CN113288266B - Anastomat for surgical wound suturing - Google Patents
Anastomat for surgical wound suturing Download PDFInfo
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- CN113288266B CN113288266B CN202110532188.4A CN202110532188A CN113288266B CN 113288266 B CN113288266 B CN 113288266B CN 202110532188 A CN202110532188 A CN 202110532188A CN 113288266 B CN113288266 B CN 113288266B
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- 208000002847 Surgical Wound Diseases 0.000 title claims abstract description 18
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 20
- 206010052428 Wound Diseases 0.000 claims abstract description 16
- 230000000694 effects Effects 0.000 claims abstract description 8
- 230000003872 anastomosis Effects 0.000 claims description 46
- 230000005540 biological transmission Effects 0.000 claims description 16
- 230000007246 mechanism Effects 0.000 claims description 8
- 230000009471 action Effects 0.000 claims description 7
- 239000007787 solid Substances 0.000 claims description 3
- 230000002093 peripheral effect Effects 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 claims 1
- 206010072170 Skin wound Diseases 0.000 description 5
- 230000006378 damage Effects 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 238000009434 installation Methods 0.000 description 3
- 238000000926 separation method Methods 0.000 description 3
- 230000000740 bleeding effect Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 206010060954 Abdominal Hernia Diseases 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000001174 ascending effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000004880 explosion Methods 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 238000009527 percussion Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
- A61B17/0686—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
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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
The invention relates to the technical field of anastomats and discloses an anastomat for surgical wound suturing. This anastomat for surgical wound is sewed up, drive through the linkage board at movable handle, rotate around first pivot, when the linkage board rotates downwards, the slope top at linkage board top pushes down the linkage piece, and then the linkage piece drives the connecting plate and makes the pressure nail board push down the anastomotic nail and coincide skin, push down the completion back when the anastomotic nail, the slope top breaks away from the linkage piece, and then make the linkage piece can bounce under the effect of first spring, because movable handle does not loosen this moment, the anastomotic baffle is still inboard at the anastomotic nail, when the pressure nail board rises under the linkage piece drives, the anastomotic baffle can fix the anastomotic nail, can not cause the pressure nail board to move the anastomotic nail, make patient's wound tear the phenomenon.
Description
Technical Field
The invention relates to the technical field of anastomats, in particular to an anastomat for surgical wound suturing.
Background
The skin anastomat is suitable for surface skin suture of human body wound and operation incision and patch fixation for abdominal wall hernia repair. The skin anastomat is similar to a stapler principle, has the advantages of simplicity in operation, high suturing speed, good healing of postoperative incisions and the like, is a first-choice medical instrument for replacing traditional manual surface skin suturing in medicine, and is widely applied to departments such as general surgery, obstetrics and orthopedics in hospitals and occasions such as field rescue.
At present in the clinical use of skin anastomat, when the doctor sews up patient's skin wound through skin anastomat, once press the staple board to push down and move the anastomotic nail and cooperate the anastomotic baffle that stretches out, make the skin that the wound both ends passed the wound both sides, and then make skin sew up, after pressing the staple board to accomplish to press the staple, press the staple board to lift up the in-process that the anastomotic baffle was withdrawed, can appear the anastomotic nail because uncertain factor leads to the crooked back of staple both sides and presses the staple board inner wall fully to contact, can drive the anastomotic nail when leading to pressing the staple board to lift up, can the patient wound is pulled apart, bleeding phenomenon. The existing common skin anastomat is disposable, after the anastomosis nail is used up, the anastomat cannot be reused due to the fact that the anastomosis nail cannot be replaced, and after the skin of a patient is sutured, the skin anastomat with the unused anastomosis nail cannot be locked, so that when medical staff collects medical equipment, a movable handle of the anastomat is touched by mistake, the anastomosis nail is shot by mistake, and injury is caused to people.
Disclosure of Invention
Technical problem to be solved
Aiming at the defects of the prior art, the invention provides a surgical wound suturing stapler, which has the advantages that when a nail pressing plate is driven by a linkage block to ascend, an anastomosis baffle plate can fix anastomosis nails, the nail pressing plate cannot drive the anastomosis nails, the anastomosis nails can be replaced aiming at the anastomosis nails, the stapler can be reused, the stapler after being used can be locked, the phenomenon that when the stapler is collected, the stapler is mistakenly touched by a trigger key to cause injury to personnel is avoided, and the problems that when the nail pressing plate is lifted, the anastomosis nails can be driven, wounds of patients are dragged, bleeding phenomena occur, the stapler cannot be reused and cannot be locked by the trigger part of the stapler due to the incapability of replacing the anastomosis nails, medical personnel mistakenly touch a movable handle of the stapler when collecting medical equipment, the anastomosis nails are mistakenly triggered, and injury is caused to the personnel are solved.
(II) technical scheme
In order to solve the technical problems that when the nail pressing plate is lifted up, anastomotic nails can be driven, the wound of a patient is dragged to crack and bleed, the anastomat cannot be reused and cannot be locked at the percussion part of the anastomat due to the fact that the anastomotic nails cannot be replaced, and medical staff can collect medical equipment by mistakenly touching the movable handle of the anastomat, so that the anastomotic nails are mistakenly struck and sent out, and the injury to the people is caused, the invention provides the following technical scheme: a surgical wound suturing anastomat comprises a shell, a movable handle, a nail seat and anastomotic nails, wherein the tail of the shell is a fixed handle, an anastomotic opening is formed below the end of the shell, the end of the movable handle is rotatably connected with the middle part of the inner side wall of the shell through a first rotating shaft, the nail seat is positioned between the movable handle and the anastomotic opening, the anastomotic nails are positioned inside the nail seat, a guide assembly is arranged above the anastomotic opening, a linkage block is arranged inside the guide assembly, a nail pressing plate is arranged below the linkage block, a linkage plate is arranged at the end of the movable handle, a mounting plate is arranged at the bottom of the nail seat, a fixed vertical plate is arranged at the tail of the nail seat, a nail pushing assembly is arranged at one side of the fixed vertical plate close to the nail seat, a guide ring is arranged on the upper surface inside the nail seat, and a guide rod is arranged inside the guide ring, the utility model discloses a nail pressing plate, including guide bar, nail seat, nail pressing plate, staple, guide bar tip, nail seat, protection mechanism one end extend in the staple is inboard, two outsides of the oral area of coincide are provided with the cross slot.
Preferably, the direction subassembly includes that two sets of directions erect groove, first spring and slider, the direction erect the groove respectively fixed set up with the oral area top of coincide the shell inside wall, the direction erects the bottom of the groove and is provided with the stopper, first spring bottom is fixed in the stopper top, and is located the direction erects inslot portion, the slider is located respectively the direction erects inslot portion, and is located first spring top.
Preferably, a connecting plate is arranged between the sliding blocks, the top of the connecting plate is fixedly connected with the linkage block, and the bottom of the connecting plate is fixedly connected with the upper surface of the nail pressing plate.
Preferably, the bottom of the top end of the linkage plate is set to be an inclined top end, the inclined top end is tangent to the top edge of one side of the linkage block, the first rotating shaft at the tail of the linkage plate is arranged above the horizontal plane where the linkage block is located, so that the linkage plate is pressed down under the driving of the movable handle, when the linkage block is completely pressed down by the inclined top end, the inclined top end is separated from the linkage block, and the top of the movable handle is provided with a third spring which is connected with the inside of the fixed handle.
Preferably, the mounting panel is close to the one end both sides of movable handle through the second pivot with the shell inside wall rotates to be connected, spacing hole has been seted up to mounting panel other end both sides, the shell is just right the position threaded connection in spacing hole has stop screw.
Preferably, two ends of the transmission rod are respectively connected with the guide rod and the first rotating shaft through hinge rings, and the hinge ring at one end of the transmission rod, which is close to the first rotating shaft, is located above the axis of the first rotating shaft.
Preferably, the ejector pin subassembly includes ejector pin guide bar, second spring, ejector pin board, the ejector pin guide bar is located nail seat both sides, and is fixed in fixed riser one side, the second spring housing is located the ejector pin guide bar surveys outward, second spring one end with fixed riser connects, the second spring other end with the ejector pin board is connected, the ejector pin board is "" style of calligraphy structure, the ejector pin board spans the nail seat top, the anastomotic nail is located the ejector pin board front end, the ejector pin board both sides cover is located ejector pin guide bar top, and with ejector pin guide bar sliding connection.
Preferably, a cross rod is arranged on one side of the nail pushing plate, a locking button is arranged at the end of the cross rod, the locking button is in threaded connection with the cross rod, and the cross rod is located inside the cross groove.
Preferably, protection machanism is including solid fixed ring, round bar, guard plate and torsional spring, gu fixed ring is fixed in the pressure nail board bottom outside, guard plate both ends middle part is fixed with the round bar, the round bar cover establish with gu fixed ring is inside, the torsional spring cover is located gu fixed ring with between the round bar, the torsional spring both ends respectively with gu fixed ring with the round bar is connected.
(III) advantageous effects
Compared with the prior art, the invention provides the anastomat for surgical wound suturing, which has the following beneficial effects:
1. this surgical wound sews up and uses anastomat through direction vertical slot and stopper cooperation slider and first spring for connecting plate between the slider slides in direction vertical slot inside, and then utilizes the connecting plate to take the staple board to push down, pushes down the staple, makes the staple sew up human skin wound, after the slider slided to the bottom, and when the top was not atress, under the effect of the first spring of compression state, the slider drove the connecting plate and rises.
2. This anastomat for surgical wound is sewed up, drive through the linkage board at movable handle, rotate around first pivot, when the linkage board rotates downwards, the slope top at linkage board top pushes down the linkage piece, and then the linkage piece drives the connecting plate and makes the pressure nail board push down the anastomotic nail and coincide skin, push down the completion back when the anastomotic nail, the slope top breaks away from the linkage piece, and then make the linkage piece can bounce under the effect of first spring, because movable handle does not loosen this moment, the anastomotic baffle is still inboard at the anastomotic nail, when the pressure nail board rises under the linkage piece drives, the anastomotic baffle can fix the anastomotic nail, can not cause the pressure nail board to move the anastomotic nail, make patient's wound tear the phenomenon.
3. This surgical wound sews up uses anastomat passes through the second pivot through mounting panel one end and is connected with the shell rotation for when the inside anastomotic nail of nail seat used up, make the mounting panel other end and shell separation through not hard up stop screw, and then make the mounting panel can revolve around the second pivot, make the nail seat expose the installation of carrying out the anastomotic nail, and then make the anastomat can used repeatedly.
4. When the first rotating shaft rotates, the hinge ring above one side of the first rotating shaft is driven to move downwards, so that the inclined angle of the transmission rod is reduced, the length of the horizontal length where the transmission rod is located is long, the guide rod is further pushed to be pushed forwards, the anastomosis baffle is pushed to the lower part of the end part of the anastomosis nail, and the anastomosis nail is matched with the nail pressing plate to perform skin anastomosis.
5. This anastomat for surgical wound is sewed up through the solid fixed ring of round bar cooperation under the effect of torsional spring, makes the one end that the guard plate is close to the pressure nail board have ascending power all the time, and then makes the one end that the guard plate is close to the pressure nail board can support the anastomosis nail, prevents that the anastomosis nail quantity is few, directly drops from nail seat tip.
6. This surgical wound sews up uses anastomat, through locking button cooperation horizontal pole, when not using the anastomat for when the ejector pad promoted forward, can judge the quantity of the anastomotic nail in ejector pad the place ahead through the position of watching the horizontal pole, and then can in time supply the anastomotic nail, when not using the anastomat, through locking button cooperation horizontal pole, lock the ejector pad, and then the unable activity of movable handle, make the anastomat unable work, injure the people when preventing that the anastomat from placing.
Drawings
FIG. 1 is a schematic overall perspective view of the present invention;
FIG. 2 is an enlarged view of a portion of FIG. 1;
FIG. 3 is an overall internal cross-sectional schematic view of the present invention;
FIG. 4 is an enlarged view of a portion of FIG. 3B according to the present invention;
FIG. 5 is a schematic view of the internal structure of the present invention;
FIG. 6 is one of the schematic views of the internal explosion structure of the present invention;
FIG. 7 is a second schematic diagram of the internal structure of the present invention;
fig. 8 is a schematic structural view of the nail pushing portion of the present invention.
In the figure: 1. a housing; 11. fixing a handle; 12. anastomosing the mouth; 13. a transverse groove; 14. a third spring; 2. a movable handle; 21. a first rotating shaft; 22. a linkage plate; 221. a beveled tip; 3. a nail seat; 31. mounting a plate; 311. a second rotating shaft; 312. a limiting hole; 313. a limit screw; 32. fixing a vertical plate; 33. a guide ring; 34. a guide bar; 35. a fitting baffle; 36. a transmission rod; 361. hinging a ring; 4. anastomosis nails; 5. a guide assembly; 51. a guide vertical slot; 511. a limiting block; 52. a first spring; 53. a slider; 531. a connecting plate; 6. a linkage block; 61. pressing a nail plate; 7. a staple pushing assembly; 71. a nail pushing guide rod; 72. a second spring; 73. a nail pushing plate; 74. a cross bar; 75. a locking button; 8. a protection mechanism; 81. a fixing ring; 82. a round bar; 83. a protection plate; 84. a torsion spring.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-8, a surgical stapler for suturing a wound comprises a shell 1, a movable handle 2, a nail seat 3 and an anastomosis nail 4, wherein the tail of the shell 1 is a fixed handle 11, an anastomosis opening 12 is arranged below the end of the shell 1, the end of the movable handle 2 is rotatably connected with the middle part of the inner side wall of the shell 1 through a first rotating shaft 21, the nail seat 3 is positioned between the movable handle 2 and the anastomosis opening 12, the anastomosis nail 4 is positioned in the nail seat 3, a guide assembly 5 is arranged above the anastomosis opening 12, a linkage block 6 is arranged in the guide assembly 5, a nail pressing plate 61 is arranged below the linkage block 6, a linkage plate 22 is arranged at the end of the movable handle 2, a mounting plate 31 is arranged at the bottom of the nail seat 3, a fixed vertical plate 32 is arranged at the tail of the nail seat 3, a nail pushing assembly 7 is arranged at one side of the fixed vertical plate 32 close to the nail seat 3, a guide ring 33 is arranged on the upper surface in the nail seat 3, a guide rod 34 is arranged in the guide ring 33, the end part of the guide rod 34 is provided with an anastomosis baffle 35, the tail part of the guide rod 34 is provided with a transmission rod 36, the end part of the nail seat 3 is positioned at the bottom of the nail pressing plate 61 and is provided with a protection mechanism 8, one end of the protection mechanism 8 extends to the inner side of the anastomosis nail 4, and two outer sides of the anastomosis mouth part 12 are provided with transverse grooves 13.
Further, the guiding assembly 5 includes two sets of guiding vertical grooves 51, a first spring 52 and a slider 53, the guiding vertical grooves 51 are respectively and fixedly disposed on the inner side wall of the housing 1 above the matching opening 12, a limiting block 511 is disposed at the bottom of the guiding vertical grooves 51, the bottom of the first spring 52 is fixed above the limiting block 511 and is located inside the guiding vertical grooves 51, the slider 53 is respectively located inside the guiding vertical grooves 51 and is located above the first spring 52, so that the guiding vertical grooves 51 and the limiting block 511 are used for matching the slider 53 and the first spring 52, the connecting plate 531 between the sliders 53 slides inside the guiding vertical grooves 51, and when the slider 53 slides to the bottom and the upper side is not stressed, the slider 53 drives the connecting plate 531 to ascend under the action of the first spring 52 in a compressed state.
Further, a connecting plate 531 is arranged between the sliding blocks 53, the top of the connecting plate 531 is fixedly connected with the linkage block 6, the bottom of the connecting plate 531 is fixedly connected with the upper surface of the nail pressing plate 61, and the nail pressing plate 61 is driven to press down by the connecting plate 531 to press down the anastomotic nail 4, so that the anastomotic nail 4 can suture the skin wound of the human body.
Furthermore, the bottom of the top end of the linkage plate 22 is provided with an inclined top end 221, the inclined top end 221 is tangent to the top edge of one side of the linkage block 6, the first rotating shaft 21 at the tail of the linkage plate 22 is arranged above the horizontal plane where the linkage block 6 is located, so that the linkage plate 22 is driven by the movable handle 2 to be pressed downwards, when the linkage block 6 is completely pressed downwards by the inclined top end 221, the inclined top end 221 is separated from the linkage block 6, the top of the movable handle 2 is provided with a third spring 14 which is connected with the inside of the fixed handle 11, the linkage plate 22 is driven by the movable handle 2 to rotate around the first rotating shaft 21, when the linkage plate rotates downwards, the inclined top end 221 at the top of the linkage plate 22 presses the linkage block 6, the linkage block 6 drives the connecting plate 531 to enable the staple pressing plate 61 to press staples 4 to be anastomosed to the skin, and when the staples 4 are pressed downwards, the inclined top end 221 is separated from the linkage block 6, and then make linkage block 6 can bounce under the effect of first spring 52, because movable handle 2 does not loosen at this moment, coincide baffle 35 still is inboard in anastomosis nail 4, and when nail pressing plate 61 rises under the drive of linkage block 6, anastomosis baffle 35 can fix anastomosis nail 4, can not cause nail pressing plate 61 to drive anastomosis nail 4, makes patient's wound tear the phenomenon.
Further, the one end both sides that mounting panel 31 is close to movable handle 2 are passed through second pivot 311 and are connected with the rotation of shell 1 inside wall, spacing hole 312 has been seted up to mounting panel 31 other end both sides, shell 1 has stop screw 313 just to the position threaded connection of spacing hole 312, and then utilize mounting panel 31 one end to pass through second pivot 311 and shell 1 to rotate and be connected, when making the inside anastomotic nail 4 of nail seat 3 use up, make the mounting panel 31 other end and shell 1 separation through not hard up stop screw 313, and then make mounting panel 31 can revolve out around second pivot 311, make nail seat 3 expose and carry out the installation of anastomotic nail 4.
Furthermore, two ends of the transmission rod 36 are respectively connected with the guide rod 34 and the first rotating shaft 21 through hinge rings 361, the hinge ring 361 at one end of the transmission rod 36 close to the first rotating shaft 21 is positioned above the axis of the first rotating shaft 21, so that when the first rotating shaft 21 rotates, the hinge ring 361 above one side of the transmission rod is driven to move downwards, the inclined angle of the transmission rod 36 is reduced, the horizontal length side length of the transmission rod 36 is made to be long, the guide rod 34 is further pushed to be pushed forwards, the anastomosis baffle 35 is pushed to the lower portion of the end portion of the anastomosis nail 4, and the anastomosis of the skin is performed by matching with the nail pressing plate 61.
Further, the staple pushing assembly 7 includes a staple pushing guide bar 71, a second spring 72 and a staple pushing plate 73, the staple pushing guide bar 71 is located at two sides of the staple holder 3 and fixed at one side of the fixed vertical plate 32, the second spring 72 is sleeved outside the staple pushing guide bar 71, one end of the second spring 72 is connected with the fixed vertical plate 32, the other end of the second spring 72 is connected with the staple pushing plate 73, the staple pushing plate 73 is in an "" shape, the staple pushing plate 73 spans above the staple holder 3, the staples 4 are located at the front end of the staple pushing plate 73, two sides of the staple pushing plate 73 are sleeved above the staple pushing guide bar 71 and are slidably connected with the staple pushing guide bar 71, and the staple pushing plate 73 is under the guiding action of the staple pushing guide bar 71 and cooperates with the second spring 72, so that the staples 4 can be advanced.
Further, a cross rod 74 is arranged on one side of the staple pushing plate 73, a locking button 75 is arranged at the end of the cross rod 74, the locking button 75 is in threaded connection with the cross rod 74, the cross rod 74 is located inside the cross groove 13, the locking button 75 is matched with the cross rod 74, when the staple pushing plate 73 is pushed forwards, the number of staples 4 in front of the staple pushing plate 73 can be judged through the position of the cross rod 74, and then the staples 4 can be supplemented in time, when the stapler is not used, the staple pushing plate 73 is locked through the locking button 75 matched with the cross rod 74, and then the movable handle 2 cannot move, so that the stapler cannot work, and the stapler is prevented from hurting people when being placed.
Further, the protection mechanism 8 includes a fixing ring 81, a round bar 82, a protection plate 83 and a torsion spring 84, the fixing ring 81 is fixed on the outer side of the bottom of the staple pressing plate 61, the round bar 82 is fixed in the middle of two ends of the protection plate 83, the round bar 82 is sleeved inside the fixing ring 81, the torsion spring 84 is sleeved between the fixing ring 81 and the round bar 82, two ends of the torsion spring 84 are respectively connected with the fixing ring 81 and the round bar 82, so that the round bar 82 is matched with the fixing ring 81 under the action of the torsion spring 84, one end of the protection plate 83, which is close to the staple pressing plate 61, always has upward force, one end of the protection plate 83, which is close to the staple pressing plate 61, can support the staples 4, the staples are prevented from being dropped from being small in number, the end of the staple holder 3 directly falls, wherein a limiting groove is formed in the other end shell 1, which is close to the protection plate 83, and the protection plate 83 is in a horizontal state under the action of the torsion spring 84.
The working principle is as follows: before using, install staple 4 inside nail seat 3 earlier, wherein utilize mounting panel 31 one end to rotate with shell 1 through second pivot 311 and be connected for when the inside staple 4 of nail seat 3 used up, make mounting panel 31 other end and shell 1 separation through not hard up stop screw 313, and then make mounting panel 31 can revolve round second pivot 311 and go out, make nail seat 3 expose and carry out the installation of staple 4.
When suturing the skin wound of a patient, a doctor aligns an anastomotic mouth part 12 of the anastomat with the wound by holding the fixed handle 11, the anastomat and the wound are in a collinear state, then the wound is sutured by holding the movable handle 2, the wound is sutured by utilizing the linkage plate 22 to rotate around the first rotating shaft 21 under the driving of the movable handle 2, when the linkage plate rotates downwards, the inclined top end 221 at the top of the linkage plate 22 presses the linkage block 6 downwards, the linkage block 6 drives the sliding block 53, the guide vertical groove 51 and the limiting block 511 are utilized to match the sliding block 53 and the first spring 52, so that the connecting plate 531 between the sliding blocks 53 slides in the guide vertical groove 51, the connecting plate drives the staple pressing plate 61 to press downwards to press the anastomotic staples 4, the anastomotic staples 4 are sutured to the skin wound of the human body, when the staples 4 are pressed downwards and sutured, the movable handle 2 is continuously gripped, the inclined top end 221 is separated from the linkage block 6, so that the linkage block 6 can be bounced under the action of the first spring 52, at the moment, the movable handle 2 is not loosened, the anastomosis baffle 35 is still on the inner side of the anastomosis nail 4, and when the nail pressing plate 61 is driven by the linkage block 6 to rise, the anastomosis nail 4 can be fixed by the anastomosis baffle 35, the nail pressing plate 61 cannot drive the anastomosis nail 4, and the wound of a patient is torn.
In the process of pressing the nail pressing plate 61 downwards, the round rod 82 in the protection mechanism 8 is matched with the fixing ring 81 under the action of the torsion spring 84, so that one end of the protection plate 83, which is close to the nail pressing plate 61, is always provided with upward force, one end of the protection plate 83, which is close to the nail pressing plate 61, can abut against the staples 4, the staples are prevented from being few in number, the staples directly fall from the end part of the nail seat 3, when the first rotating shaft 21 is rotated, the hinge ring 361 above one side of the first rotating shaft is driven to move downwards, the inclined angle of the transmission rod 36 is further reduced, the horizontal length side length of the transmission rod 36 is made to further push the guide rod 34 to be pushed forwards, the anastomosis baffle 35 is pushed to the lower part of the end part of the staples 4, and the nail pressing plate 61 is matched to perform skin anastomosis.
When the anastomat is not used, the locking button 75 is matched with the cross rod 74, so that when the nail pushing plate 73 is pushed forwards, the number of the anastomotic nails 4 in front of the nail pushing plate 73 can be judged by observing the position of the cross rod 74, the anastomotic nails 4 can be supplemented in time, when the anastomat is not used, the nail pushing plate 73 is locked by matching the locking button 75 with the cross rod 74, the movable handle 2 cannot move, the anastomat cannot work, and the phenomenon that a person is injured when the anastomat is placed is avoided.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (6)
1. The utility model provides a surgery is anastomat for wound seam, includes shell (1), movable handle (2), nail seat (3) and coincide nail (4), shell (1) afterbody is fixed handle (11), shell (1) tip below is provided with coincide oral area (12), movable handle (2) tip with shell (1) inside wall middle part is rotated through first pivot (21) and is connected, nail seat (3) are located movable handle (2) with coincide between oral area (12), coincide nail (4) are located inside nail seat (3), its characterized in that: a guide component (5) is arranged above the anastomotic opening part (12), a linkage block (6) is arranged inside the guide component (5), a nail pressing plate (61) is arranged below the linkage block (6), a linkage plate (22) is arranged at the end part of the movable handle (2), a mounting plate (31) is arranged at the bottom of the nail seat (3), a fixed vertical plate (32) is arranged at the tail part of the nail seat (3), a nail pushing component (7) is arranged at one side, close to the nail seat (3), of the fixed vertical plate (32), a guide ring (33) is arranged on the upper surface inside the nail seat (3), a guide rod (34) is arranged inside the guide ring (33), an anastomotic baffle (35) is arranged at the end part of the guide rod (34), a transmission rod (36) is arranged at the tail part of the guide rod (34), and a protection mechanism (8) is arranged at the bottom of the nail pressing plate (61) at the end part of the nail seat (3), one end of the protection mechanism (8) extends to the inner side of the anastomosis nail (4), and two outer sides of the anastomosis opening part (12) are provided with transverse grooves (13); the guide assembly (5) comprises two groups of vertical guide grooves (51), a first spring (52) and a sliding block (53), wherein the vertical guide grooves (51) are respectively and fixedly arranged on the inner side wall of the shell (1) above the matching opening part (12), the bottom of each vertical guide groove (51) is provided with a limiting block (511), the bottom of each first spring (52) is fixed above the limiting block (511) and is positioned inside the corresponding vertical guide groove (51), the sliding block (53) is respectively positioned inside the corresponding vertical guide groove (51) and above the first spring (52), the vertical guide groove (51) and the limiting block (511) are matched with the sliding block (53) and the first spring (52) to enable a connecting plate (531) between the sliding blocks (53) to slide inside the vertical guide groove (51), and when the sliding block (53) slides to the bottom and the top is not stressed, under the action of a first spring (52) in a compressed state, the slide block (53) drives the connecting plate (531) to ascend; the bottom of the top end of the linkage plate (22) is provided with an inclined top end (221), the inclined top end (221) is tangent to the top edge of one side of the linkage block (6), a first rotating shaft (21) at the tail of the linkage plate (22) is arranged above a horizontal plane where the linkage block (6) is located, so that the linkage plate (22) is driven by the movable handle (2) to be pressed downwards, when the linkage block (6) is completely pressed downwards by the inclined top end (221), the inclined top end (221) is separated from the linkage block (6), and a third spring (14) is arranged at the top of the movable handle (2) and is connected with the inside of the fixed handle (11); two ends of the transmission rod (36) are respectively connected with the guide rod (34) and the first rotating shaft (21) through hinge rings (361), the transmission rod (36) is close to one end of the first rotating shaft (21), the hinge rings (361) are located above the axis of the first rotating shaft (21), the anastomosis baffle (35) can be pushed to the lower portion of the end portion of the anastomosis nail (4), and the anastomosis is performed by matching with a nail pressing plate (61).
2. A surgical wound stapling stapler as claimed in claim 1, wherein: a connecting plate (531) is arranged between the sliding blocks (53), the top of the connecting plate (531) is fixedly connected with the linkage block (6), and the bottom of the connecting plate (531) is fixedly connected with the upper surface of the nail pressing plate (61).
3. A surgical wound stapling stapler as claimed in claim 1, wherein: mounting panel (31) are close to the one end both sides of activity handle (2) through second pivot (311) with shell (1) inside wall rotates and connects, spacing hole (312) have been seted up to mounting panel (31) other end both sides, shell (1) is just right the position threaded connection in spacing hole (312) has stop screw (313).
4. A surgical wound stapling stapler as claimed in claim 2, wherein: ejector pin subassembly (7) are including ejector pin guide bar (71), second spring (72), ejector pin board (73), ejector pin guide bar (71) are located nail seat (3) both sides, and are fixed in fixed riser (32) one side, second spring (72) cover is located ejector pin guide bar (71) peripheral survey, second spring (72) one end with fixed riser (32) are connected, the second spring (72) other end with ejector pin board (73) are connected, ejector pin board (73) are "" style of calligraphy structure, ejector pin board (73) span nail seat (3) top, coincide nail (4) are located ejector pin board (73) front end, ejector pin board (73) both sides cover is located ejector pin guide bar (71) top, and with ejector pin guide bar (71) sliding connection.
5. A surgical wound stapling stapler as claimed in claim 4, wherein: ejector pad (73) one side is provided with horizontal pole (74), horizontal pole (74) tip is provided with locking button (75), locking button (75) with horizontal pole (74) threaded connection, horizontal pole (74) are located inside cross slot (13), judge the quantity of anastomotic nail (4) in ejector pad (73) the place ahead through the position of watching horizontal pole (74), can in time supply anastomotic nail (4), when not using the anastomat, through locking button (75) cooperation horizontal pole (74), lock ejector pad (73) for movable handle (2) can't move about.
6. A surgical wound stapling stapler as claimed in claim 5, wherein: protection machanism (8) are including solid fixed ring (81), round bar (82), guard plate (83) and torsional spring (84), gu fixed ring (81) is fixed in press nail board (61) bottom outside, guard plate (83) both ends middle part is fixed with round bar (82), round bar (82) cover establish with gu fixed ring (81) inside, torsional spring (84) cover is located gu fixed ring (81) with between round bar (82), torsional spring (84) both ends respectively with gu fixed ring (81) with round bar (82) connect.
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CN202110532188.4A CN113288266B (en) | 2021-05-17 | 2021-05-17 | Anastomat for surgical wound suturing |
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CN202110532188.4A CN113288266B (en) | 2021-05-17 | 2021-05-17 | Anastomat for surgical wound suturing |
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CN113288266B true CN113288266B (en) | 2022-04-01 |
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CN113384312B (en) * | 2021-07-23 | 2022-04-01 | 苏州贝诺医疗器械有限公司 | Skin anastomat with replaceable nail bin |
CN114041842B (en) * | 2021-11-17 | 2023-08-22 | 吉林大学 | An orthopedic stapler |
CN113995457B (en) * | 2021-12-10 | 2024-01-16 | 苏州法兰克曼医疗器械有限公司 | Electric skin anastomat with high stability |
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WO1985005025A1 (en) * | 1984-05-07 | 1985-11-21 | Puchy David P W | Surgical stapler providing variable degree of staple closure |
US6318616B1 (en) * | 1998-10-23 | 2001-11-20 | United States Surgical | Surgical fastener applier |
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CN110338866A (en) * | 2019-07-24 | 2019-10-18 | 常州市康迪医用吻合器有限公司 | Skin stapler with multiple protector |
CN112603404A (en) * | 2020-12-21 | 2021-04-06 | 常州安康医疗器械有限公司 | Skin anastomat with tear nail function open |
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AUPS209502A0 (en) * | 2002-05-02 | 2002-06-06 | Australian Surgical Devices Pty Ltd | Surgical stapler |
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WO1985005025A1 (en) * | 1984-05-07 | 1985-11-21 | Puchy David P W | Surgical stapler providing variable degree of staple closure |
US6318616B1 (en) * | 1998-10-23 | 2001-11-20 | United States Surgical | Surgical fastener applier |
JP2007000462A (en) * | 2005-06-24 | 2007-01-11 | Max Co Ltd | Aligning mechanism for medical stapler |
CN110338866A (en) * | 2019-07-24 | 2019-10-18 | 常州市康迪医用吻合器有限公司 | Skin stapler with multiple protector |
CN112603404A (en) * | 2020-12-21 | 2021-04-06 | 常州安康医疗器械有限公司 | Skin anastomat with tear nail function open |
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