CN104188701A - Stapler with suture fixing device - Google Patents

Stapler with suture fixing device Download PDF

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Publication number
CN104188701A
CN104188701A CN201410378284.8A CN201410378284A CN104188701A CN 104188701 A CN104188701 A CN 104188701A CN 201410378284 A CN201410378284 A CN 201410378284A CN 104188701 A CN104188701 A CN 104188701A
Authority
CN
China
Prior art keywords
suture
fixture
anastomat
gun
central shaft
Prior art date
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
CN201410378284.8A
Other languages
Chinese (zh)
Inventor
张建壮
姚建清
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.)
BJ ZHF Panther Medical Equipment Co Ltd
Original Assignee
BJ ZHF Panther Medical Equipment 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 BJ ZHF Panther Medical Equipment Co Ltd filed Critical BJ ZHF Panther Medical Equipment Co Ltd
Priority to CN201410378284.8A priority Critical patent/CN104188701A/en
Publication of CN104188701A publication Critical patent/CN104188701A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00269Type of minimally invasive operation endoscopic mucosal resection EMR
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646Type of implements
    • A61B2017/00663Type of implements the implement being a suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0461Means for attaching and blocking the suture in the suture anchor with features cooperating with special features on the suture, e.g. protrusions on the suture
    • A61B2017/0462One way system, i.e. also tensioning the suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1142Purse-string sutures

Abstract

The invention provides a stapler with a suture fixing device. The stapler comprises a gun body, a center shaft arranged in the gun body, a nail abutting base and a tail rotary knob, wherein the nail abutting base and the tail rotary knob are connected with the two ends of the center shaft respectively. A suture fixing piece capable of moving synchronously with the center shaft is arranged on the center shaft. The stapler is placed at the affected part, then a suture is tensioned, one end of the suture is fixed to the suture fixing piece after being knotted, then a doctor holds the gun body with one hand and rotates the tail rotary knob with the other hand, and when rotated, the tail rotary knob drives the center shaft to move towards the tail rotary knob; due to the fact that the suture fixing piece capable of moving synchronously with the center shaft is arranged on the center shaft, the suture fixing piece drives the suture, the suture pulls the purse string suture portion, and when the tail rotary knob rotates to a proper position, the doctor grasps a percussion handle on the gun body to complete incision suture. According to the stapler, the doctor does not need to pull the suture with fingers of one hand, so that the fingers of the hand are freed, and the stapler is easier to operate.

Description

A kind of anastomat with suture fixture
Technical field
The present invention relates to technical field of medical instruments, particularly a kind of anastomat with suture fixture.
Background technology
PPH operation is called again " mucosa procedure in hemorrhoid ", and this is a kind of anus pad pathological changes is caused to the new technique of this pathogenetic new knowledge of hemorrhoid as rationale.PPH operation is the special instrument that is called " PPH anastomat " by one, and the prolapse of rectal mucosa band of hemorrhoid top is done to circular resection.When operation, first expand anus, use suture in pectinate line (boundary line of rectum and anal canal) top approximately 4 centimeters, the unification of mucous membrane of rectum annulus to be enclosed, be commonly called as " playing pocket ", then PPH anastomat is inserted to anus, then pull suture, mucosa is drawn in PPH anastomat, and PPH anastomat can excise the mucosa band of prolapsus get off, and whole process only needed about half an hour.Because mucous membrane of rectum more than pectinate line is subject to Visceral innervation, hands postoperative patient does not almost have the sensation of pain; Again because prolapse of rectal mucosa band had both been excised in operation, block again rectum end ramus anastomoticus of arteriovenous end last, eliminate the root that hemorrhoid occur, internal hemorrhoid, external hemorrhoid, mixed hemorrhoid, ring-type hemorrhoid, serious prolapse of hemorrhoid, proctoptosis etc. have been had to ideal therapeutic effect.There is postoperative instant effect, recover fast, the painless feature of waiting bitterly for.
A kind of typical anastomat, in PPH operation process, one of the common needs of doctor are being held the body of a gun and are being pushed away toward the inside, affected part, a finger of this hands is hooking suture and is pulling outward, another hands is responsible for rotation afterbody knob, needs stronger coordination of body ability, and repeatedly training, just can complete operation, the operation of this anastomat is very inconvenient.
Therefore, how making anastomat be easier to operation in hemorrhoid operation process, is the problem that those skilled in the art need to solve.
Summary of the invention
The object of this invention is to provide a kind of anastomat with suture fixture that is easier to operation in hemorrhoid operation process.
To achieve these goals, the invention provides a kind of anastomat with suture fixture, the nail supporting base and the afterbody knob that comprise the body of a gun, be arranged at the central shaft of described body of a gun inside and be connected respectively with described central shaft two ends, be provided with the suture fixture that can be synchronized with the movement with described central shaft on described central shaft.
Preferably, be provided with fixture groove on the described body of a gun, described suture fixture is positioned at described fixture groove.
Preferably, described suture fixture is arranged at the screw mandrel place of described central shaft.
Preferably, the afterbody of described suture fixture is provided with crotch.
Preferably, described crotch stretches out the described body of a gun and is positioned at the outside of the body of a gun.
Preferably, described suture fixture is arranged at the connecting rod place of described central shaft.
Preferably, described suture fixture is connected by the first elastic component with described connecting rod.
Preferably, described the first elastic component is leaf spring.
Preferably, described suture fixture is connected by the second elastic component with the suture of described anastomat.
Preferably, described the second elastic component is spring.
With respect to background technology, the anastomat with suture fixture provided by the invention, the nail supporting base and the afterbody knob that comprise the body of a gun, be arranged at the central shaft of body of a gun inside and be connected respectively with described central shaft two ends, be provided with the suture fixture that can be synchronized with the movement with described central shaft on described central shaft.
In the time carrying out hemorrhoid operation, the suture pull-out of pocket will be accomplished fluently, anastomat of the present invention is put into affected part, then suture is strained, to after one end knotting of suture, be fixed on suture fixture, then doctor can be with hand steered a body of a gun, a hand-screw turns afterbody knob, rotation afterbody knob, afterbody knob drives central shaft to move to the direction of afterbody knob, owing to being provided with the suture fixture that can be synchronized with the movement with central shaft on central shaft, suture fixture drives suture, suture pulls purse string suture place, when rotating to correct position, hold the firing handle on the body of a gun, complete cutting and stitching, this anastomat need not be pointed and draw suture, thereby the hands of having liberated a hands refers to, make anastomat be easier to operation.
Brief description of the drawings
Fig. 1 is the structural representation of a kind of anastomat with suture fixture according to an embodiment of the invention;
Fig. 2 is the profile of anastomat shown in Fig. 1 in original state;
Fig. 3 is the profile of anastomat shown in Fig. 1 in closure state;
Fig. 4 is the structural representation of anastomat shown in Fig. 1 in original state;
Fig. 5 is the structural representation of anastomat shown in Fig. 1 in closure state.
Detailed description of the invention
Core of the present invention is to provide a kind of anastomat with suture fixture that is easier to operation in hemorrhoid operation process.
In order to make those skilled in the art understand better technical scheme of the present invention, below in conjunction with the drawings and specific embodiments, the present invention is described in further detail.
Referring to Fig. 1-Fig. 5, the anastomat of suture fixture that what one embodiment of the present of invention provided have, the nail supporting base 2 and the afterbody knob 4 that comprise the body of a gun 1, be arranged at the central shaft 3 of the body of a gun 1 inside and be connected respectively with central shaft 3 two ends, be provided with the suture fixture 6 that can be synchronized with the movement with central shaft 3 on central shaft 3.
In the time carrying out hemorrhoid operation, the suture pull-out of pocket will be accomplished fluently, anastomat of the present invention is put into affected part, then suture is strained, to after one end knotting of suture, be fixed on suture fixture 6, then doctor can be with hand steered a body of a gun 1, a hand-screw turns afterbody knob 4, rotation afterbody knob 4, afterbody knob 4 drives central shaft 3 to move to the direction of afterbody knob 4, owing to being provided with the suture fixture 6 that can be synchronized with the movement with central shaft 3 on central shaft 3, suture fixture 6 drives suture, suture pulls purse string suture place, when rotating to correct position, hold the firing handle 5 on the body of a gun 1, complete cutting and stitching, this anastomat need not be pointed and draw suture, thereby the hands of having liberated a hands refers to, make anastomat be easier to operation.Suture fixture 6 can be the part of any metal or plastic material.Above-mentioned suture fixture 6 can be arranged at connecting rod 31 places of central shaft 3.Central shaft 3 is made up of connecting rod 31 and screw mandrel 32, and screw mandrel 32 connects afterbody knob 4, and connecting rod 31 connects nail supporting base 2 and screw mandrel 32.
Further, be provided with fixture groove 61 on the body of a gun 1, suture fixture 6 is positioned at fixture groove 61.On the body of a gun 1, be provided with fixture groove 61, make suture fixture 6 can be positioned at fixture groove 61, be convenient to location and the movement of suture fixture 6, in addition, the body of a gun 1 does not arrange fixture groove 61 also can realize object of the present invention.
Further, suture fixture 6 is arranged at screw mandrel 32 places of central shaft 3.Because the afterbody knob 4 of anastomat is nearer apart from doctor, doctor's the observation of being more convenient for when suture fixture 6 is positioned at screw mandrel 32 place of central shaft 3, and be convenient to doctor suture is hung on suture fixture 6, make anastomat convenient operation more.
Come off in motor process for fear of suture, the afterbody of suture fixture 6 is provided with crotch.Suture can directly be tied a knot and be hung on crotch like this, avoids suture to come off in motor process, and the direction of crotch effect in the time of afterbody knob 4 is better.
Further, crotch stretches out the body of a gun 1 and is positioned at the outside of the body of a gun 1.In operation process, if crotch is positioned at the body of a gun 1 inside, doctor needed suture to hang on crotch before anastomat is inserted to patient affected part, not so the body of a gun 1 enters behind patient affected part, the more difficult adjustment of suture, and crotch setting is stretched out to the body of a gun 1 and be positioned at the outside of the body of a gun 1, after anastomat can being inserted to patient affected part like this, can also again suture be hung on the crotch in the body of a gun 1 outside, so more be convenient to doctor's operation, can adjust at any time suture.
Further, suture fixture 6 is connected by the first elastic component with connecting rod 31.After suture fixture 6 is connected by the first elastic component with connecting rod 31, suture is giving after 6 one pulling force of suture fixture, between suture and suture fixture 6, there is elasticity, make to have between them the power of a buffering, avoid Overexertion and pull tissue, the first elastic component can commonly have elastic parts for leaf spring or other.
Further, suture fixture 6 is connected by the second elastic component with the suture of anastomat.Equally, suture, giving, after 6 one pulling force of suture fixture, to have elasticity between suture and suture fixture 6, makes to have between them the power of a buffering, avoid Overexertion and pull tissue, the second elastic component can commonly have elastic parts for leaf spring or other.
Above one provided by the present invention being had to suture fixture is described in detail.Applied concrete example herein principle of the present invention and embodiment are set forth, but the explanation of above embodiment is just for helping to understand principle of the present invention and core concept thereof, is not limiting the scope of the present invention.It should be pointed out that for those skilled in the art, under the premise without departing from the principles of the invention, can also carry out some improvement and modification to the present invention, these improvement and modification also fall in the protection domain of the claims in the present invention.

Claims (10)

1. one kind has the anastomat of suture fixture, comprise the body of a gun (1), be arranged at the inner central shaft (3) of the described body of a gun (1) and nail supporting base (2) and the afterbody knob (4) being connected respectively with described central shaft (3) two ends, it is characterized in that, on described central shaft (3), be provided with the suture fixture (6) that can be synchronized with the movement with described central shaft (3).
2. anastomat according to claim 1, is characterized in that, is provided with fixture groove (61) on the described body of a gun (1), and described suture fixture (6) is positioned at described fixture groove (61).
3. anastomat according to claim 2, is characterized in that, described suture fixture (6) is arranged at the screw mandrel (32) of described central shaft (3) and locates.
4. anastomat according to claim 3, is characterized in that, the afterbody of described suture fixture (6) is provided with crotch.
5. anastomat according to claim 4, is characterized in that, described crotch stretches out the described body of a gun (1) and is positioned at the outside of the body of a gun (1).
6. anastomat according to claim 1, is characterized in that, described suture fixture (6) is arranged at the connecting rod (31) of described central shaft (3) and locates.
7. anastomat according to claim 1, is characterized in that, described suture fixture (6) is connected by the first elastic component with described connecting rod (31).
8. anastomat according to claim 7, is characterized in that, described the first elastic component is leaf spring.
9. anastomat according to claim 1, is characterized in that, described suture fixture (6) is connected by the second elastic component with the suture of described anastomat.
10. anastomat according to claim 9, is characterized in that, described the second elastic component is spring.
CN201410378284.8A 2014-08-04 2014-08-04 Stapler with suture fixing device Pending CN104188701A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410378284.8A CN104188701A (en) 2014-08-04 2014-08-04 Stapler with suture fixing device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410378284.8A CN104188701A (en) 2014-08-04 2014-08-04 Stapler with suture fixing device

Publications (1)

Publication Number Publication Date
CN104188701A true CN104188701A (en) 2014-12-10

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ID=52074202

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201410378284.8A Pending CN104188701A (en) 2014-08-04 2014-08-04 Stapler with suture fixing device

Country Status (1)

Country Link
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109276286A (en) * 2018-11-06 2019-01-29 苏州法兰克曼医疗器械有限公司 A kind of bracing wire auxiliary device for circular staplers
CN110353770A (en) * 2019-08-07 2019-10-22 济南市槐荫人民医院 A kind of electro-surgical treatment device for rectal prolapse

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050021053A1 (en) * 2003-07-16 2005-01-27 Russell Heinrich Surgical stapling device with tissue tensioner
US20100176181A1 (en) * 2009-01-14 2010-07-15 Hessler Thomas R Surgical stapler
CN201768001U (en) * 2010-08-12 2011-03-23 北京中法派尔特医疗设备有限公司 Circular hemorrhoid anastomat with separable nail supporting base component
CN202313534U (en) * 2011-10-21 2012-07-11 李东瑞 Disposable tubular haemorrhoid anastomat
CN102551833A (en) * 2012-02-22 2012-07-11 吴伟敏 Anastomat for procedure for prolapse and hemorrhoids
CN202776424U (en) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 Round purse-string forceps capable of suturing purse-string
US20130186930A1 (en) * 2009-01-06 2013-07-25 Thomas Wenchell Surgical stapler

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050021053A1 (en) * 2003-07-16 2005-01-27 Russell Heinrich Surgical stapling device with tissue tensioner
US20130186930A1 (en) * 2009-01-06 2013-07-25 Thomas Wenchell Surgical stapler
US20100176181A1 (en) * 2009-01-14 2010-07-15 Hessler Thomas R Surgical stapler
CN201768001U (en) * 2010-08-12 2011-03-23 北京中法派尔特医疗设备有限公司 Circular hemorrhoid anastomat with separable nail supporting base component
CN202313534U (en) * 2011-10-21 2012-07-11 李东瑞 Disposable tubular haemorrhoid anastomat
CN102551833A (en) * 2012-02-22 2012-07-11 吴伟敏 Anastomat for procedure for prolapse and hemorrhoids
CN202776424U (en) * 2012-09-17 2013-03-13 北京中法派尔特医疗设备有限公司 Round purse-string forceps capable of suturing purse-string

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109276286A (en) * 2018-11-06 2019-01-29 苏州法兰克曼医疗器械有限公司 A kind of bracing wire auxiliary device for circular staplers
CN110353770A (en) * 2019-08-07 2019-10-22 济南市槐荫人民医院 A kind of electro-surgical treatment device for rectal prolapse

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C06 Publication
PB01 Publication
DD01 Delivery of document by public notice

Addressee: Beijing Panther Medical Equipment Co., Ltd.,

Document name: Notification of Passing Preliminary Examination of the Application for Invention

DD01 Delivery of document by public notice

Addressee: Beijing Panther Medical Equipment Co., Ltd.,

Document name: Notification of Publication of the Application for Invention

CB02 Change of applicant information

Address after: 102200 Changping District science and Technology Park, Beijing torch street, building 28, building three, floor 1

Applicant after: BEIJING PANTHER MEDICAL TECHNOLOGY CO., LTD.

Address before: Beijing City, Chaoyang District Wangjing two district 100018 emerging industries in the Garden District Litse No. 208 building 3 floor 3305A room 3

Applicant before: Beijing Panther Medical Equipment Co., Ltd.,

COR Change of bibliographic data
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
CB03 Change of inventor or designer information

Inventor after: Zhang Jianzhuang

Inventor after: Yao Jianqing

Inventor after: Zhao Yu

Inventor before: Zhang Jianzhuang

Inventor before: Yao Jianqing

CB03 Change of inventor or designer information
RJ01 Rejection of invention patent application after publication

Application publication date: 20141210

RJ01 Rejection of invention patent application after publication