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CN211243531U - A laparoscopic surgical stapler - Google Patents

A laparoscopic surgical stapler Download PDF

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Publication number
CN211243531U
CN211243531U CN201921888607.2U CN201921888607U CN211243531U CN 211243531 U CN211243531 U CN 211243531U CN 201921888607 U CN201921888607 U CN 201921888607U CN 211243531 U CN211243531 U CN 211243531U
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rod
nail
strip
shaped
hole
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陈天鸣
潘耀振
陈仕林
任琦蓉
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Jiangsu Cancer Hospital
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Jiangsu Cancer Hospital
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Abstract

The utility model creatively discloses an endoscopic surgery stitching instrument, which comprises a main rod, a clamping rod, a single-row nail bin, a clamping driving mechanism, a nail pushing mechanism and a locking mechanism; a tangent plane is arranged at the side edge of the front end of the main rod; the clamping rod is hinged to the tangent plane in a swinging mode; a nail bin groove is axially arranged on the tangent plane along the main rod, and the single-row nail bins are placed in the nail bin groove; the nail pushing mechanism is used for pushing the U-shaped titanium nails in the single-row nail bin to the clamping surface of the clamping rod; the clamping driving mechanism is used for driving the swinging clamping of the clamping rod; the locking mechanism is used for locking and releasing the nail pushing mechanism. Compared with the existing anastomat, the suturing device reduces the cutting part and the suturing structure on the other side, so that the whole occupied space of the front end is small, the size of the front end of the instrument is effectively reduced, and the small use requirement of the internal space of the endoscopic surgery is met.

Description

一种腔镜手术缝合器A laparoscopic surgical stapler

技术领域technical field

本发明创造涉及一种缝合器,尤其是一种腔镜手术缝合器。The invention relates to a stapler, especially a stapler for endoscopic surgery.

背景技术Background technique

目前,在进行肺部手术时,切割的肺等组织有一部分需要废弃,可用电钩或超声刀切割,而需要保留部分要缝合牢固,带扣钛夹或超声刀等不可靠,这样需要缝合牢固,但腔镜下血管等部位空间小,但是现有的切缝器体积大,操作难度大,风险高。因此有必要设计出一种腔镜手术缝合器,能够只对组织进行夹持缝合,使得器材前端体积较小,在缝合后再利用切割器材单独切割多余组织即可,满足腔镜手术的使用需要。At present, during lung surgery, some parts of the cut lung and other tissues need to be discarded, and can be cut with electric hooks or ultrasonic knives, while the remaining parts need to be sutured firmly, and the buckle titanium clips or ultrasonic knives are unreliable, so suture It is firm, but the space for blood vessels and other parts under the endoscope is small, but the existing slitter is bulky, difficult to operate, and high risk. Therefore, it is necessary to design a laparoscopic surgical stapler, which can only clamp and suture the tissue, so that the front end of the device is small in size. After sutured, the cutting device can be used to cut the excess tissue alone, so as to meet the needs of laparoscopic surgery. .

发明内容SUMMARY OF THE INVENTION

发明创造目的:提供一种腔镜手术缝合器,能够对组织进行夹持缝合,且器材前端体积较小,能够满足腔镜手术的使用需要。The purpose of invention and creation is to provide a stapling device for endoscopic surgery, which can clamp and suture tissue, and the front end of the device is small in size, which can meet the needs of endoscopic surgery.

技术方案:本发明创造所述的腔镜手术缝合器,包括主杆、夹持杆、单排钉仓、夹持驱动机构、推钉机构以及锁定机构;Technical solution: The endoscopic surgical stapler created by the present invention includes a main rod, a clamping rod, a single row of staple cartridges, a clamping driving mechanism, a nail pushing mechanism and a locking mechanism;

在主杆的前端侧边设有与切面,且切面与主杆的轴向相平行;夹持杆摆动式铰接安装在切面处,使夹持杆摆动后按压在切面上;在切面上沿主杆轴向设置有钉仓槽,单排钉仓放置于钉仓槽内;推钉机构设置在主杆内,用于将单排钉仓内的U形钛钉向夹持杆的夹持面推压;在夹持杆的夹持面上单排间隔设置有条形凹槽,且条形凹槽的两端面设置为用于挤压弯折U形钛钉两端部的弧形坡面;夹持驱动机构设置在主杆上,用于对夹持杆的摆动夹持进行驱动;锁定机构安装在主杆的尾端,用于对推钉机构进行锁定和释放控制。The front end side of the main rod is provided with a tangent plane, and the tangent plane is parallel to the axial direction of the main rod; the clamping rod is hingedly installed at the tangent plane, so that the clamping rod swings and presses on the tangent plane; The rod is axially provided with a nail magazine groove, and a single row of nail magazines is placed in the nail magazine groove; the nail pushing mechanism is set in the main rod, which is used to push the U-shaped titanium nails in the single row of nail magazines to the clamping surface of the clamping rod Pushing; strip grooves are arranged at intervals in a single row on the clamping surface of the clamping rod, and the two end surfaces of the strip grooves are set as arc-shaped slopes for extruding and bending both ends of the U-shaped titanium nail The clamping driving mechanism is arranged on the main rod to drive the swing clamping of the clamping rod; the locking mechanism is installed at the tail end of the main rod to lock and release the nail pushing mechanism.

进一步地,单排钉仓由条形壳体以及各个推钉块;在条形壳体的后端面中部沿长度方向设置有推钉矩形孔;在条形壳体的上侧面上沿长度方向间隔设置有出钉条形孔,且各个出钉条形孔均与推钉矩形孔相连通;在推钉矩形孔的孔壁上且位于各个出钉条形孔的下方均设有升降限位槽;各个推钉块分别安装在各个升降限位槽中,且推钉块的厚度大于推钉矩形孔的孔宽;在推钉块的上侧面上设有条形钉槽;U形钛钉的弯折段插入条形钉槽内,U形钛钉的两端部伸入出钉条形孔中;在推钉块的下侧面上设有推钉斜坡面。Further, the single-row nail magazine is composed of a bar-shaped housing and each nail-pushing block; a rectangular hole for pushing nails is arranged in the middle of the rear end surface of the bar-shaped housing along the length direction; the upper side of the bar-shaped housing is spaced along the length direction. The nail strip hole is provided, and each nail strip hole is connected with the push nail rectangular hole; on the hole wall of the push nail rectangular hole and below each nail strip hole, there is a lifting limit slot ; Each push nail block is installed in each lifting limit slot, and the thickness of the push nail block is greater than the hole width of the push nail rectangular hole; a strip nail groove is provided on the upper side of the push nail block; the U-shaped titanium nail The bending section is inserted into the strip nail groove, and the two ends of the U-shaped titanium nail protrude into the nail strip-shaped hole; a nail-pushing slope surface is arranged on the lower side of the nail-pushing block.

进一步地,推钉机构包括推钉支撑板、推钉杆、导向锁杆、导向滑块以及推钉压簧;在推钉支撑板的前侧边设有用于挤压推钉斜坡面的支撑斜坡面;在主杆内沿轴向设有导向滑孔,导向滑块滑动式安装在导向滑孔中;推钉杆的后端由钉仓槽贯穿伸入导向滑孔内,并固定在导向滑块的前侧面上;推钉支撑板固定安装在推钉杆的前端部上,且推钉支撑板的前端正对推钉矩形孔的后端孔口;在主杆后端内部沿轴向设有锁杆孔;导向锁杆插装在锁杆孔中;推钉压簧套设在导向锁杆上,且推钉压簧弹性支撑在导向滑块的后侧面与导向滑孔的后端面之间;锁定机构用于对导向锁杆进行锁定和释放控制。Further, the push nail mechanism includes a push nail support plate, a push nail rod, a guide lock rod, a guide slider and a push nail compression spring; a support slope for pressing the nail push slope surface is provided on the front side of the push nail support plate There is a guide slide hole in the main rod along the axial direction, and the guide slide block is slidably installed in the guide slide hole; On the front side of the block; the push nail support plate is fixedly installed on the front end of the push nail rod, and the front end of the push nail support plate is facing the rear end hole of the push nail rectangular hole; axially arranged inside the rear end of the main rod There is a lock rod hole; the guide lock rod is inserted into the lock rod hole; the push nail pressure spring is sleeved on the guide lock rod, and the push nail pressure spring is elastically supported between the rear side of the guide slider and the rear end surface of the guide sliding hole The locking mechanism is used to lock and release the guide lock lever.

进一步地,锁定机构包括锁定压杆以及锁定压簧;在主杆的后端杆壁上沿轴向设有与锁杆孔相连通的条形导向孔;在导向锁杆的后端设有伸出条形导向孔外的侧边凸条;在侧边凸条的前侧设有拨动凸条,在侧边凸条的后侧设有锁定齿牙;锁定压杆的中部通过压杆支座摆动式安装在主杆的杆壁上,且压杆支座位于条形导向孔的后侧边处;在锁定压杆的前端设有用于与锁定齿牙相扣合的卡扣齿牙;锁定压簧弹性支撑在锁定压杆的后端与主杆的杆壁之间,用于推动锁定压杆前端的卡扣齿牙扣于锁定齿牙上。Further, the locking mechanism includes a locking pressure rod and a locking pressure spring; a bar-shaped guide hole communicated with the locking rod hole is axially provided on the rear end rod wall of the main rod; The side convex strip outside the strip-shaped guide hole is provided; the front side of the side convex strip is provided with a toggle convex strip, and the rear side of the side convex strip is provided with locking teeth; the middle part of the locking pressure rod is supported by the pressure rod The seat is oscillatingly installed on the rod wall of the main rod, and the pressure rod support is located at the rear side of the strip guide hole; the front end of the locking pressure rod is provided with snap teeth for engaging with the locking teeth; The locking pressure spring is elastically supported between the rear end of the locking pressure rod and the rod wall of the main rod, and is used to push the locking teeth at the front end of the locking pressure rod to buckle on the locking teeth.

进一步地,在锁定压杆的后端上套设有防护套头,且防护套头支撑在主杆的杆壁上;在主杆的尾端延伸设置有把手杆,并在把手杆外壁上设有防滑凸棱。Further, a protective sleeve head is sleeved on the rear end of the locking pressure rod, and the protective sleeve head is supported on the rod wall of the main rod; a handle rod is extended at the rear end of the main rod, and an anti-slip is provided on the outer wall of the handle rod. Ribs.

进一步地,在切面的两侧长度边缘均设有一个条形按压槽,在夹持杆的夹持面上且与条形按压槽相对位置处设有防滑橡胶条。Further, a strip-shaped pressing groove is provided on both length edges of the cut surface, and a non-slip rubber strip is provided on the clamping surface of the clamping rod and at a position opposite to the strip-shaped pressing groove.

进一步地,夹持驱动机构包括传动杆、滑移座、回弹压簧、挤压块、驱动螺杆以及旋钮头;在主杆上且位于切面的后侧边处设有条形槽口;在夹持杆的后端向后延伸设置有铰接凸条,且铰接凸条的下侧边设置为斜切边,并沿该斜切边设置有推拉条形孔;铰接凸条嵌入条形槽口中,并通过侧边设置的铰接短轴摆动式铰接安装在条形槽口上;在主杆的尾端杆壁上设有矩形安装槽,在矩形安装槽与条形槽口之间贯穿设置有传动孔;传动杆插装在传动孔上,且在传动杆的前端设有U形叉头;在U形叉头的两侧叉杆之间设置有推拉驱动轴,推拉驱动轴贯穿推拉条形孔;滑移座位于矩形安装槽内,且固定安装在传动杆的后端上;回弹压簧套设在传动杆的后端上,且回弹压簧弹性支撑在矩形安装槽与滑移座之间;驱动螺杆的一端旋转式安装在矩形安装槽的槽底部,驱动螺杆的另一端伸出矩形安装槽外,且旋钮头固定安装在驱动螺杆的伸出端部上;在挤压块上设有驱动螺纹孔,驱动螺杆螺纹旋合在驱动螺纹孔上;在滑移座的后侧面上设有后侧挤压面,在挤压块的前侧且与后侧挤压面相对设置有前侧挤压面。Further, the clamping driving mechanism includes a transmission rod, a sliding seat, a rebound compression spring, a pressing block, a driving screw and a knob head; a strip-shaped notch is arranged on the main rod and at the rear side of the cut surface; The rear end of the holding rod is provided with a hinged convex strip extending backward, and the lower side of the hinged convex strip is set as a beveled edge, and a push-pull strip hole is set along the beveled edge; the hinged convex strip is embedded in the strip-shaped slot, And it is mounted on the bar-shaped notch by swinging hinged hinged short axis set on the side; a rectangular installation slot is arranged on the rod wall of the rear end of the main pole, and a transmission hole is arranged between the rectangular installation slot and the bar-shaped slot. The transmission rod is inserted into the transmission hole, and a U-shaped fork head is arranged at the front end of the transmission rod; a push-pull drive shaft is arranged between the fork rods on both sides of the U-shaped fork head, and the push-pull drive shaft penetrates the push-pull strip hole; The sliding seat is located in the rectangular installation groove and is fixedly installed on the rear end of the transmission rod; the rebound compression spring is sleeved on the rear end of the transmission rod, and the rebound compression spring is elastically supported between the rectangular installation groove and the sliding seat; One end of the drive screw is rotatably installed at the bottom of the rectangular installation slot, the other end of the drive screw extends out of the rectangular installation slot, and the knob head is fixedly installed on the extended end of the drive screw; the extrusion block is provided with a drive The threaded hole is screwed on the driving threaded hole; the rear side of the sliding seat is provided with a rear side extrusion surface, and the front side of the extrusion block and opposite to the rear side extrusion surface is provided with a front side extrusion surface. Press the surface.

进一步地,在条形槽口的两侧长度侧槽边上均设置有导向条形槽,且导向条形槽与传动杆的轴向相平行;在传动杆的前端部侧边设有两个凸轴,且两个凸轴的端部分别滑动式嵌入两侧的导向条形槽中。Further, guide strip-shaped grooves are provided on both sides of the strip-shaped slot, and the guide strip-shaped grooves are parallel to the axial direction of the transmission rod; two side edges of the front end of the transmission rod are provided Protruding shafts, and the ends of the two protruding shafts are respectively slidably embedded in the guide strip-shaped grooves on both sides.

进一步地,在矩形安装槽的槽边上设有与传动杆相平行的条形支撑槽;在滑移座的侧边设有滑动式嵌入条形支撑槽内的支撑滑块。Further, a strip-shaped support groove parallel to the transmission rod is provided on the groove edge of the rectangular installation groove; and a support slider embedded in the strip-shaped support groove is provided on the side edge of the sliding seat.

进一步地,在钉仓槽的两侧长度侧槽边上均设置有用于挤压单排钉仓的橡胶挤压条;主杆和夹持杆的前端面均设置为弧形坡面。Further, rubber extruding strips for extruding a single row of nail cartridges are provided on the longitudinal side groove edges of both sides of the staple cartridge slot;

本发明创造与现有技术相比,其有益效果是:利用单排钉仓安装在钉仓槽内,在推钉机构的推压作用下实现单排缝合,相比于现有的吻合器减少了切割刀部分以及另一侧的缝合结构,使得前端整体占用空间至少减小了一半,有效减小了器材前端的体积,使用起来更灵活方便安全,满足腔镜手术内部空间小的使用需要。Compared with the prior art, the invention has the beneficial effect of using a single row of staple cartridges to be installed in the staple cartridge slot, and realizing single row suture under the pushing action of the staple pushing mechanism, which reduces the number of staplers compared to the existing stapler. The cutting knife part and the suture structure on the other side are used, so that the overall space occupied by the front end is reduced by at least half, which effectively reduces the volume of the front end of the equipment, is more flexible, convenient and safe to use, and meets the needs of small internal space for endoscopic surgery.

附图说明Description of drawings

图1为本发明创造的整体结构示意图;Fig. 1 is the overall structure schematic diagram created by the present invention;

图2为本发明创造的剖视结构示意图;Fig. 2 is the sectional structure schematic diagram created by the present invention;

图3为本发明创造的单排钉仓剖视结构示意图;FIG. 3 is a schematic cross-sectional structural diagram of a single-row staple cartridge created by the present invention;

图4为本发明创造的夹持杆后端结构示意图;Figure 4 is a schematic diagram of the rear end structure of the clamping rod created by the present invention;

图5为本发明创造的矩形安装槽处局部剖视结构示意图。FIG. 5 is a partial cross-sectional structural schematic diagram of the rectangular installation groove created by the present invention.

具体实施方式Detailed ways

下面结合附图对本发明创造技术方案进行详细说明,但是本发明创造的保护范围不局限于所述实施例。The technical solutions of the present invention will be described in detail below with reference to the accompanying drawings, but the protection scope of the present invention is not limited to the embodiments.

实施例1:Example 1:

如图1-5所示,本发明创造公开的腔镜手术缝合器包括:主杆1、夹持杆3、单排钉仓、夹持驱动机构、推钉机构以及锁定机构;As shown in Figures 1-5, the endoscopic surgical stapler disclosed by the present invention includes: a main rod 1, a clamping rod 3, a single row of staple cartridges, a clamping driving mechanism, a nail pushing mechanism and a locking mechanism;

在主杆1的前端侧边设有与切面2,且切面2与主杆1的轴向相平行;夹持杆3摆动式铰接安装在切面2处,使夹持杆3摆动后按压在切面2上;在切面2上沿主杆1轴向设置有钉仓槽49,单排钉仓放置于钉仓槽49内;推钉机构设置在主杆1内,用于将单排钉仓内的U形钛钉26向夹持杆3的夹持面推压;在夹持杆3的夹持面上单排间隔设置有条形凹槽48,且条形凹槽48的两端面设置为用于挤压弯折U形钛钉26两端部的弧形坡面;夹持驱动机构设置在主杆1上,用于对夹持杆3的摆动夹持进行驱动;锁定机构安装在主杆1的尾端,用于对推钉机构进行锁定和释放控制。The front end side of the main rod 1 is provided with a tangent plane 2, and the tangent plane 2 is parallel to the axial direction of the main rod 1; the clamping rod 3 is hingedly installed at the tangential plane 2, so that the clamping rod 3 swings and presses on the tangential plane 2; on the cutting plane 2, a nail magazine groove 49 is arranged axially along the main rod 1, and a single row of nail magazines is placed in the nail magazine groove 49; the nail pushing mechanism is set in the main rod 1, which is used for the single row of nail magazines. The U-shaped titanium nail 26 is pressed to the clamping surface of the clamping rod 3; the clamping surface of the clamping rod 3 is provided with strip-shaped grooves 48 in a single row at intervals, and the two end surfaces of the strip-shaped grooves 48 are set as It is used to squeeze and bend the arc-shaped slope of the two ends of the U-shaped titanium nail 26; the clamping driving mechanism is arranged on the main rod 1 to drive the swing clamping of the clamping rod 3; the locking mechanism is installed on the main rod 1. The tail end of rod 1 is used to lock and release the nail push mechanism.

利用单排钉仓安装在钉仓槽49内,在推钉机构的推压作用下实现单排缝合,相比于现有的吻合器减少了切割部分以及另一侧的缝合结构,使得前端整体占用空间小,有效减小了器材前端的体积,满足腔镜手术内部空间小的使用需要;利用夹持杆3摆动后按压在切面2上,从而对组织进行稳定夹持,便于利用一排U形钛钉26进行缝合。The single-row staple cartridge is installed in the staple cartridge slot 49, and the single-row suture is realized under the pushing action of the staple pushing mechanism. Compared with the existing stapler, the cutting part and the suture structure on the other side are reduced, so that the front end is integrally It occupies a small space, effectively reduces the volume of the front end of the equipment, and meets the needs of small internal space in endoscopic surgery; the clamping rod 3 is used to swing and then press on the cutting plane 2, so as to stably clamp the tissue, and it is convenient to use a row of U Shaped titanium staples 26 for suture.

进一步地,单排钉仓由条形壳体5以及各个推钉块23;在条形壳体5的后端面中部沿长度方向设置有推钉矩形孔21;在条形壳体5的上侧面上沿长度方向间隔设置有出钉条形孔52,且各个出钉条形孔52均与推钉矩形孔21相连通;出钉条形孔52与各个条形凹槽48相对应;在推钉矩形孔21的孔壁上且位于各个出钉条形孔52的下方均设有升降限位槽22;各个推钉块23分别安装在各个升降限位槽22中,且推钉块23的厚度大于推钉矩形孔21的孔宽;在推钉块23的上侧面上设有条形钉槽24;U形钛钉26的弯折段插入条形钉槽24内,U形钛钉26的两端部伸入出钉条形孔52中;在推钉块23的下侧面上设有推钉斜坡面25。Further, the single-row nail magazine is composed of a bar-shaped housing 5 and each nail-pushing block 23 ; a rectangular hole 21 for pushing nails is provided in the middle of the rear end surface of the bar-shaped housing 5 along the length direction; on the upper side of the bar-shaped housing 5 The nail strip holes 52 are arranged at intervals along the length direction, and each nail strip hole 52 is connected with the push nail rectangular hole 21; the nail strip hole 52 corresponds to each strip groove 48; On the hole wall of the nail rectangular hole 21 and below each nail strip-shaped hole 52 are provided lifting limit slots 22; each nail push block 23 is respectively installed in each lift limit groove 22, and the The thickness is greater than the hole width of the push nail rectangular hole 21; a strip nail groove 24 is provided on the upper side of the push nail block 23; the bent section of the U-shaped titanium nail 26 is inserted into the strip nail groove 24, and the U-shaped titanium nail 26 The two ends of the nails extend into the nail strip-shaped holes 52 ; the nail pushing ramp surface 25 is provided on the lower side of the nail pushing block 23 .

将推钉块23的厚度设置为大于推钉矩形孔21的孔宽,从而在升降过程中不会出现错位,另外通过推钉块23下侧面上设置的推钉斜坡面25与推钉机构相配合,从而使得推钉块23升降过程较为平稳,使得U形钛钉26能够平稳上升,确保一次缝合成功率。The thickness of the push nail block 23 is set to be larger than the hole width of the push nail rectangular hole 21, so that there will be no dislocation during the lifting process. In cooperation, the lifting and lowering process of the nail pushing block 23 is relatively stable, so that the U-shaped titanium nails 26 can be smoothly raised, and the success rate of one-time suture is ensured.

进一步地,推钉机构包括推钉支撑板28、推钉杆27、导向锁杆36、导向滑块39以及推钉压簧38;在推钉支撑板28的前侧边设有用于挤压推钉斜坡面25的支撑斜坡面29;在主杆1内沿轴向设有导向滑孔40,导向滑块39滑动式安装在导向滑孔40中;推钉杆27的后端由钉仓槽49贯穿伸入导向滑孔40内,并固定在导向滑块39的前侧面上;推钉支撑板28固定安装在推钉杆27的前端部上,且推钉支撑板28的前端正对推钉矩形孔21的后端孔口;在主杆1后端内部沿轴向设有锁杆孔37;导向锁杆36插装在锁杆孔37中;推钉压簧38套设在导向锁杆36上,且推钉压簧38 弹性支撑在导向滑块39的后侧面与导向滑孔40的后端面之间;锁定机构用于对导向锁杆36进行锁定和释放控制。利用支撑斜坡面29与推钉斜坡面25相配合挤压,能够使得推钉块23沿升降限位槽22上升运动;利用推钉压簧38能够在导向锁杆36释放后使得推钉支撑板28快速前移,从而推动推钉块23上升,利用一排U形钛钉26对夹持的组织进行缝合。Further, the nail push mechanism includes a nail push support plate 28, a nail push rod 27, a guide lock rod 36, a guide slider 39 and a nail push pressure spring 38; The support ramp surface 29 of the nail ramp surface 25; the main rod 1 is provided with a guide sliding hole 40 along the axial direction, and the guide sliding block 39 is slidably installed in the guide sliding hole 40; 49 penetrates into the guide sliding hole 40 and is fixed on the front side of the guide slider 39; the push nail support plate 28 is fixedly installed on the front end of the push nail rod 27, and the front end of the push nail support plate 28 is facing the push The rear end hole of the nail rectangular hole 21; the inner rear end of the main rod 1 is provided with a lock rod hole 37 along the axial direction; the guide lock rod 36 is inserted into the lock rod hole 37; the nail push spring 38 is sleeved on the guide lock The locking mechanism is used to lock and release the guide locking rod 36 . Using the supporting ramp surface 29 and the nail pushing ramp surface 25 to cooperate and squeeze, the nail pushing block 23 can be moved upward along the lifting limit groove 22; the nail pushing pressure spring 38 can make the push nail support plate after the guide lock lever 36 is released. 28 moves forward rapidly, thereby pushing the nail push block 23 to rise, and a row of U-shaped titanium nails 26 is used to suture the clamped tissue.

进一步地,锁定机构包括锁定压杆8以及锁定压簧9;在主杆1的后端杆壁上沿轴向设有与锁杆孔37相连通的条形导向孔55;在导向锁杆36的后端设有伸出条形导向孔55外的侧边凸条 13;在侧边凸条13的前侧设有拨动凸条12,在侧边凸条13的后侧设有锁定齿牙11;锁定压杆8 的中部通过压杆支座7摆动式安装在主杆1的杆壁上,且压杆支座7位于条形导向孔55的后侧边处;在锁定压杆8的前端设有用于与锁定齿牙11相扣合的卡扣齿牙10;锁定压簧9弹性支撑在锁定压杆8的后端与主杆1的杆壁之间,用于推动锁定压杆8前端的卡扣齿牙10扣于锁定齿牙11上。利用拨动凸条12能够便于手动向后拉动导向锁杆36,使得锁定齿牙11与卡扣齿牙10相扣合,完成导向锁杆36的锁定;利用锁定压簧9能够推动锁定压杆8的后端向外摆动,使得前端的锁定齿牙11与卡扣齿牙10牢固扣合;利用侧边凸条13伸出条形导向孔55外,能够限制导向锁杆36旋转,确保前端的推钉支撑板28在推钉时保持平稳。Further, the locking mechanism includes a locking pressure rod 8 and a locking pressure spring 9; a bar-shaped guide hole 55 that communicates with the lock rod hole 37 is axially provided on the rear end rod wall of the main rod 1; The rear end is provided with a side protruding strip 13 extending out of the bar-shaped guide hole 55; Tooth 11; the middle of the locking pressure rod 8 is swing-mounted on the rod wall of the main rod 1 through the pressure rod support 7, and the pressure rod support 7 is located at the rear side of the strip guide hole 55; in the locking pressure rod 8 The front end is provided with snap teeth 10 for engaging with the locking teeth 11; the locking pressure spring 9 is elastically supported between the rear end of the locking pressure rod 8 and the rod wall of the main rod 1, and is used to push the locking pressure rod 8. The snap teeth 10 at the front end are buckled on the locking teeth 11. Using the toggle protruding strip 12 can facilitate the manual pulling of the guide locking rod 36 backward, so that the locking teeth 11 are engaged with the buckle teeth 10 to complete the locking of the guide locking rod 36; the locking pressure rod can be pushed by the locking pressure spring 9 The rear end of the 8 swings outward, so that the locking teeth 11 at the front end are firmly engaged with the buckle teeth 10; the side protruding strips 13 are used to extend out of the bar-shaped guide holes 55, which can limit the rotation of the guide locking rod 36 and ensure that the front end The push nail support plate 28 remains stable when pushing nails.

进一步地,在锁定压杆8的后端上套设有防护套头4,且防护套头4支撑在主杆1的杆壁上;在主杆1的尾端延伸设置有把手杆19,并在把手杆19外壁上设有防滑凸棱6。利用防护套头4能够对锁定压杆8的后端进行支撑,防止在使用时失误按压到锁定压杆8而释放导向锁杆36;利用防滑凸棱6能够在手握持时起到一定的防滑性能。Further, a protective sleeve head 4 is sleeved on the rear end of the locking pressure rod 8, and the protective sleeve head 4 is supported on the rod wall of the main rod 1; a handle rod 19 is extended at the rear end of the main rod 1, and the handle The outer wall of the rod 19 is provided with an anti-slip rib 6 . The rear end of the locking pressure rod 8 can be supported by the protective sleeve head 4 to prevent the locking pressure rod 8 from being accidentally pressed during use and the guide lock rod 36 is released; performance.

进一步地,在切面2的两侧长度边缘均设有一个条形按压槽,在夹持杆3的夹持面上且与条形按压槽相对位置处设有防滑橡胶条20。利用条形按压槽与防滑橡胶条20的配合能够确保夹持时的防滑性能。Further, a strip-shaped pressing groove is provided on both length edges of the cutting surface 2 , and a non-slip rubber strip 20 is provided on the clamping surface of the clamping rod 3 and at a position opposite to the strip-shaped pressing groove. The combination of the strip-shaped pressing groove and the anti-skid rubber strip 20 can ensure the anti-skid performance during clamping.

进一步地,夹持驱动机构包括传动杆18、滑移座15、回弹压簧16、挤压块54、驱动螺杆30 以及旋钮头17;在主杆1上且位于切面2的后侧边处设有条形槽口41;在夹持杆3的后端向后延伸设置有铰接凸条44,且铰接凸条44的下侧边设置为斜切边,并沿该斜切边设置有推拉条形孔 45;铰接凸条44嵌入条形槽口41中,并通过侧边设置的铰接短轴56摆动式铰接安装在条形槽口 41上;在主杆1的尾端杆壁上设有矩形安装槽14,在矩形安装槽14与条形槽口41之间贯穿设置有传动孔53;传动杆18插装在传动孔53上,且在传动杆18的前端设有U形叉头42;在U形叉头 42的两侧叉杆之间设置有推拉驱动轴43,推拉驱动轴43贯穿推拉条形孔45;滑移座15位于矩形安装槽14内,且固定安装在传动杆18的后端上;回弹压簧16套设在传动杆18的后端上,且回弹压簧16弹性支撑在矩形安装槽14与滑移座15之间;驱动螺杆30的一端旋转式安装在矩形安装槽 14的槽底部,驱动螺杆30的另一端伸出矩形安装槽14外,且旋钮头17固定安装在驱动螺杆30 的伸出端部上;在挤压块54上设有驱动螺纹孔35,驱动螺杆30螺纹旋合在驱动螺纹孔35上;在滑移座15的后侧面上设有后侧挤压面32,在挤压块54的前侧且与后侧挤压面32相对设置有前侧挤压面31。利用推拉条形孔45和推拉驱动轴43的配合,从而在传动杆18前端的U形叉头42前移时挤压推动铰接凸条44后端向外摆动,使得夹持杆3前端向切面2夹持,在传动杆18前端的U形叉头42后移时拉动铰接凸条44后端向内摆动,使得夹持杆3前端释放夹持;利用回弹压簧16能够在挤压块54向矩形安装槽14内移动时,使得滑移座15及时后移,从而使传动杆18及时后移。Further, the clamping driving mechanism includes a transmission rod 18, a sliding seat 15, a rebound compression spring 16, a pressing block 54, a driving screw 30 and a knob head 17; There is a bar-shaped slot 41; the rear end of the clamping rod 3 is provided with a hinged protruding strip 44 extending backward, and the lower side of the hinged protruding strip 44 is set as a chamfered edge, and a push-pull strip is set along the chamfered edge The hinged protruding strip 44 is embedded in the bar-shaped slot 41, and is pivotally mounted on the bar-shaped slot 41 through the hinged short shaft 56 provided on the side; The rectangular installation slot 14 is provided with a transmission hole 53 between the rectangular installation slot 14 and the bar-shaped slot 41; the transmission rod 18 is inserted into the transmission hole 53, and a U-shaped fork 42 is provided at the front end of the transmission rod 18 ; A push-pull drive shaft 43 is provided between the fork rods on both sides of the U-shaped fork 42, and the push-pull drive shaft 43 runs through the push-pull strip hole 45; On the rear end of the drive rod 16; the rebound compression spring 16 is sleeved on the rear end of the transmission rod 18, and the rebound compression spring 16 is elastically supported between the rectangular mounting groove 14 and the sliding seat 15; one end of the driving screw 30 is rotatably mounted on the rectangular At the bottom of the installation groove 14, the other end of the driving screw 30 protrudes out of the rectangular installation groove 14, and the knob head 17 is fixedly installed on the extended end of the driving screw 30; the extrusion block 54 is provided with a driving screw hole 35 , the driving screw 30 is screwed on the driving threaded hole 35; the rear side pressing surface 32 is provided on the rear side of the sliding seat 15, and the front side of the pressing block 54 is opposite to the rear side pressing surface 32. There is a front pressing surface 31 . Using the cooperation of the push-pull strip hole 45 and the push-pull drive shaft 43, when the U-shaped fork 42 at the front end of the transmission rod 18 moves forward, the rear end of the hinged protruding strip 44 is pressed and pushed to swing outward, so that the front end of the clamping rod 3 faces the tangential plane. 2. Clamping, when the U-shaped fork 42 at the front end of the transmission rod 18 moves backwards, pull the rear end of the hinged protruding strip 44 to swing inward, so that the front end of the clamping rod 3 releases the clamping; When moving into the rectangular installation groove 14, the sliding seat 15 is moved backward in time, so that the transmission rod 18 is moved backward in time.

进一步地,在条形槽口41的两侧长度侧槽边上均设置有导向条形槽46,且导向条形槽46 与传动杆18的轴向相平行;在传动杆18的前端部侧边设有两个凸轴47,且两个凸轴47的端部分别滑动式嵌入两侧的导向条形槽46中。利用凸轴47和导向条形槽46的配合,能够使得传动杆18 的前端得到稳定支撑,在进行推拉时不会出现前端弯折。Further, guide bar-shaped grooves 46 are provided on both side length sides of the bar-shaped slot 41, and the guide bar-shaped grooves 46 are parallel to the axial direction of the transmission rod 18; on the front end side of the transmission rod 18 There are two protruding shafts 47 on the sides, and the ends of the two protruding shafts 47 are respectively slidably embedded in the guide strip-shaped grooves 46 on both sides. With the cooperation of the protruding shaft 47 and the guide strip groove 46, the front end of the transmission rod 18 can be stably supported, and the front end will not be bent when pushing and pulling.

进一步地,在矩形安装槽14的槽边上设有与传动杆18相平行的条形支撑槽34;在滑移座15 的侧边设有滑动式嵌入条形支撑槽34内的支撑滑块33。利用条形支撑槽34和支撑滑块33的配合能够实现滑移座15的平稳滑移,不会在挤压块54的挤压下出现传动杆18后端弯折。Further, a bar-shaped support groove 34 parallel to the transmission rod 18 is provided on the groove edge of the rectangular installation groove 14; 33. The smooth sliding of the sliding seat 15 can be realized by the cooperation of the strip-shaped supporting groove 34 and the supporting sliding block 33 , and the rear end of the transmission rod 18 will not be bent under the pressing of the pressing block 54 .

进一步地,在钉仓槽49的两侧长度侧槽边上均设置有用于挤压单排钉仓的橡胶挤压条50;主杆1和夹持杆3的前端面均设置为弧形坡面51。利用橡胶挤压条50能够实现单排钉仓的弹性夹持固定;利用弧形坡面51能够便于插入腔镜洞口。Further, rubber extrusion strips 50 for extruding a single row of nail magazines are provided on both sides of the nail magazine groove 49 on the length side groove edges; the front end surfaces of the main rod 1 and the clamping rod 3 are both set as arc-shaped slopes. face 51. The elastic clamping and fixing of a single row of staple cartridges can be realized by using the rubber extrusion strip 50 ; the insertion into the cavity of the endoscope can be facilitated by using the arc-shaped slope surface 51 .

本发明创造公开的腔镜手术缝合器在使用时,将单排钉仓压入钉仓槽49内,且两侧的橡胶挤压条50对条形壳体5进行夹持固定;在插入腔镜洞口时,通过正向旋转旋钮头17使得挤压块 54向外移动,对滑移座15进行向前按压推动,将夹持杆3按压在切面2上,从而便于插入腔镜洞口;在进行待组织夹持时,首先反向旋转旋钮头17,利用回弹压簧16推动滑移座15向后移动,使得传动杆18后移拉动夹持杆3的前端翘起,从而张开一个夹持夹角,便于对待缝合组织进行夹持,再正向旋转旋钮头17使得夹持杆3向切面2摆动,使得待缝合组织稳定夹持;在缝合时,首先将防护套头4拔下,按压锁定压杆8的后端使得锁定齿牙11与卡扣齿牙10分离,从而由推钉压簧38推动导向滑块39、推钉杆27以及推钉支撑板28向前快速移动,由推钉支撑板28及支撑斜坡面29将各个U形钛钉26顶出出钉条形孔52外,U形钛钉26的两端穿过组织,在条形凹槽48内弯折完成缝合;在缝合后,再松开夹持杆3,释放被夹持的组织,再使夹持杆3夹紧,便于从腔镜洞口拔出主杆1。When the laparoscopic surgical stapler disclosed in the present invention is in use, a single row of staple cartridges is pressed into the staple cartridge slot 49, and the rubber extruding strips 50 on both sides clamp and fix the bar-shaped housing 5; When the mirror hole is opened, the pressing block 54 is moved outward by rotating the knob head 17 in the positive direction, and the sliding seat 15 is pressed and pushed forward, and the clamping rod 3 is pressed on the cut surface 2, so as to facilitate the insertion into the endoscope hole; When holding the tissue to be held, firstly rotate the knob head 17 in the opposite direction, and use the resilient compression spring 16 to push the sliding seat 15 to move backward, so that the transmission rod 18 moves backward and pulls the front end of the clamping rod 3 to lift up, thereby opening a clamp. Hold the angle, which is convenient for clamping the tissue to be sutured, and then rotate the knob head 17 in the positive direction to make the clamping rod 3 swing toward the cutting plane 2, so that the tissue to be sutured is stably clamped; when sutured, first remove the protective sleeve head 4, press The rear end of the locking lever 8 separates the locking teeth 11 from the locking teeth 10, so that the guide slider 39, the push rod 27 and the push support plate 28 are pushed forward rapidly by the push spring 38, The nail supporting plate 28 and the supporting ramp surface 29 push each U-shaped titanium nail 26 out of the nail strip hole 52, and the two ends of the U-shaped titanium nail 26 pass through the tissue and are bent in the strip groove 48 to complete the suture; After suturing, the clamping rod 3 is released again to release the clamped tissue, and then the clamping rod 3 is clamped, so that the main rod 1 can be easily pulled out from the endoscope hole.

如上所述,尽管参照特定的优选实施例已经表示和表述了本发明创造,但其不得解释为对本发明创造自身的限制。在不脱离所附权利要求定义的本发明创造的精神和范围前提下,可对其在形式上和细节上作出各种变化。As mentioned above, although the invention has been shown and described with reference to specific preferred embodiments, this should not be construed as limiting the invention itself. Various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (10)

1. The utility model provides an laparoscopic surgery stitching instrument which characterized in that: comprises a main rod (1), clamping rods (3), a single-row nail bin, a clamping driving mechanism, a nail pushing mechanism and a locking mechanism;
the side edge of the front end side of the main rod (1) is provided with a tangent plane (2), and the tangent plane (2) is parallel to the axial direction of the main rod (1); the clamping rod (3) is hinged at the tangent plane (2) in a swinging way, so that the clamping rod (3) is pressed on the tangent plane (2) after swinging; a nail bin groove (49) is axially arranged on the section (2) along the main rod (1), and the single-row nail bins are placed in the nail bin groove (49); the nail pushing mechanism is arranged in the main rod (1) and used for pushing the U-shaped titanium nails (26) in the single-row nail bin to the clamping surface of the clamping rod (3); strip-shaped grooves (48) are arranged on the clamping surface of the clamping rod (3) at intervals in a single row, and two end surfaces of each strip-shaped groove (48) are provided with arc-shaped slopes for extruding and bending two end parts of the U-shaped titanium nail (26); the clamping driving mechanism is arranged on the main rod (1) and used for driving the swinging clamping of the clamping rod (3); the locking mechanism is arranged at the tail end of the main rod (1) and used for locking and releasing the nail pushing mechanism.
2. The laparoscopic surgical stapler of claim 1, wherein: the single-row nail bin consists of a strip-shaped shell (5) and each nail pushing block (23); a rectangular push nail hole (21) is formed in the middle of the rear end face of the strip-shaped shell (5) along the length direction; nail strip-shaped holes (52) are formed in the upper side face of the strip-shaped shell (5) at intervals along the length direction, and each nail strip-shaped hole (52) is communicated with the nail-pushing rectangular hole (21); lifting limiting grooves (22) are arranged on the wall of the nail pushing rectangular hole (21) and below each nail strip-shaped hole (52); each nail pushing block (23) is respectively arranged in each lifting limiting groove (22), and the thickness of each nail pushing block (23) is larger than the hole width of each nail pushing rectangular hole (21); a strip-shaped nail groove (24) is arranged on the upper side surface of the nail pushing block (23); the bent sections of the U-shaped titanium nails (26) are inserted into the strip-shaped nail grooves (24), and two end parts of the U-shaped titanium nails (26) extend into the nail strip-shaped holes (52); a nail pushing slope surface (25) is arranged on the lower side surface of the nail pushing block (23).
3. The laparoscopic surgical stapler of claim 2, wherein: the nail pushing mechanism comprises a nail pushing support plate (28), a nail pushing rod (27), a guide lock rod (36), a guide sliding block (39) and a nail pushing pressure spring (38); a support slope surface (29) for extruding the nail pushing slope surface (25) is arranged at the front side edge of the nail pushing support plate (28); a guide sliding hole (40) is axially arranged in the main rod (1), and a guide sliding block (39) is slidably arranged in the guide sliding hole (40); the rear end of the nail pushing rod (27) penetrates into the guide sliding hole (40) through a nail bin groove (49) and is fixed on the front side surface of the guide sliding block (39); the nail pushing support plate (28) is fixedly arranged on the front end part of the nail pushing rod (27), and the front end of the nail pushing support plate (28) is aligned to the rear end hole opening of the nail pushing rectangular hole (21); a lock rod hole (37) is axially arranged in the rear end of the main rod (1); the guide lock rod (36) is inserted in the lock rod hole (37); the nail pushing compression spring (38) is sleeved on the guide lock rod (36), and the nail pushing compression spring (38) is elastically supported between the rear side surface of the guide sliding block (39) and the rear end surface of the guide sliding hole (40); the locking mechanism is used for locking and releasing control of the guide lock lever (36).
4. The laparoscopic surgical stapler of claim 3, wherein: the locking mechanism comprises a locking pressure rod (8) and a locking pressure spring (9); a bar-shaped guide hole (55) communicated with the lock rod hole (37) is axially arranged on the rod wall at the rear end of the main rod (1); the rear end of the guide lock rod (36) is provided with a side convex strip (13) extending out of the strip-shaped guide hole (55); a toggle convex strip (12) is arranged at the front side of the side convex strip (13), and a locking tooth (11) is arranged at the rear side of the side convex strip (13); the middle part of the locking pressure lever (8) is arranged on the lever wall of the main lever (1) in a swinging way through a pressure lever support (7), and the pressure lever support (7) is positioned at the rear side edge of the strip-shaped guide hole (55); the front end of the locking pressure lever (8) is provided with a buckle tooth (10) which is buckled with the locking tooth (11); the locking compression spring (9) is elastically supported between the rear end of the locking compression rod (8) and the rod wall of the main rod (1) and used for pushing the buckling teeth (10) at the front end of the locking compression rod (8) to buckle the locking teeth (11).
5. The laparoscopic surgical stapler of claim 4, wherein: a protective sleeve head (4) is sleeved on the rear end of the locking pressure rod (8), and the protective sleeve head (4) is supported on the rod wall of the main rod (1); a handle rod (19) is arranged at the tail end of the main rod (1) in an extending way, and an anti-skid convex edge (6) is arranged on the outer wall of the handle rod (19).
6. The laparoscopic surgical stapler of claim 1, wherein: the length edges of two sides of the tangent plane (2) are respectively provided with a strip-shaped pressing groove, and the clamping surface of the clamping rod (3) is provided with an anti-skid rubber strip (20) at the position opposite to the strip-shaped pressing groove.
7. The laparoscopic surgical stapler of claim 1, wherein: the clamping driving mechanism comprises a driving rod (18), a sliding seat (15), a rebound pressure spring (16), an extrusion block (54), a driving screw rod (30) and a knob head (17); a strip-shaped notch (41) is arranged on the main rod (1) and positioned at the rear side edge of the tangent plane (2); a hinge convex strip (44) extends backwards from the rear end of the clamping rod (3), the lower side edge of the hinge convex strip (44) is a chamfered edge, and a push-pull strip-shaped hole (45) is arranged along the chamfered edge; the hinge convex strip (44) is embedded into the strip-shaped notch (41) and is installed on the strip-shaped notch (41) in a swing hinge mode through a hinge short shaft (56) arranged on the side edge; a rectangular mounting groove (14) is arranged on the wall of the tail end rod of the main rod (1), and a transmission hole (53) penetrates between the rectangular mounting groove (14) and the strip-shaped notch (41); the transmission rod (18) is inserted in the transmission hole (53), and the front end of the transmission rod (18) is provided with a U-shaped fork head (42); a push-pull driving shaft (43) is arranged between the fork rods on the two sides of the U-shaped fork head (42), and the push-pull driving shaft (43) penetrates through the push-pull strip-shaped hole (45); the sliding seat (15) is positioned in the rectangular mounting groove (14) and is fixedly arranged at the rear end of the transmission rod (18); the resilience pressure spring (16) is sleeved on the rear end of the transmission rod (18), and the resilience pressure spring (16) is elastically supported between the rectangular mounting groove (14) and the sliding seat (15); one end of the driving screw rod (30) is rotatably arranged at the bottom of the rectangular mounting groove (14), the other end of the driving screw rod (30) extends out of the rectangular mounting groove (14), and the knob head (17) is fixedly arranged on the extending end part of the driving screw rod (30); a driving threaded hole (35) is formed in the extrusion block (54), and the driving screw (30) is screwed in the driving threaded hole (35); a rear side pressing surface (32) is provided on the rear side surface of the sliding seat (15), and a front side pressing surface (31) is provided on the front side of the pressing block (54) and opposite to the rear side pressing surface (32).
8. The laparoscopic surgical stapler of claim 7, wherein: guide strip-shaped grooves (46) are formed in the side groove edges of the length of the two sides of the strip-shaped groove opening (41), and the guide strip-shaped grooves (46) are parallel to the axial direction of the transmission rod (18); two protruding shafts (47) are arranged on the side edge of the front end part of the transmission rod (18), and the end parts of the two protruding shafts (47) are respectively embedded into the guide strip-shaped grooves (46) on the two sides in a sliding manner.
9. The laparoscopic surgical stapler of claim 7, wherein: a strip-shaped support groove (34) which is parallel to the transmission rod (18) is arranged on the groove side of the rectangular mounting groove (14); the side edge of the sliding seat (15) is provided with a supporting slide block (33) which is embedded into the strip-shaped supporting groove (34) in a sliding way.
10. The laparoscopic surgical stapler of claim 1, wherein: rubber extrusion strips (50) for extruding the single-row nail bins are arranged on the side of the side grooves on the length of both sides of the nail bin groove (49); the front end surfaces of the main rod (1) and the clamping rod (3) are both provided with arc-shaped slopes (51).
CN201921888607.2U 2019-11-05 2019-11-05 A laparoscopic surgical stapler Active CN211243531U (en)

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CN201921888607.2U CN211243531U (en) 2019-11-05 2019-11-05 A laparoscopic surgical stapler

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201921888607.2U CN211243531U (en) 2019-11-05 2019-11-05 A laparoscopic surgical stapler

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CN211243531U true CN211243531U (en) 2020-08-14

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112535506A (en) * 2020-12-15 2021-03-23 北京天助畅运医疗技术股份有限公司 Endoscope anastomat and rotating head thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112535506A (en) * 2020-12-15 2021-03-23 北京天助畅运医疗技术股份有限公司 Endoscope anastomat and rotating head thereof

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