective view two of half housing of this internal abdominal wall anastomat;
Figure 17 is the driving handle of this internal abdominal wall anastomat and the main TV structure schematic diagram of rod assembly;
Figure 18 is the driving handle of this internal abdominal wall 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 is the perspective view two of turning poppet body;
Figure 23 be this internal abdominal wall anastomat turning poppet body on turn over the front view of state;
Figure 24 be Figure 23 look up structural representation;
Figure 25 is the front view of the turning poppet body closure state of this internal abdominal wall 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 and cylindrical hole, 1-7. alignment pin, the Lower Half of 1-8. through hole and square opening, the interface arrangment of 1-9. lower housing portion, the interface arrangment of 1-10. housing upper, 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 block, 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: see Fig. 1-2 5, a kind of internal abdominal wall 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 run through up and down, the bottom of through hole is the square opening with pull bar form fit, through hole top is the cylindrical hole with driving handle form fit, the lower end of housing is provided with two symmetrical otic placodes, space is had between two otic placodes, the lower end of pull bar passes square opening and is positioned at this space, horizontal bearing pin first is respectively equipped with in the two sides, lower end of pull bar, the axis of two bearing pin first is in the same plane and to be centrosymmetric layout at this horizontal plane, the inner surface of two otic placodes is respectively equipped with horizontal bearing pin second, the axis of two bearing pin second to be positioned in same level and in this horizontal plane layout in a center of symmetry, described turning poppet body 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 mated with bearing pin first, the circular arc slide opening mated with bearing pin second, and the clamping part of each turning poppet body is inlaid with silica gel block, the position being positioned at through hole both sides in described housing is respectively equipped with pin hole, and two pin holes are that X cross-like is arranged, pin hole sidepiece is provided with the linear slit gap extending to housing outer surface, described silica gel block 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-shaped dop, and this T-shaped dop snaps onto in the T-shaped draw-in groove of driving handle lower end, and driving handle can drive pull bar be elevated and can rotate relative to pull bar, be provided with the locating notch at chute and the chute two ends be centrosymmetric in the two sides of driving handle, the inner surface of described housing is provided with and is positioned at the alignment pin relative with two that chute mates.Two and half housing compositions symmetrical centered by described housing, 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 matched each other; Through hole in each halfbody, pin hole are half that separates vertically; 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 internal abdominal wall anastomat:
First driving handle is pushed away down, moved downward by its pushing drawing rod, alignment pin now in housing moves up to chute top relative to the chute on driving handle surface, inwardly closed motion is produced under the effect of the bearing pin second of the bearing pin first of turning poppet body below in pull bar lower end and lower housing portion otic placode inner surface, two turning poppet body finally close, as shown in figure 25, after turning poppet body is closed, rotary actuation hands handle, alignment pin in housing is rotated relative 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 achieve the locking of pull bar, achieve the locking to the turning poppet body in bottom simultaneously, internal abdominal wall anastomat after locking just inserts the surgical aperture of (majority of case is stomach wall) on patient's body wall, insert after in body wall until turning poppet body, reversely rotate driving handle, make alignment pin relative motion in housing in the chute of driving handle, then stationary housing is motionless, upwards pull driving handle, alignment pin in housing is moved downward relative to chute, driving handle drives pull bar to move upward, the outside motion of opening is produced under the effect of the bearing pin second of the bearing pin first of turning poppet body below in pull bar lower end and lower housing portion otic placode inner surface, two turning poppet body open to the direction axially vertical with surgical punch eventually to both sides, just hold up the body wall inner surface of the inner both sides of surgical punch, rotary actuation hands handle, alignment pin in housing is rotated relative 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 achieve the locking of pull bar, achieve 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, insert with the pin hole of this pin with a sutural outside from housing, because pin hole is that X shape is arranged, syringe needle just penetrates into the side of surgical punch after surgical punch inside passes housing, body wall inner surface is penetrated until tilt to, last syringe needle is with the silica gel block passed the suture through in turning poppet body, then pin is extracted out, because silica gel block has clamping action, when pin is extracted out, the end of a thread can be clamped in silica gel block, sutural other end adopts same way the end of a thread to be penetrated into the symmetric position of the opposite side of surgical punch, and another the end of a thread is clamped in the silica gel block of another turning poppet body, after completing the introducing of above-mentioned two the end of a thread, rotary actuation hands handle, the alignment pin in housing is made to turn in chute relative to driving handle, then driving handle is made to move downward, the turning poppet body of bottom is driven to close, again driving handle is screwed out after closed, the alignment pin in housing is made to turn in the locating slot on top relative to driving handle, realize the locking to the turning poppet body of bottom closure state, the two ends sewing up the end of a thread are clamped in inside by two turning poppet body after locking, now can extract whole internal abdominal wall anastomat out surgical punch, sutural two the end of a thread are taken out of outside surgical punch, stitching thread remainder can be extracted out outside pin hole by linear slit, thus anastomat and stitching thread are departed from, latter two the end of a thread is done from above-mentioned two silica gel blocks, pull and then fasten, two side inside surgical punch is forgotten about it together by stitching thread, realize the stitching inside to operation transmission.
Claims (3)
1. an internal abdominal wall 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 run through up and down, the bottom of through hole is the square opening with pull bar form fit, through hole top is the cylindrical hole with driving handle form fit, the lower end of housing is provided with two symmetrical otic placodes, space is had between two otic placodes, the lower end of pull bar passes square opening and is positioned at this space, horizontal bearing pin first is respectively equipped with in the two sides, lower end of pull bar, the axis of two bearing pin first is in the same plane and to be centrosymmetric layout at this horizontal plane, the inner surface of two otic placodes is respectively equipped with horizontal bearing pin second, the axis of two bearing pin second to be positioned in same level and in this horizontal plane layout in a center of symmetry, described turning poppet body 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 mated with bearing pin first, the circular arc slide opening mated with bearing pin second, and the clamping part of each turning poppet body is inlaid with silica gel block, the position being positioned at through hole both sides in described housing is respectively equipped with pin hole, and two pin holes are that X cross-like is arranged, pin hole sidepiece is provided with the linear slit gap extending to housing outer surface, described silica gel block 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-shaped dop, and this T-shaped dop snaps onto in the T-shaped draw-in groove of driving handle lower end, and driving handle can drive pull bar be elevated and can rotate relative to pull bar, be provided with the locating notch at chute and the chute two ends be centrosymmetric in the two sides of driving handle, the inner surface of described housing is provided with and is positioned at the alignment pin relative with two that chute mates.
2. internal abdominal wall anastomat according to claim 1, it is characterized in that: two and half housing compositions symmetrical centered by described housing, 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 matched each other; Through hole in each halfbody, pin hole are half that separates vertically; Each half housing there is an otic placode, an alignment pin.
3. internal abdominal wall anastomat according to claim 1, is characterized in that: the top of described driving handle is provided with annular grip part.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410132569.3A CN103876796B (en) | 2014-04-03 | 2014-04-03 | Internal abdominal wall anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410132569.3A CN103876796B (en) | 2014-04-03 | 2014-04-03 | Internal abdominal wall anastomat |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103876796A CN103876796A (en) | 2014-06-25 |
| CN103876796B true CN103876796B (en) | 2016-03-23 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410132569.3A Active CN103876796B (en) | 2014-04-03 | 2014-04-03 | Internal abdominal wall anastomat |
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| CN (1) | CN103876796B (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| CN107582116B (en) * | 2017-09-01 | 2018-11-09 | 佛山市优特医疗科技有限公司 | A kind of operative incision inner wall stitching unstrument |
| CN110786905B (en) * | 2019-12-04 | 2024-07-09 | 邦尼医疗科技(常州)有限公司 | Laparoscope anastomat |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2010081096A3 (en) * | 2009-01-12 | 2010-12-16 | 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 |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8992549B2 (en) * | 2004-08-05 | 2015-03-31 | Teleflex Medical Incorporated | Laparoscopic port site closure tool |
| EP2083727B1 (en) * | 2006-10-05 | 2013-12-11 | Covidien LP | Flexible endoscopic stitching devices |
-
2014
- 2014-04-03 CN CN201410132569.3A patent/CN103876796B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2010081096A3 (en) * | 2009-01-12 | 2010-12-16 | 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 |
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| Publication number | Publication date |
|---|---|
| CN103876796A (en) | 2014-06-25 |
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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. |