CN115252025A - Intelligent electric anastomat capable of realizing multi-parameter detection and feedback - Google Patents
Intelligent electric anastomat capable of realizing multi-parameter detection and feedback Download PDFInfo
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- CN115252025A CN115252025A CN202210803674.XA CN202210803674A CN115252025A CN 115252025 A CN115252025 A CN 115252025A CN 202210803674 A CN202210803674 A CN 202210803674A CN 115252025 A CN115252025 A CN 115252025A
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- 238000001514 detection method Methods 0.000 title claims abstract description 47
- 230000005540 biological transmission Effects 0.000 claims abstract description 30
- 230000003872 anastomosis Effects 0.000 claims abstract description 12
- 230000007246 mechanism Effects 0.000 claims description 18
- 229910000831 Steel Inorganic materials 0.000 claims description 12
- 239000010959 steel Substances 0.000 claims description 12
- 238000009434 installation Methods 0.000 claims description 6
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 claims description 5
- 239000010931 gold Substances 0.000 claims description 5
- 229910052737 gold Inorganic materials 0.000 claims description 5
- 206010068797 Anastomotic fistula Diseases 0.000 abstract description 4
- 206010063385 Intellectualisation Diseases 0.000 abstract description 2
- 230000002980 postoperative effect Effects 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000009471 action Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 206010057969 Reflux gastritis Diseases 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000003445 biliary tract Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000012636 effector Substances 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 210000004229 gastric stump Anatomy 0.000 description 1
- 208000021302 gastroesophageal reflux disease Diseases 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000496 pancreas Anatomy 0.000 description 1
- 208000000689 peptic esophagitis Diseases 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 230000029663 wound healing 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, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
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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)
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- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Abstract
The invention relates to an intelligent electric anastomat capable of realizing multi-parameter detection and feedback, which comprises a front end executor, a middle section transmission part and a rear end operation part which are sequentially connected, wherein the front end executor comprises an intelligent detection nail anvil and an anastomosis nail bin. Compared with the prior art, the invention can improve the intellectualization of the anastomat, enables the anastomosis parameters to be visualized, improves the success rate of anastomosis and reduces the incidence rate of anastomotic fistula.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to an intelligent electric anastomat capable of realizing multi-parameter detection and feedback.
Background
The gastrointestinal reconstruction surgery has a history of 140 years, precipitation and development of elapsed time, various reconstruction surgeries are various at present, the used medical instruments are different, but the basic principle and the basic selection of the reconstruction surgery are clear. The reconstruction formula should follow the basic principles:
(1) The safety of anastomosis is first (good blood circulation, low tension and the fewest anastomotic stoma quantity at the anastomotic site);
(2) Has the functions of storing and discharging food and preventing reflux gastritis and esophagitis, and utilizes physiological paths as much as possible;
(3) The feasibility of postoperative endoscopy (including examination of the residual stomach, biliary tract and pancreas) is ensured as much as possible.
With the development of the technology, the minimally invasive surgery gradually replaces the traditional open surgery due to the advantages of small trauma, short time for the patient to recover after the surgery and the like. But compared with the traditional open type operation, the operation difficulty is high, the operation process is not intuitive, and the like, so that high requirements are provided for doctors and operation instruments.
The doctor is informed when selecting the stapler when performing the digestive tract reconstruction operation: in order to achieve a good anastomosis, the correct stapler must be selected. Improper effect of the instrument on tissues is a main reason for causing anastomotic fistula, and the most direct expression is that improper selection of staples causes excessive or insufficient squeezing of the stapler on the tissues, improper pre-squeezing time of the stapler on the tissues causes poor staple forming and the like. In the specification provided by the anastomat supplier, some parameters and standards are difficult to objectively measure in the operation, the objective experience of a doctor is needed, for one surgeon, a long learning period is needed for mastering the use of the anastomat, the learning effect is different from person to person, and the influence of personal subjective judgment factors of the doctor on the operation quality and postoperative recovery after diseases is large.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide an intelligent electric anastomat capable of realizing multi-parameter detection and feedback.
The purpose of the invention can be realized by the following technical scheme:
the utility model provides a can realize electronic anastomat of intelligence of multi-parameter detection and feedback, includes front end executor, middle section transmission portion and the rear end operation portion that connects gradually, front end executor include intellectual detection system nail anvil and coincide nail storehouse, the intellectual detection system nail anvil on be equipped with first mounting groove and second mounting groove, front end executor still include impedance sensor and pressure sensor, impedance sensor inlay in first mounting groove, pressure sensor inlay and establish in the second mounting groove, rear end operation portion on be equipped with main control board and display screen, impedance sensor, pressure sensor and display screen respectively with main control board electric connection.
Furthermore, the number of the first mounting grooves is two, and the two first mounting grooves are symmetrically arranged.
Furthermore, the number of the second mounting grooves is two, and the two second mounting grooves are symmetrically arranged.
Further, the rear end operation portion include handle and main control board storehouse, main control board storehouse and handle intercommunication, the main control board be located the main control board storehouse.
Furthermore, the front end actuator further comprises a connecting short sleeve and a turning mechanism, the middle section transmission part comprises a transmission guide rod, a turning knob and a lead screw transmission mechanism inside the transmission guide rod, the intelligent detection nail anvil and the anastomosis nail cartridge are respectively connected with the connecting short sleeve, the turning mechanism, the transmission guide rod, the turning knob and the rear end operation part are sequentially connected, and the lead screw transmission mechanism is in transmission connection with the intelligent detection nail anvil.
Furthermore, the turning mechanism comprises two motors, two steel sheets and a plurality of splicing blocks which are sequentially connected, one end of each steel sheet is correspondingly connected with one motor, the other end of each steel sheet penetrates through the splicing blocks, and the motors are electrically connected with the main control board.
Furthermore, the handle is provided with a control button electrically connected with the main control panel.
Furthermore, an isolating switch power supply is arranged in the handle.
Further, the impedance sensor is realized by a gold electrode.
Further, the pressure sensor is realized by a wheatstone bridge.
Compared with the prior art, the invention has the following beneficial effects:
(1) The intelligent detection nail anvil is provided with a first mounting groove and a second mounting groove, the front end actuator further comprises an impedance sensor and a pressure sensor, the impedance sensor is embedded in the first mounting groove, the pressure sensor is embedded in the second mounting groove, a main control panel and a display screen are arranged on a rear end operation part, and the impedance sensor, the pressure sensor and the display screen are respectively electrically connected with the main control panel, so that the pressure and the resistance on the intelligent detection nail anvil can be detected in real time through the display screen in the operation process, the stress and the internal impedance change of tissues can be reflected in real time, a doctor can more intuitively observe the stress and the squeezing condition of the tissues, the squeezing degree can be adjusted, the anastomosis time can be judged, the anastomat can be triggered in the optimal squeezing state of the tissues, a better anastomosis effect can be obtained, technical guarantee can be provided for postoperative wound healing, the influence of the doctor on the operation quality and postoperative recovery due to personal judgment of the doctor can be avoided, the intellectualization of the anastomat can be improved, the anastomosis parameters can be matched, the anastomosis success rate can be improved, and the incidence rate of anastomotic fistula can be reduced;
(2) According to the invention, the number of the first mounting grooves is two, the two first mounting grooves are symmetrically arranged, the number of the second mounting grooves is two, and the two second mounting grooves are symmetrically arranged, so that uniform detection is realized.
Drawings
FIG. 1 is a schematic diagram of an electric stapler;
FIG. 2 is an enlarged partial schematic view of the front end effector;
FIG. 3 is a schematic structural view of an intelligent detection anvil;
FIG. 4 is an enlarged schematic view taken at A in FIG. 3;
FIG. 5 is a schematic structural view of a turning mechanism;
FIG. 6 is a schematic diagram of pressure detection of an electric stapler;
the numbering in the figures illustrates:
1. the intelligent detection nail anvil comprises a nail anvil, 2, an anastomotic nail cabin, 3, a connecting short sleeve, 4, a turning mechanism, 5, a transmission guide rod, 6, a turning knob, 7, a control button, 8, a display screen, 9, a handle, 10, a main control board cabin, 11, an impedance sensor, 12, a pressure sensor, 13, a main control board, 14, a first installation groove, 15, a second installation groove, 41, a splicing block and 42, and a steel sheet.
Detailed Description
The invention is described in detail below with reference to the figures and specific embodiments. The present embodiment is implemented on the premise of the technical solution of the present invention, and a detailed implementation manner and a specific operation process are given, but the scope of the present invention is not limited to the following embodiments.
Example 1
An intelligent electric anastomat capable of realizing multi-parameter detection and feedback is shown in figure 1 and comprises a front end actuator, a middle section transmission part and a rear end operation part which are sequentially connected;
the front end actuator is disposable, and can realize grabbing, inosculation, squeezing and turning actions, as shown in fig. 2, the front end actuator comprises an intelligent detection nail anvil 1, an anastomotic nail bin 2, a connecting short sleeve 3, a turning mechanism 4 and an impedance sensor 11 and a pressure sensor 22, as shown in fig. 3 and fig. 4, the intelligent detection nail anvil 1 is provided with a first mounting groove 14 and a second mounting groove 15, the impedance sensor 11 is embedded in the first mounting groove 14, the pressure sensor 22 is embedded in the second mounting groove 15, a main control board 13 and a display screen 8 are arranged on a rear end operation part, and the impedance sensor 11, the pressure sensor 22 and the display screen 8 are respectively and electrically connected with the main control board 13.
A data transmission line slot for installing a transmission line is arranged in the intelligent detection nail anvil 1, and the transmission line is sent out from the intelligent detection nail anvil 1 and is connected to an operation end along a transmission mechanism.
The middle section transmission part comprises a transmission guide rod 5, a turning knob 6 and a lead screw transmission mechanism in the transmission guide rod 5, the intelligent detection nail anvil 1 and the anastomosis nail cartridge 2 are respectively connected with the short connecting sleeve 3, the turning mechanism 4, the transmission guide rod 5, the turning knob 6 and the rear end operation part are sequentially connected, and the lead screw transmission mechanism is in transmission connection with the intelligent detection nail anvil 1 through a sliding pair;
the anastomotic nail cartridge 2 and the connecting short sleeve 3 are fixed in an interference fit manner, the intelligent detection nail anvil 1 and the connecting short sleeve 3 are connected through a clamping groove, and the intelligent detection nail anvil 1 and the anastomotic nail cartridge 2 move relatively around the clamping groove to perform anastomotic action.
As shown in fig. 5, the turning mechanism 4 includes two motors, two steel sheets 42 and a plurality of splicing blocks 41 connected in sequence, one end of each steel sheet 42 is correspondingly connected with one motor, the other end of each steel sheet penetrates through the plurality of splicing blocks, and the motors are electrically connected with the main control board 13. The two steel sheets 42 are pulled by the motor to be relatively displaced in parallel, so that the steel sheets are bent, and the front end actuator is turned.
The rear end operation part comprises a handle 9 and a main control board bin 10, the main control board bin 10 is communicated with the handle 9, a main control board 13 is located in the main control board bin 10, and the main control board 13 is responsible for controlling reading and calculating of motor starting sensor data.
The inside of the handle 9 is provided with an isolating switch power supply, a bright weft medical power supply RS300-48 is used, 220V alternating current input is converted into a +48V direct current power supply, the isolating switch power supply is designed, the +48V is converted into a required +12V and +5V isolating direct current power supply, power is supplied to the motor and the detection circuit board, and a double-end forward topology is used as a main circuit topology of the isolating switch power supply in the embodiment.
The handle 9 is provided with a plurality of control buttons 7 which are electrically connected with the main control board 13 and respectively control the front end executor to squeeze and close, squeeze and open, trigger and advance, trigger and retreat and reset and stop.
The pressure sensor 22 is realized by a Wheatstone variable four-resistor bridge circuit, the pressure sensor 22 can feed back the stress condition of the measured object in real time, the impedance sensor 11 feeds back the internal impedance of the measured object in real time, the impedance sensor 11 is realized by a gold electrode and an insulating spring, the insulating spring is positioned at the bottom of the gold electrode, and the gold electrode and the insulating spring are in non-fixed connection.
As shown in fig. 6, the pressure detection principle of the electric stapler is as follows:
the isolating switch power supply provides a +5V direct current power supply for the detection circuit, the direct current power supply is converted into +3.3V and-3.3V respectively through the linear voltage stabilization chip, the +/-3.3V provides voltage for the Wheatstone four-variable resistance bridge, when the detection circuit detects that no load is applied, whether the output value of the bridge is zero or not is judged, whether the output value needs to be calibrated before detection through the DAC zero-setting circuit is judged, the output value is amplified by 500 times through the instrument amplifier, is collected by the 24-bit high-speed ADC chip under the condition of ensuring no distortion, and is transmitted to the single chip microcomputer on the main control board 13 for calculation, the pressure value is output, and the pressure value is displayed through the display screen 8.
The principle of resistance detection of the electric anastomat is similar.
Example 2
In this embodiment, as shown in fig. 3, the number of the first mounting grooves 14 is two, the two first mounting grooves 14 are symmetrically arranged, the number of the second mounting grooves 15 is two, and the two second mounting grooves 15 are symmetrically arranged, so that uniform detection is realized. The rest is the same as in example 1.
The foregoing detailed description of the preferred embodiments of the invention has been presented. It should be understood that numerous modifications and variations can be devised by those skilled in the art in light of the above teachings. Therefore, the technical solutions available to those skilled in the art through logic analysis, reasoning and limited experiments based on the prior art according to the concept of the present invention should be within the scope of protection defined by the claims.
Claims (10)
1. The utility model provides a can realize electronic anastomat of intelligence of multi-parameter detection and feedback, is including the front end executor, middle section transmission portion and the rear end operation portion that connect gradually, the front end executor include intellectual detection system nail anvil (1) and coincide nail storehouse (2), its characterized in that, intellectual detection system nail anvil (1) on be equipped with first mounting groove (14) and second mounting groove (15), the front end executor still include impedance sensor (11) and pressure sensor (22), impedance sensor (11) inlay in first mounting groove (14), pressure sensor (22) inlay and establish in second mounting groove (15), rear end operation portion on be equipped with main control board (13) and display screen (8), impedance sensor (11), pressure sensor (22) and display screen (8) respectively with main control board (13) electric connection.
2. The intelligent electric anastomat capable of achieving multi-parameter detection and feedback as claimed in claim 1, wherein the number of the first installation grooves (14) is two, and the two first installation grooves (14) are symmetrically arranged.
3. The intelligent electric anastomat capable of achieving multi-parameter detection and feedback as claimed in claim 1, wherein the number of the second installation grooves (15) is two, and the two second installation grooves (15) are symmetrically arranged.
4. The intelligent electric anastomat capable of achieving multi-parameter detection and feedback as claimed in claim 1, wherein the rear end operation portion comprises a handle (9) and a main control board bin (10), the main control board bin (10) is communicated with the handle (9), and the main control board (13) is located in the main control board bin (10).
5. The intelligent electric anastomat capable of achieving multi-parameter detection and feedback according to claim 4, wherein the front end actuator further comprises a connecting short sleeve (3) and a turning mechanism (4), the middle section transmission portion comprises a transmission guide rod (5), a turning knob (6) and a lead screw transmission mechanism inside the transmission guide rod (5), the intelligent detection nail anvil (1) and the anastomosis nail cartridge (2) are respectively connected with the connecting short sleeve (3), the turning mechanism (4), the transmission guide rod (5), the turning knob (6) and the rear end operation portion are sequentially connected, and the lead screw transmission mechanism is in transmission connection with the intelligent detection nail anvil (1).
6. The intelligent electric anastomat capable of achieving multi-parameter detection and feedback as claimed in claim 5, wherein the turning mechanism (4) comprises two motors, two steel sheets (42) and a plurality of splicing blocks (41) which are sequentially connected, one end of each steel sheet (42) is correspondingly connected with one motor, the other end of each steel sheet penetrates through the plurality of splicing blocks, and the motors are electrically connected with the main control board (13).
7. The intelligent electric anastomat capable of achieving multi-parameter detection and feedback as claimed in claim 4, wherein the handle (9) is provided with a control button (7) electrically connected with the main control board (13).
8. The intelligent electric anastomat capable of realizing multi-parameter detection and feedback as claimed in claim 4, wherein an isolating switch power supply is arranged in the handle (9).
9. The intelligent electric anastomat capable of realizing multi-parameter detection and feedback as claimed in claim 1, characterized in that the impedance sensor (11) is realized by a gold electrode.
10. An intelligent electric anastomat capable of realizing multi-parameter detection and feedback according to claim 1, characterized in that the pressure sensor (22) is realized by a Wheatstone bridge.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210803674.XA CN115252025A (en) | 2022-07-07 | 2022-07-07 | Intelligent electric anastomat capable of realizing multi-parameter detection and feedback |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210803674.XA CN115252025A (en) | 2022-07-07 | 2022-07-07 | Intelligent electric anastomat capable of realizing multi-parameter detection and feedback |
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| Publication Number | Publication Date |
|---|---|
| CN115252025A true CN115252025A (en) | 2022-11-01 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210803674.XA Pending CN115252025A (en) | 2022-07-07 | 2022-07-07 | Intelligent electric anastomat capable of realizing multi-parameter detection and feedback |
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| Country | Link |
|---|---|
| CN (1) | CN115252025A (en) |
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- 2022-07-07 CN CN202210803674.XA patent/CN115252025A/en active Pending
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