SU1088712A1 - Аппарат дл циркул рного сшивани кровеносных сосудов - Google Patents
Аппарат дл циркул рного сшивани кровеносных сосудов Download PDFInfo
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- SU1088712A1 SU1088712A1 SU792833451A SU2833451A SU1088712A1 SU 1088712 A1 SU1088712 A1 SU 1088712A1 SU 792833451 A SU792833451 A SU 792833451A SU 2833451 A SU2833451 A SU 2833451A SU 1088712 A1 SU1088712 A1 SU 1088712A1
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- 210000004204 blood vessel Anatomy 0.000 title claims description 5
- 238000002360 preparation method Methods 0.000 claims description 2
- 230000002085 persistent effect Effects 0.000 claims 2
- 238000000034 method Methods 0.000 abstract description 3
- 239000011230 binding agent Substances 0.000 description 3
- 230000036512 infertility Effects 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 2
- 208000007536 Thrombosis Diseases 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000002297 emergency surgery Methods 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000002792 vascular 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
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1152—Staplers for performing anastomosis, e.g. in a single operation applying the staples on the outside of the lumen
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Abstract
) 1. АППАРАТ ДЛЯ ЦИРКУЛЯРНОГО СШИВАНИЯ КРОВЕНОСНЫХ СОСУДОВ, содержащий скобочную половину, выполненную из корпусов с полукольцами и скобочных полувтулок, упорную половину , выполненную из корпусов с полукольцами и упорных полувтулок, механизм изменени зазора прошивани , привод прошивани , причем в корпусах упорной и скк оч ой половин выполнены пазы дл трубок со штуцерами дл подсоединени к источнику вакуума , отличающийс тем, что, с целью ускорени подготовки аппарата ic отгерадаи, в скобочных и упорных полувтулках выполнены кольцевые каиавки и соединенные с ними отводные каналы, в которые установлены трубки одноразового использовани дл соединени полувтулок с источником вакуума, причем трубки установлены в пазах вдоль корпусов annapaiTa. 2. Аппарат поп.1, отличаюi щийс тем, что на торцах полуколец корпусов скобочной и упорной (Л половин установлены штыри, а на торцах полувтулок соответственно штыр м выполнены отверсти .
Description
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с
-si 1 Изобретение относитс к медицинс кой технике, а именно к хирургическим сшивающим инструментам. Известен аппарат дл циркул рного сшивани кровеносных сосудов, который содержит скобочную.половину состо щую из корпусов с полукольцами , полуфланцев и скобочных полувтулок , упорную половину, состо щую из Корпусов с полукольцами, полуфланцев и упорных полувтулок, механизм изменени зазора прошивани , привод прошивани , а в корпусах упорной и скобочной половин выполнены пазы дл трубок со штуцерами дл подсоединени к источнику вакуума lj Однако известный аппарат обладает р дом недостатков. Так, прред дод готовкой смешивател к операции требуетс зар дка его скобками, что затруднительно осуществл ть в услови х клиники и ввиду малых размеров скобок, а также значительно снижает надежность применетги сшивател ввиду проведени зар дки недостаточно квалифицированным медицинским персоналом. Одним из главных недостатков сшивател вл етс трудность чистки не сменной вакуумной системы, от остатков крови. В св зи с этим не всегда может быть обеспечена хороша стерил ность сшивател , в результате чего возникают реальные опасности дл больн.ого в виде инфицировани , передачи инфекции и т.д. Кроме того, часто возникает потребность в повторном , применении сшивател в ходе одной операции, на пример, при наложении нескольких сосудистых анастомозов, в экстренной хирургии и т.д. Засорение сгуст ком крови вакуумной системы или недостаточна ее стерильность исключают быстрое повторное применение сшивател . Цель изобретени - обеспечение ускорени подготовки аппарата к опе рации. Поставленна цель достигаетс тем, что в аппарате дл циркул рног сшивани кровеносных сосудов, содер жащем скобочную половину, выполненную из корпусов с полукольцами и ск бочньгх полувтулок, упорную половину выполненную из корпусов с полуколь
цами, и упорных полувтулок, механизм изменени зазора прошивани , привод
Аппарат работает следующим образом . 2 прошивани , причем в корпусах упорной и скобочной половин выполнены пазы дл трубок со штуцерами дл подсоединени к источнику вакуума, в скобочных и упорных полувтулках выполнены кольцевые канавки и соединенные с ними отводные каналы, в которые установлены трубки одноразового использовани дл соединени полувтулок с источником вакуума, причем трубки установлены в пазах вдоль корпусов аппарата. Кроме того, на торцах полуколец корпусов скобочной и упорной половин установлены штыри, а на торцах полувтулок соответственно штыр м выполнены отверсти . На фИг. 1 изображен аппарат дл циркул рного сшивани кровеносных сосудов, вид спереди с частичным сечением; на фиг. 2 - то же, вид сбоку; на фиг. 3.- сечение А-А на фиг. 1; на фиг. 4 - сечение Б-Б на фиг. 1; на фиг, 5 - сечение В-В на фиг. 1. Аппарат содержит скобочную половину , выполненную из корпусов 1 с полукольцами 2 (фиг. 1 ,2)и скобочных полувтулок 3 (фиг. 1,3), упсфную половину, вьшолненную из корпусов 4 с полукольцами 5 (фиг. 1,4), упорных полувтулок 6, механизм изменени зазора прошивани и привод прошивани с рычагами 7 и 8 и толкател ми 9 скобок 10 (фиг. 5). Рабочие торды скобочных и упорных полувтулок 3 и 6 расположены в одной плоскости с внутренними поверхност ми скобочной и упорной половин аппарата. На рабочих торцах скобочных и упорных полувтулок 3 и 6 выбраны кольцевые канавки 11 и 12, которые имеют отводные каналы 13 и 14, и в них вмонтированы трубки 15 одноразового использовани дл соединени полувтулок с источником вакуума. Дл быстрой и надежной фиксации полувтулок 3 и 6 и трубок 15, снабженных штуцерами на торцах полуколец 2 и 5 установлен штыри 16 (фиг. 3,4), а на полувтулках 3 и 6 имеютс соответственно отверсти , а вдоль скобочного и упорного корпусов 1 и 4 выполнены пазы 17, в которых установлены трубки 15. Соедин ютс корпуса 1 и 4 затвором 18 (фиг. 1,2).
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Скобочные полувтулки 3 устанавливают на штыри 16 на полукольцах 2 и трубки 15 укладьгоают в пазы 17 на скобочном корпусе 1. Упорные полувтулки 6 устанавливают на штыри 16 на .полукольцах 5 и трубки 15 укладывают в пазы 17 на упорном корпусе 4 и соедин ют с источником вакуума. Подготовленньгй дл соединени сосуд охватывают полувтулками 3 и 6 так, чтобы концы -сосуда выступали на 3-4 мм из полувтулок. Концы сосуда отгибают пинцетом в направлении канавок 11 и 12. При отгибании концов сосуда и приближении их к канавкам осуществл етс присасывание , в результате чего концы сосуда выворачиваютс и фиксируютс к полувтулкам 3 и 5 интимой наружу.
При соединении обеих половин аппарата с домощью затвора 18 осуществл ют соприкосновение интим и
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временное соединение обоих концов сшиваемых сосудов. Нажимом на рычаги 7 и 8 привод т, в действие толкатели 9 скобок 10. Обе стенки сопоставл емых и фиксированных в нужном положении сосудов прокальшаютс ножками скобок 10, которые, попада в лунки упорных полувтулок 6, загибаютс в В-образную форму. После прошивани отключают источник вакуума и отсоедин ют аппарат от сосуда .
Предлагаемый аппарат с вакуумным источником энергии прост по конструкции и методике применени , удобен и легко осваиваетс хирзфгом, обеспечивает высокзтю стерильность и качество проведени операции, а также позвол ет быстро провести несколько повторных операций в течение одного оперативного вмещатепь- ства.
(Put. 2
Claims (2)
1. АППАРАТ ДЛЯ ЦИРКУЛЯРНОГО СШИВАНИЯ КРОВЕНОСНЫХ СОСУДОВ, содержащий скобочную половину, выполненную из корпусов с полукольцами и скобочных полувтулок, упорную половину, выполненную из корпусов с полукольцами и упорных полувтулок, механизм изменения зазора прошивания, привод прошивания, причем в корпусах упорной и скобочной половин выполнены пазы для трубок со штуцерами для подсоединения к источнику вакуума, отличающийся тем, что, с целью ускорения подготовки аппарата к операции, в скобочных и упорных полувтулках выполнены кольцевые канавки и соединенные с ними отводные каналы, в которые установлены трубки одноразового использования для соединения полувтулок с источником вакуума, причем трубки установлены в пазах вдоль корпусов аппарата.
2. Аппарат поп.1, отличающийся тем, что на торцах полу- <g колец корпусов скобочной и упорной половин установлены штыри, а на торцах полувтулок соответственно штырям выполнены отверстия.
Priority Applications (8)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU792833451A SU1088712A1 (ru) | 1979-11-14 | 1979-11-14 | Аппарат дл циркул рного сшивани кровеносных сосудов |
| CA000348876A CA1142834A (en) | 1979-11-14 | 1980-03-31 | Instrument for establishing vacscular anastomoses |
| US06/136,736 US4350160A (en) | 1979-11-14 | 1980-04-02 | Instrument for establishing vascular anastomoses |
| CH2611/80A CH647941A5 (de) | 1979-11-14 | 1980-04-02 | Geraet zum anlegen von gefaessanastomosen. |
| SE8002686A SE440446B (sv) | 1979-11-14 | 1980-04-09 | Apparat for anbringande av kerlanastomoser |
| DE3013814A DE3013814C2 (de) | 1979-11-14 | 1980-04-10 | Gerät zur Herstellung von Gefäßanastomosen |
| FR8009547A FR2469173A1 (fr) | 1979-11-14 | 1980-04-28 | Appareil pour la realisation d'anastomoses vasculaires |
| JP6080280A JPS5670759A (en) | 1979-11-14 | 1980-05-09 | Splicing instrument of vascular system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU792833451A SU1088712A1 (ru) | 1979-11-14 | 1979-11-14 | Аппарат дл циркул рного сшивани кровеносных сосудов |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1088712A1 true SU1088712A1 (ru) | 1984-04-30 |
Family
ID=20856519
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU792833451A SU1088712A1 (ru) | 1979-11-14 | 1979-11-14 | Аппарат дл циркул рного сшивани кровеносных сосудов |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US4350160A (ru) |
| JP (1) | JPS5670759A (ru) |
| CA (1) | CA1142834A (ru) |
| CH (1) | CH647941A5 (ru) |
| DE (1) | DE3013814C2 (ru) |
| FR (1) | FR2469173A1 (ru) |
| SE (1) | SE440446B (ru) |
| SU (1) | SU1088712A1 (ru) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2549013C2 (ru) * | 2009-11-02 | 2015-04-20 | Чонгквинг Джиншан Сайенс Энд Текхнолоджи (Гроуп) Ко., Лтд. | Фиксирующее устройство для интравитального просвета |
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| SU446269A1 (ru) * | 1973-02-21 | 1974-10-15 | Ленинградское Производственное Объединение "Красногвардеец" | Аппарат дл циркул рного сшивани кровеносных сосудов |
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| US4154241A (en) * | 1977-07-29 | 1979-05-15 | Rudie Peter S | Anastomosis clamp |
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- 1980-03-31 CA CA000348876A patent/CA1142834A/en not_active Expired
- 1980-04-02 CH CH2611/80A patent/CH647941A5/de not_active IP Right Cessation
- 1980-04-02 US US06/136,736 patent/US4350160A/en not_active Expired - Lifetime
- 1980-04-09 SE SE8002686A patent/SE440446B/sv not_active IP Right Cessation
- 1980-04-10 DE DE3013814A patent/DE3013814C2/de not_active Expired
- 1980-04-28 FR FR8009547A patent/FR2469173A1/fr active Granted
- 1980-05-09 JP JP6080280A patent/JPS5670759A/ja active Granted
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| 1.Авторское свидетельство СССР № 446269, кп. А 61 В 17/11, 1973. * |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2549013C2 (ru) * | 2009-11-02 | 2015-04-20 | Чонгквинг Джиншан Сайенс Энд Текхнолоджи (Гроуп) Ко., Лтд. | Фиксирующее устройство для интравитального просвета |
Also Published As
| Publication number | Publication date |
|---|---|
| FR2469173B1 (ru) | 1984-01-13 |
| SE8002686L (sv) | 1981-05-15 |
| CH647941A5 (de) | 1985-02-28 |
| DE3013814C2 (de) | 1982-11-04 |
| CA1142834A (en) | 1983-03-15 |
| JPS5650970B2 (ru) | 1981-12-02 |
| SE440446B (sv) | 1985-08-05 |
| US4350160A (en) | 1982-09-21 |
| FR2469173A1 (fr) | 1981-05-22 |
| JPS5670759A (en) | 1981-06-12 |
| DE3013814A1 (de) | 1981-06-04 |
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