CN113288284A - Endoscope anastomat convenient to control length of sewing up - Google Patents

Endoscope anastomat convenient to control length of sewing up Download PDF

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Publication number
CN113288284A
CN113288284A CN202110688748.5A CN202110688748A CN113288284A CN 113288284 A CN113288284 A CN 113288284A CN 202110688748 A CN202110688748 A CN 202110688748A CN 113288284 A CN113288284 A CN 113288284A
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CN
China
Prior art keywords
sliding
knob
length
stop block
control
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Pending
Application number
CN202110688748.5A
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Chinese (zh)
Inventor
王春华
桑小林
吴振兴
张玲
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Changzhou Ankang Medical Equipment Co ltd
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Changzhou Ankang Medical Equipment Co ltd
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Priority to CN202110688748.5A priority Critical patent/CN113288284A/en
Publication of CN113288284A publication Critical patent/CN113288284A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an endoscope anastomat convenient for controlling suture length, which comprises a shell, a stop block, a first knob, a second knob and a sliding block, wherein a first sliding groove is formed in the shell, a driving rack is connected to the interior of the first sliding groove in a sliding mode, second sliding grooves communicated with the first sliding groove are formed in the front side and the rear side of the shell, and the stop block is installed on the upper side of the shell in a fitting mode. This chamber mirror anastomat convenient to length is sewed up in control, be provided with the dog, spacing rack, stopper and first knob, the pulling dog, make the dog slide along the second spout, move to scale mark position until the dog, rotate first knob, first knob promotes stopper and spacing rack toothing, play the effect of fixed dog, the dog has restricted the sliding distance of plectrum that resets in the second spout simultaneously, the sliding distance of drive rack in first spout has been restricted through the plectrum that resets, the length of sewing up of this chamber mirror anastomat of accurate control of being convenient for, it is more convenient to use.

Description

Endoscope anastomat convenient to control length of sewing up
Technical Field
The invention relates to the technical field of endoscopic anastomosis, in particular to an endoscopic anastomat convenient for controlling suture length.
Background
The endoscope anastomat is one of important instruments for the endoscope operation, replaces the traditional manual suture, utilizes titanium nails to separate or inosculate tissues, is simple and rapid to operate, and greatly shortens the operation time.
In actual use, in order to avoid that redundant titanium nails are extruded out of the nail box and scattered in the body of a patient, a doctor usually needs to control the suture length to enable all the titanium nails extruded out of the nail box to be sutured on the body tissue of the patient, but the existing endoscope anastomat is not usually provided with a limiting mechanism and needs to control the suture length according to personal experience, so that the endoscope anastomat is not convenient and fast to use, and the existing endoscope anastomat is not usually provided with an automatic resetting device, so that the resetting of a firing rod is completed by the double-hand operation of the doctor after the firing is completed, the action amplitude is increased, the body tissue of the patient is easy to pull during the resetting, certain potential safety hazards are caused during the use, and the existing equipment needs to be improved aiming at the problems.
Disclosure of Invention
The invention aims to provide an endoscopic stapler convenient for controlling suture length, and aims to solve the problems that the existing endoscopic stapler provided in the background technology is not provided with a limiting mechanism generally, a doctor needs to control suture length according to personal experience, the use is not convenient enough, the existing endoscopic stapler is not provided with an automatic reset device generally, the reset of a firing rod needs to be completed by the operation of two hands of the doctor after the firing is completed, the action amplitude is increased, body tissues of a patient are easy to pull during the reset, and certain potential safety hazards exist in the use process.
In order to achieve the purpose, the invention provides the following technical scheme: an endoscope anastomat convenient for controlling the suture length comprises a shell, a stop block, a first knob, a second knob and a slide block,
a first sliding groove is formed in the shell, a driving rack is connected to the inside of the first sliding groove in a sliding mode, second sliding grooves communicated with the first sliding groove are formed in the front side and the rear side of the shell, a stop block is mounted on the upper side of the shell in a fitting mode, the lower ends of the front side and the rear side of the stop block are respectively connected with one second sliding groove in a sliding mode, reset plectrums are fixed to the left side and the right side of the driving rack and are connected with the second sliding grooves in a sliding mode, a limiting rack is fixed to the top of the shell, the top of the limiting rack is connected with a limiting block in a meshing mode, the limiting block is connected to the inside of the stop block in a sliding mode, and a first knob penetrates through the stop block and is connected with the top of the limiting block in a rotating mode;
the inside swivelling chute that is linked together with first spout right-hand member of seting up of casing, and the inside rotation of swivelling chute is connected with a rotatory section of thick bamboo, the rotatory section of thick bamboo outside is fixed with the connection rope, and connects rope one end and drive rack right-hand member fixed connection, the inboard and the outer end fixed connection of flat spiral spring of a rotatory section of thick bamboo, and the inner and the swivelling chute inner wall fixed connection of flat spiral spring, the inside third spout that is linked together with the swivelling chute of seting up in casing right side, and third spout left side sliding connection have the ratchet, the second knob runs through the casing and is connected with the slider right-hand member rotation.
Preferably, the scale is embedded in the front side of the machine shell, the left end of the scale, the left end of the first sliding groove and the left end of the driving rack are located on the same vertical plane, and the right end of the scale, the right end of the second sliding groove and the right end of the driving rack are located on the same vertical plane.
Preferably, the stop block and the reset plectrum are simultaneously in sliding connection with the second sliding groove, and the stop block is positioned on the left of the reset plectrum.
Preferably, the reset plectrum is provided with two, and two reset plectrums all use the drive rack to be the symmetrical formula setting as the center.
Preferably, the first knob and the stop block are connected in a threaded manner.
Preferably, a ratchet gear is fixed on the outer side of the rotating cylinder, and the right end of the ratchet gear is in meshed connection with the ratchet strip.
Preferably, the right side of the third sliding groove is connected with a sliding block in a sliding manner, and the sliding block is connected with the ratchet strip through a compression spring.
Preferably, the connection mode between the second knob and the casing is threaded connection.
Preferably, a certain gap is reserved between the rightmost end of the sliding block and the inner wall of the right end of the third sliding groove.
Compared with the prior art, the invention has the beneficial effects that: the endoscope anastomat convenient for controlling the suturing length,
(1) the endoscope anastomat is provided with a stop block, a limiting rack, a limiting block and a first knob, the stop block is pulled to slide along a second sliding groove until the stop block moves to the scale marking position, the first knob is rotated, the first knob pushes the limiting block to be meshed with the limiting rack, the stop block is fixed, meanwhile, the stop block limits the sliding distance of a reset plectrum in the second sliding groove, the sliding distance of a driving rack in the first sliding groove is limited through the reset plectrum, the suturing length of the endoscope anastomat is conveniently and accurately controlled, and the endoscope anastomat is more convenient to use;
(2) be provided with a rotatory section of thick bamboo, the flat spiral spring, ratchet gear and ratchet, drive rack rotates through connecting rope pulling rotatory section of thick bamboo when sliding left along first spout, revolving stage extrusion flat spiral spring this moment, ratchet gear avoids rotatory section of thick bamboo antiport to reset with the ratchet cooperation simultaneously, when needing automatic re-setting, rotate the second knob, second knob pulling slider moves to the right along the third spout, the slider passes through compression spring pulling ratchet simultaneously, make ratchet and ratchet gear break away from the meshing, rotatory section of thick bamboo antiport resets and resets through connecting rope pulling drive rack this moment, be convenient for accomplish automatically and reset, reduce the range of rocking of this chamber mirror anastomat when reseing, use and install more.
Drawings
FIG. 1 is a schematic front view of the present invention;
FIG. 2 is a schematic diagram of a right side view cross-sectional structure of the present invention;
FIG. 3 is a schematic diagram of a right side cross-sectional view of the first chute according to the present invention;
FIG. 4 is a schematic cross-sectional front view of the present invention.
FIG. 5 is a schematic top view of the present invention.
FIG. 6 is a schematic top view of the cross-sectional structure of the present invention.
In the figure: 1. casing, 2, first spout, 3, drive rack, 4, second spout, 5, dog, 6, the plectrum that resets, 7, spacing rack, 8, stopper, 9, first knob, 10, rotatory groove, 11, rotatory section of thick bamboo, 12, connect rope, 13, plane spiral spring, 14, third spout, 15, the ratchet, 16, second knob, 17, slider, 18, compression spring, 19, ratchet, 20, scale.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-6, the present invention provides a technical solution: an endoscope anastomat convenient for controlling suture length is disclosed, as shown in figure 1, figure 2 and figure 3, a first chute 2 is arranged inside a machine shell 1, a driving rack 3 is connected inside the first chute 2 in a sliding manner, a graduated scale 20 is embedded on the front side of the machine shell 1, the left end of the graduated scale 20, the left end of the first chute 2 and the left end of the driving rack 3 are positioned on the same vertical plane, the right end of the graduated scale 20, the right end of a second chute 4 and the right end of the driving rack 3 are positioned on the same vertical plane, so that the moving distance of a stop block 5 can be conveniently judged through the graduated scale 20, second chutes 4 communicated with the first chute 2 are arranged on the front side and the rear side of the machine shell 1, a stop block 5 is attached to the upper side of the machine shell 1, the lower ends of the front side and the rear side of the stop block 5 are respectively connected with the second chute 4 in a sliding manner, the stop block 5 and a reset plectrum 6 are simultaneously connected with the second chute 4 in a sliding manner, and the stop block 5 is positioned on the left of the reset plectrum 6, after the limiting block 8 is meshed and connected with the limiting rack 7, the position of the stop block 5 in the second chute 4 is fixed, so as to play a role of stopping the reset plectrum 6 from moving leftwards, the reset plectrum 6 is fixed on the left side and the right side of the driving rack 3, the two reset plectrums 6 are arranged and are symmetrically arranged by taking the driving rack 3 as the center, simultaneously, the two reset plectrums 6 are poked to ensure that the stress of the driving rack 3 is more balanced, a limit rack 7 is fixed at the top of the machine shell 1, and 7 tops of spacing racks are engaged with the stopper 8 and are connected, stopper 8 sliding connection is inside dog 5, and first knob 9 runs through dog 5 and rotates with stopper 8 top to be connected, and the connected mode between first knob 9 and the dog 5 is threaded connection, rotates first knob 9, is convenient for promote stopper 8 through first knob 9 and reciprocates at dog 5 inboard.
As shown in fig. 1, 3, 4, 5 and 6, a rotary groove 10 communicated with the right end of the first sliding groove 2 is formed in the casing 1, a rotary cylinder 11 is rotatably connected to the inside of the rotary groove 10, a ratchet gear 19 is fixed to the outside of the rotary cylinder 11, the right end of the ratchet gear 19 is engaged with a ratchet 15, the ratchet 15 and the ratchet gear 19 are matched to control the rotary cylinder 11, a connecting rope 12 is fixed to the outside of the rotary cylinder 11, one end of the connecting rope 12 is fixedly connected with the right end of the driving rack 3, the inside of the rotary cylinder 11 is fixedly connected with the outer end of the spiral flat spring 13, the inner end of the spiral flat spring 13 is fixedly connected with the inner wall of the rotary groove 10, a third sliding groove 14 communicated with the rotary groove 10 is formed in the right side of the casing 1, the ratchet 15 is slidably connected to the left side of the third sliding groove 14, a sliding block 17 is slidably connected to the right side of the third sliding groove 14, and the sliding block 17 is connected with the ratchet 15 through a compression spring 18, a certain gap is reserved between the rightmost end of the sliding block 17 and the inner wall of the right end of the third sliding groove 14, the second knob 16 is rotated, the sliding block 17 is conveniently pulled by the second knob 16 to move rightwards along the third sliding groove 14, then the ratchet strip 15 is pulled by the compression spring 18 to move rightwards, so that the ratchet strip 15 is disengaged from the ratchet gear 19 and connected with the right end of the ratchet gear 19, the second knob 16 penetrates through the machine shell 1 and is rotatably connected with the right end of the sliding block 17, the second knob 16 is connected with the machine shell 1 in a threaded mode, and the second knob 16 is rotated to push the sliding block 17 to slide leftwards and rightwards along the third sliding groove 14.
The working principle is as follows: when the endoscope anastomat convenient for controlling the suturing length is used, firstly, a doctor judges the length to be sutured, pulls the stop block 5 according to the graduated scale 20, so that the stop block 5 slides along the second chute 4 until the stop block 5 slides to a specified position, rotates the first knob 9, the first knob 9 pushes the stop block 8 to move downwards, so that the stop block 8 is meshed with the limit rack 7 to play a role of fixing the stop block 5, the trigger wrench is pulled, the driving rack 3 slides leftwards along the first chute 2, the reset plectrum 6 slides leftwards along the second chute 4 simultaneously until the reset plectrum 6 is blocked by the stop block 5 on the left side of the second chute 4, the driving rack 3 and the reset plectrum 6 are prevented from continuously moving leftwards, the suturing length of the endoscope anastomat is controlled quickly, the endoscope anastomat is more practical to use, when the driving rack 3 slides leftwards along the first chute 2, the driving rack 3 pulls the rotary cylinder 11 to rotate through the connecting rope 12, the rotary cylinder 11 pushes the flat spiral spring 13 to enable the flat spiral spring 13 to accumulate energy, meanwhile, the rotary cylinder 11 drives the ratchet gear 19 to rotate, the ratchet gear 19 pushes the ratchet 15, the compression spring 18 contracts under the action of pressure, then the compression spring 18 pushes the ratchet 15 to be meshed with the ratchet gear 19, the rotation direction of the ratchet gear 19 is limited by the ratchet 15, after suturing is completed, the second knob 16 is rotated, the second knob 16 pulls the sliding block 17 to slide rightwards along the third sliding groove 14, the sliding block 17 pulls the ratchet 15 to slide rightwards along the third sliding groove 14 through the compression spring 18, the ratchet 15 is separated from being meshed with the ratchet gear 19, at the moment, the flat spiral spring 13 pulls the rotary cylinder 11 to reset, the rotary cylinder 11 pulls the driving rack 3 to reset through the connecting rope 12, the resetting of the driving rack 3 is conveniently and automatically completed, the shaking amplitude of the resetting of the endoscope anastomat is reduced, and the body tissues of a patient are prevented from being pulled, the use is safer, the automatic reset can be reset by pulling the reset plectrum 6 when the automatic reset fails, the use is more practical, and the whole work is completed.
The terms "central," "longitudinal," "lateral," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used in the orientation or positional relationship indicated in the drawings for simplicity of description only and are not intended to indicate or imply that the referenced devices or elements must be in a particular orientation, constructed and operative in a particular orientation, and are not to be considered limiting of the claimed invention.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.

Claims (9)

1. The utility model provides a chamber mirror anastomat convenient to control length of sewing up, includes casing (1), dog (5), first knob (9), second knob (16) and slider (17), its characterized in that:
a first chute (2) is arranged in the casing (1), a driving rack (3) is connected in the first chute (2) in a sliding way, the front side and the rear side of the shell (1) are provided with second sliding chutes (4) communicated with the first sliding chutes (2), the upper side of the shell (1) is provided with a stop block (5) in a fitting manner, the lower ends of the front side and the rear side of the stop block (5) are respectively connected with a second sliding chute (4) in a sliding way, reset plectrum (6) is fixed on the left side and the right side of the driving rack (3), and the reset shifting sheet (6) is connected with the second sliding chute (4) in a sliding way, a limit rack (7) is fixed at the top of the machine shell (1), the top of the limit rack (7) is engaged with the limit block (8), the limit block (8) is connected inside the stop block (5) in a sliding way, the first knob (9) penetrates through the stop block (5) and is rotatably connected with the top of the limiting block (8);
casing (1) inside offered with first spout (2) right-hand member be linked together rotatory groove (10), and rotatory groove (10) inside rotation is connected with rotatory section of thick bamboo (11), rotatory section of thick bamboo (11) outside is fixed with connection rope (12), and connects rope (12) one end and drive rack (3) right-hand member fixed connection, rotatory section of thick bamboo (11) inboard and flat spiral spring (13) outer end fixed connection, and flat spiral spring (13) inner and rotatory groove (10) inner wall fixed connection, casing (1) right side inside offers third spout (14) that are linked together with rotatory groove (10), and third spout (14) left side sliding connection have a ratchet (15), second knob (16) run through casing (1) and are connected with slider (17) right-hand member rotation.
2. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: casing (1) front side is inlayed and is had scale (20), and scale (20) left end and first spout (2) left end and drive rack (3) left end lie in same vertical face, and scale (20) right-hand member and second spout (4) right-hand member and drive rack (3) right-hand member lie in same vertical face simultaneously.
3. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: the stop block (5) and the reset shifting piece (6) are simultaneously in sliding connection with the second sliding groove (4), and the stop block (5) is located on the left of the reset shifting piece (6).
4. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: the two reset plectrums (6) are arranged, and the two reset plectrums (6) are symmetrically arranged by taking the driving rack (3) as the center.
5. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: the first knob (9) and the stop block (5) are connected in a threaded manner.
6. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: a ratchet gear (19) is fixed on the outer side of the rotating cylinder (11), and the right end of the ratchet gear (19) is meshed and connected with the ratchet strip (15).
7. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: the right side of the third sliding groove (14) is connected with a sliding block (17) in a sliding mode, and the sliding block (17) is connected with the ratchet strip (15) through a compression spring (18).
8. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: the second knob (16) is connected with the shell (1) in a threaded manner.
9. The endoscopic stapler facilitating the control of the length of the suture according to claim 1, wherein: a certain gap is reserved between the rightmost end of the sliding block (17) and the inner wall of the right end of the third sliding groove (14).
CN202110688748.5A 2021-06-22 2021-06-22 Endoscope anastomat convenient to control length of sewing up Pending CN113288284A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110688748.5A CN113288284A (en) 2021-06-22 2021-06-22 Endoscope anastomat convenient to control length of sewing up

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110688748.5A CN113288284A (en) 2021-06-22 2021-06-22 Endoscope anastomat convenient to control length of sewing up

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CN113288284A true CN113288284A (en) 2021-08-24

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CN202110688748.5A Pending CN113288284A (en) 2021-06-22 2021-06-22 Endoscope anastomat convenient to control length of sewing up

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1336553A (en) * 1971-04-19 1973-11-07 Newey Goodman Ltd Tape measures and the like articles
US20040021028A1 (en) * 2002-08-02 2004-02-05 Shin-Lin Lee Tape rule brake mechanism
CN207707957U (en) * 2017-09-13 2018-08-10 常州市智业医疗仪器研究所有限公司 A kind of Linear cutting anastomat
CN110279448A (en) * 2019-07-27 2019-09-27 广西医科大学 A kind of self-fitting type surgical operation operation handle
CN211022864U (en) * 2019-10-16 2020-07-17 康达(天津)科技发展有限公司 Endoscope linear type cutting anastomat
CN212996575U (en) * 2020-04-13 2021-04-20 安徽安维特医疗器械有限公司 A percussion canceling release mechanical system for linear type cutting anastomat

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1336553A (en) * 1971-04-19 1973-11-07 Newey Goodman Ltd Tape measures and the like articles
US20040021028A1 (en) * 2002-08-02 2004-02-05 Shin-Lin Lee Tape rule brake mechanism
CN207707957U (en) * 2017-09-13 2018-08-10 常州市智业医疗仪器研究所有限公司 A kind of Linear cutting anastomat
CN110279448A (en) * 2019-07-27 2019-09-27 广西医科大学 A kind of self-fitting type surgical operation operation handle
CN211022864U (en) * 2019-10-16 2020-07-17 康达(天津)科技发展有限公司 Endoscope linear type cutting anastomat
CN212996575U (en) * 2020-04-13 2021-04-20 安徽安维特医疗器械有限公司 A percussion canceling release mechanical system for linear type cutting anastomat

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