CN101455577A - Medical cutting bookbinding device - Google Patents

Medical cutting bookbinding device Download PDF

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Publication number
CN101455577A
CN101455577A CNA2007101915031A CN200710191503A CN101455577A CN 101455577 A CN101455577 A CN 101455577A CN A2007101915031 A CNA2007101915031 A CN A2007101915031A CN 200710191503 A CN200710191503 A CN 200710191503A CN 101455577 A CN101455577 A CN 101455577A
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CN
China
Prior art keywords
nail
pushing slice
nail bin
cutter
bookbinding device
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CNA2007101915031A
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Chinese (zh)
Inventor
陈望东
范心宇
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Touchstone International Medical Science Co Ltd
Suzhou Tianchen International Medical Technology Co Ltd
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Suzhou Tianchen International Medical Technology Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Suzhou Tianchen International Medical Technology Co Ltd filed Critical Suzhou Tianchen International Medical Technology Co Ltd
Priority to CNA2007101915031A priority Critical patent/CN101455577A/en
Publication of CN101455577A publication Critical patent/CN101455577A/en
Pending legal-status Critical Current

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Abstract

The present invention relates to a medical cutting bookbinding device and belongs to the technical field of medical instrument. The medical cutting bookbinding device comprises a head part and a machine body. The machine body comprises a connecting mechanism and a firing mechanism. The head part comprises a nail stake, a bracket, a pushing sheet, a cutter and a nail chamber. A nail forming groove is installed at the side of nail stake. A nail chamber hole is installed at the side of nail chamber. Sewing nails are contained in the nail chamber hole. A nail pushing sheet and a cutter is installed after the nail chamber. The nail pushing sheet is connected with the firing mechanism on the machine body part through a nail pushing sheet base and a nail pushing rod. The nail chamber, the nail pushing sheet and the cutter are curved. The nail stack is connected with the machine body through the bracket, wherein the nail chamber is connected on a pushing rod. The other end of pushing rod is connected with the firing mechanism. The pushing rod pushes the nail chamber to do relative motion along a direction from the bracket to the nail stack. The structure according to the invention can realize that one or more hemorrhoids which are pathologically changed are smoothly and accurately excised without damage to other normal tissues.

Description

Medical cutting bookbinding device
Technical field
The present invention and a kind of cutting bookbinding device relate in particular to a kind of medical cutting bookbinding device, belong to technical field of medical instruments.
Background technology
People were to the history in surplus the understanding of hemorrhoid existing 4000 year, and the theory of relevant hemorrhoid emerges in an endless stream for a long time.Since 18th century, hemorrhoid are considered to the abundant venous plexus that rectum lower end or anal canal position exist, if at a place or expansion takes place at the number place or varicose promptly becomes hemorrhoid, that is hemorrhoid are the vein groups of giving prominence to, and are the vascular lesions that a variety of causes causes.Since the seventies in 20th century, the research of hemorrhoid has been obtained breakthrough, anatomy, histology and physiological discovery have been given modern notion to hemorrhoid.Thomson proposed first in 1975, and " hemorrhoid are normal anatomical structures that everybody all has, and are lip shape wart or anus pad (anal cushions) in the rectum lower end, and the pathology hypertrophy of anus pad is the hemorrhoid disease." this new notion is subjected to Alexander-Williams (1982), Bernstein (1983) and Melzier famous scholars' such as (1984) support.The external anorectal disease of publishing is recently learned the new ideas that extensively adopted hemorrhoid in the monograph, in the past few years also gains recognition gradually in China anorectal surgical educational circles nearly 10.
The traditional method of internal hemorrhoid treatment comprises that injection of sclerosing agent, rubber snare are pricked and various forms of excision arts etc., all is to treat at hemorrhoid itself, is intended to make blood stasis to dwindle or disappears.In the surgical operation of hemorrhoid excision, a kind of PPH of being called operation method is arranged, i.e. mucosa ring cutting art on the hemorrhoid of carrying out under the help of tubular bookbinding device.Its principle is: organize under the situation at reservation anus pad, with mucosa, the about 3~4cm of submucosa tissue circular resection on internal hemorrhoid and the hemorrhoid, two ends simultaneously coincide, in blocking-up hemorrhoid supply vascular flow, reach slippage organized and upwards suspend fixed purpose in midair, make the anorectal region of pathological state return to normal anatomic status.
Utilization PPH operative treatment severe hemorrhoids, advantages such as having the postoperative pain of alleviating, reduce postoperative hemorrhage, shorten the hospital stays, accelerate recovery period, do not influence daily life, relapse rate is low, the whole surgery process only needs 8~15 minutes, and operation back patient does not almost have the sensation of pain.Because operation has solved the pathogenetic root of hemorrhoid, so it is more satisfactory to reach long-term effect in the recent period.Treat very thorny hemorrhoid for some with traditional remedies, as mixed hemorrhoid, ring-type hemorrhoid, serious prolapse of hemorrhoid, proctoptosis etc., the PPH operation has unique curative effect equally.
Yet clinical practice finds that some patient is not that pathological changes takes place 3 hemorrhoid simultaneously, but wherein 1 or 2 hemorrhoid morbidities at this moment, are used present tubular type binding apparatus excision one circle, and no matter whether all morbidity all can be by disposable complete resection for 3 hemorrhoid.Obviously, this operation will cause unnecessary damage to the patient, and post-operative recovery is not had good effect yet.
Summary of the invention
The objective of the invention is to overcome the above problem that prior art exists, a kind of medical cutting bookbinding device is provided.
Purpose of the present invention realizes by following technical solution:
Medical cutting bookbinding device, comprise head and fuselage, fuselage comprises bindiny mechanism and firing lock, be in the middle rear side of apparatus, head comprises nail anvil, support, cutter, pushing slice of nail and nail bin, the nail anvil side is provided with the nail forming tank, the nail bin side is provided with the nail bin hole, nail bin is equipped with suturing nail in the hole, the nail bin rear side is provided with pushing slice of nail and cutter, the position of pushing slice of nail is corresponding with the nail bin hole, and pushing slice of nail links to each other described nail bin by the pushing slice of nail base with the firing lock of ejector pin bar with the fuselage position, pushing slice of nail, cutter are curved shape, nail anvil is connected with fuselage by support, wherein: be connected with catch bar on the described nail bin, the other end of catch bar is connected with firing lock, and catch bar promotes nail bin and makes relative motion along support to nail anvil.
Purpose of the present invention also can further realize by following technical measures:
Above-mentioned medical cutting bookbinding device, wherein, the described cutter outside is distributed with row's pushing slice of nail at least.
Further, above-mentioned medical cutting bookbinding device, wherein, described catch bar is set in parallel in a side of ejector pin bar.
Further, above-mentioned medical cutting bookbinding device, wherein, described percussion structure is closed handle or percussion handle, and closed handle makes catch bar move to the nail anvil direction with the ejector pin bar, and the percussion handle makes the ejector pin bar move to the nail bin direction.
The invention has the advantages that: after adopting this medical cutting bookbinding device, can make nail bin draw close to nail anvil reposefully.And in the nail anvil motion, when closed handle was pulled the trigger, ejector pin bar and catch bar were interlock, when pulling the trigger manual firing, were the pushing slice of nail independently moving at nail bin, and both can not influence each other.This apparatus does not constitute destruction to other normal structure in the hemorrhoid excision, so both guaranteed that the hemorrhoid of 1 or 2 generation pathological changes can be excised smoothly and accurately, can guarantee that again health tissues can not be subjected to unnecessary damages because of operation.Compare with existing similar apparatus, its head volume reduces, and enters the resistance of anal canal when having reduced operation, has also alleviated patient's sense of discomfort.Therefore, be worth applying in the art.
Purpose of the present invention, advantage and characteristics will illustrate by the non-limitative illustration of following preferential embodiment and explain that these embodiment only provide as an example with reference to accompanying drawing.
Description of drawings
Fig. 1 is a total structure sketch map of the present invention.
Fig. 2 is the partial enlarged drawing of Fig. 1.
The implication of each Reference numeral is as follows among the figure:
1 nail anvil, 2 nail bins
3 supports, 4 pushing slice of nail bases
5 catch bars, 6 closed handle
7 ejector pin bars, 8 percussion handles
The specific embodiment
As Fig. 1, medical cutting bookbinding device shown in Figure 2, comprise head and fuselage, fuselage is in the middle rear side of apparatus, comprise bindiny mechanism and firing lock, head comprises nail anvil 1, support 3, cutter, pushing slice of nail and nail bin 2, nail anvil 1 side is provided with the nail forming tank, nail bin 2 sides are provided with the nail bin hole, nail bin is equipped with suturing nail in the hole, nail bin 2 rear sides are provided with pushing slice of nail and cutter, the position of pushing slice of nail is corresponding with the nail bin hole, and pushing slice of nail links to each other described nail bin 2 by pushing slice of nail base 4 with the firing lock of ejector pin bar 7 with the fuselage position, pushing slice of nail, cutter are curved shape, nail anvil 1 is connected with fuselage by support 3, wherein: described nail bin 2 is connected on the catch bar 5, and the other end of catch bar 5 is connected with the percussion structure, and catch bar 5 promotes nail bin 2 and makes relative motion along support 3 to nail anvil 1.In other words, the control of structure is pulled the trigger in the motion of described nail bin 2, realizes the distance adjustment between nail bin 2 and the nail anvil 1.
Furthermore, the described cutter outside is distributed with row's pushing slice of nail at least.Simultaneously, the percussion structure is closed handle 6 and percussion handle 8, and closed handle 6 makes catch bar 5 move to the nail anvil direction with ejector pin bar 7, and percussion handle 8 makes ejector pin bar 7 move to the nail bin direction.Consider that apparatus need enter anal canal, when working, do not influence each other that additionally do not increase the volume of apparatus again, described catch bar 5 is set in parallel in a side of ejector pin bar 7 for the ease of catch bar 5 and ejector pin bar 7.
This medical cutting bookbinding device organize situation roughly as follows: at first cutter are installed to pushing slice of nail base 4, and nail bin 2 are installed on the pushing slice of nail, and make the nail bin hole corresponding with pushing slice of nail.Then, pushing slice of nail and nail bin 2 are installed on the support 3.During this period, an end of nail bin 2 is linked to each other with catch bar 5, and the other end of catch bar 5 is connected with closed handle 6, guarantees that closed handle 6 can control nail bin 2 and move along support 3.Pushing slice of nail and pushing slice of nail base 4 adopts integrated manufacturing, and pushing slice of nail is connected with ejector pin bar 7 by pushing slice of nail base 4 simultaneously, is connected with percussion handle 8 at the other end of ejector pin bar 7, and is the binding of conflicting with percussion handle 8.Same, when assembling, need guarantee to pull the trigger handle 8 and can effectively control pushing slice of nail and move along support 3.And,, catch bar 5 is horizontally set on a side of ejector pin bar 7 in conjunction with shown in Figure 1.At last, can finish the assembling of apparatus after in nail bin 2, placing suturing nail.
During operation, at first hemorrhoidal tissue is placed between nail anvil 1 and the nail bin 2.Afterwards, when waiting to be sure of that hemorrhoidal tissue is put into apparatus fully, extruding closed handle 6 makes catch bar 5 beginning translations promote nail bin 2 and ejector pin seat 4, makes it to draw close to nail anvil 1 gradually.After the distance adjustment between nail bin 2 and the nail anvil 1 is suitable, push percussion handle 8, touch ejector pin bar 7 by percussion handle 8 pushing slice of nail is released, immediately, suturing nail is released and is ordered into tissue from nail bin 2 by pushing slice of nail, and meanwhile, cutter are with unnecessary cutting tissue.At last, closed handle 6 is returned to initial position, opens nail anvil 1 and nail bin 2, withdraws from apparatus, finishes operation.
By above-mentioned character express and in conjunction with the accompanying drawings as can be seen, adopt this medical cutting bookbinding device after, can make nail bin 2 draw close to nail anvil 1 reposefully.And in nail anvil 1 motion, when closed handle was pulled the trigger, ejector pin bar 7 was interlock with catch bar 5 at nail bin 2, when pulling the trigger manual firing, and the pushing slice of nail independently moving, both can not influence each other.This apparatus does not constitute destruction to other normal structure in the hemorrhoid excision, so both guaranteed that the hemorrhoid of 1 or 2 generation pathological changes can be excised smoothly and accurately, can guarantee that again health tissues can not be subjected to unnecessary damages because of operation.Compare with existing similar apparatus, its head volume reduces, and enters the resistance of anal canal when having reduced operation, has also alleviated patient's sense of discomfort.Therefore, be worth applying in the art.
Certainly, more than only be concrete exemplary applications of the present invention, protection scope of the present invention is not constituted any limitation.In addition to the implementation, the present invention can also have other embodiment.All employings are equal to the technical scheme of replacement or equivalent transformation formation, all drop within the present invention's scope required for protection.

Claims (4)

1, medical cutting bookbinding device, comprise head and fuselage, fuselage comprises bindiny mechanism and firing lock, be in the middle rear side of apparatus, head comprises nail anvil, support, cutter, pushing slice of nail and nail bin, the nail anvil side is provided with the nail forming tank, the nail bin side is provided with the nail bin hole, nail bin is equipped with suturing nail in the hole, the nail bin rear side is provided with pushing slice of nail and cutter, pushing slice of nail links to each other with the firing lock of ejector pin bar with the fuselage position by the pushing slice of nail base, described nail bin, pushing slice of nail, cutter are curved shape, and nail anvil is connected with fuselage by support, it is characterized in that: be connected with catch bar on the described nail bin, the other end of catch bar is connected with the percussion structure, and catch bar promotes nail bin and makes relative motion along support to nail anvil.
2, medical cutting bookbinding device according to claim 1 is characterized in that: the described cutter outside is distributed with row's pushing slice of nail at least.
3, medical cutting bookbinding device according to claim 1 is characterized in that: described catch bar is set in parallel in a side of ejector pin bar.
4, medical cutting bookbinding device according to claim 1 is characterized in that: described percussion structure is closed handle or percussion handle.
CNA2007101915031A 2007-12-12 2007-12-12 Medical cutting bookbinding device Pending CN101455577A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNA2007101915031A CN101455577A (en) 2007-12-12 2007-12-12 Medical cutting bookbinding device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNA2007101915031A CN101455577A (en) 2007-12-12 2007-12-12 Medical cutting bookbinding device

Publications (1)

Publication Number Publication Date
CN101455577A true CN101455577A (en) 2009-06-17

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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103140182A (en) * 2010-09-30 2013-06-05 伊西康内外科公司 Implantable fastener cartridge comprising multiple layers
CN103181799A (en) * 2011-12-30 2013-07-03 苏州天臣国际医疗科技有限公司 Surgical nailing device
CN103919586A (en) * 2013-01-11 2014-07-16 柯惠Lp公司 Circular Stapling Instrument
CN103930048A (en) * 2011-09-22 2014-07-16 伊西康内外科公司 Surgical staple assembly with hemostatic feature
CN105105807A (en) * 2009-10-15 2015-12-02 柯惠Lp公司 Staple line reinforcement for anvil and cartridge
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
CN107582125A (en) * 2017-09-29 2018-01-16 刘雯雯 A kind of operation cutter
CN107647890A (en) * 2016-07-26 2018-02-02 贲晓松 A kind of medical sutures cutter
CN107684446A (en) * 2017-09-29 2018-02-13 刘雯雯 A kind of hemorrhoid ligation cutter
CN109009284A (en) * 2018-08-26 2018-12-18 江苏孜航精密五金有限公司 The replaceable nail bin groupware of disposable arc line shaped Endo-GIA
US10576298B2 (en) 2009-10-15 2020-03-03 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105748124A (en) * 2009-10-15 2016-07-13 柯惠Lp公司 Staple Line Reinforcement For Anvil And Cartridge
US11617584B2 (en) 2009-10-15 2023-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US10842485B2 (en) 2009-10-15 2020-11-24 Covidien Lp Brachytherapy buttress
US10682140B2 (en) 2009-10-15 2020-06-16 Covidien Lp Staple line reinforcement for anvil and cartridge
US10576298B2 (en) 2009-10-15 2020-03-03 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
CN105105807A (en) * 2009-10-15 2015-12-02 柯惠Lp公司 Staple line reinforcement for anvil and cartridge
CN103140182B (en) * 2010-09-30 2015-10-07 伊西康内外科公司 Comprise the implantable fastener cartridge of multiple layers
CN103140182A (en) * 2010-09-30 2013-06-05 伊西康内外科公司 Implantable fastener cartridge comprising multiple layers
CN103930048A (en) * 2011-09-22 2014-07-16 伊西康内外科公司 Surgical staple assembly with hemostatic feature
US9393018B2 (en) 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
CN103181799A (en) * 2011-12-30 2013-07-03 苏州天臣国际医疗科技有限公司 Surgical nailing device
CN103181799B (en) * 2011-12-30 2015-07-15 苏州天臣国际医疗科技有限公司 Surgical nailing device
CN103919586A (en) * 2013-01-11 2014-07-16 柯惠Lp公司 Circular Stapling Instrument
CN107647890A (en) * 2016-07-26 2018-02-02 贲晓松 A kind of medical sutures cutter
CN107684446A (en) * 2017-09-29 2018-02-13 刘雯雯 A kind of hemorrhoid ligation cutter
CN107582125A (en) * 2017-09-29 2018-01-16 刘雯雯 A kind of operation cutter
CN107684446B (en) * 2017-09-29 2023-09-12 苏州贝诺医疗器械有限公司 Hemorrhoid ligation cutter
CN107582125B (en) * 2017-09-29 2023-09-12 苏州贝诺医疗器械有限公司 Surgical cutter
CN109009284A (en) * 2018-08-26 2018-12-18 江苏孜航精密五金有限公司 The replaceable nail bin groupware of disposable arc line shaped Endo-GIA
CN109009284B (en) * 2018-08-26 2023-06-23 江苏孜航精密五金有限公司 Replaceable nail bin assembly of disposable arc-shaped cutting anastomat

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Open date: 20090617