CN206414308U - A kind of surgical anastomat - Google Patents
A kind of surgical anastomat Download PDFInfo
- Publication number
- CN206414308U CN206414308U CN201621148438.5U CN201621148438U CN206414308U CN 206414308 U CN206414308 U CN 206414308U CN 201621148438 U CN201621148438 U CN 201621148438U CN 206414308 U CN206414308 U CN 206414308U
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- China
- Prior art keywords
- supporting support
- surgical anastomat
- surgical
- clipping
- anastomat
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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.)
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Abstract
The utility model is related to a kind of surgical anastomat, and it is mainly characterized by：Including a kind of anastomosis clamp, there is briar tooth its side, and opposite side has buckle teeth, is fixed by briar tooth with buckle teeth；There is the dop of dome-type or cone another anastomosis clamp, its side, and opposite side has the hole clipping of circle, fixed by dop with hole clipping；Supporting support, cylindrical, the cross section of both sides front end is curved streamlined design, middle fluted, and the length of supporting support is slightly shorter than the length for the clip that coincide；Artificial blood vessel, it is cylindrical, it can be connected with supporting support, by the way that front end is fixed at the intermediate groove of supporting support with ligature.The utility model can be used for big vascular surgery to reduce anastomotic leakage blood in coincideing and effectively reduce the time of coincideing.
Description
Technical field
The utility model belongs to medical instruments field, more particularly to a kind of surgical anastomat.
Background technology
In the prior art, the treatment means for macrovascular diseases have surgical operation, intervention support and drug therapy.Chest and abdomen
Thorough effective treatment method of the macrovascular diseases such as aortic aneurysm is surgical operation.For critical illness and/or complex lesions patient,
Surgical operation is often first choice, even unique selection.But be that operation risk is big, to surgeon the problem of exist now
Requirement it is high.For operation angle, aorta anastomosis technology is the key technology of surgical operation.It is how safely and fast complete
It is to improve success rate of operation into vascular anastomosis, reduction operative mortality rate and the key factor for reducing postoperative complications.
The identical method of current blood vessel is mainly suture jacquard CAD.This is a kind of safely and effectively method.But, suture kiss
It is legal high to surgical technical requirements, and time-consuming for operation, it is also possible to there is anastomotic leakage blood.If an operation
Multiple previous anastomotics are sutured, then to expend more times is sutured or mending-leakage, time-consuming to greatly increase, operation risk
Can substantially it increase.Therefore, many doctors abandon operative treatment to complicated and extensive aortic aneurysm, and take expectant treatment.But
Be expectant treatment the death rate it is high, such as complicated and extensive dissecting aneurysm.Recently also there is the intracavitary that need not be sutured artificial
The report of blood vessel, the intraluminal artificial blood vessel of non-suture is fixed with two lines, then is banded in aneurysm with strong umbilical cord
On the ring of endoluminal vascular prosthesis, but occur the danger that blood penetrates into formation false aneurysm in arterial wall from vascular circle.
Hence it is highly desirable to have a kind of safety, simple, quick, the vascular anastomosis method of good prognosis.
The content of the invention
The purpose of the present invention is exactly to coincide to solve existing suture to have the shortcomings that time-consuming there is provided a kind of safety, simple
Single, quick aorta anastomosis device.
To achieve these goals, this invention takes following technical proposals：
The present invention is using a kind of aorta anastomosis device come anastomosis of blood vessel.Including a kind of anastomosis clamp, there is briar tooth its side, another
There is buckle teeth side, is fixed by briar tooth with buckle teeth；There is the dop of dome-type or cone another anastomosis clamp, its side, another
There is the hole clipping of circle side, is fixed by dop with hole clipping；Supporting support, cylindrical, the cross section of both sides front end is curve
The streamlined design of shape, middle fluted, the length of supporting support is slightly shorter than the length for the clip that coincide；Artificial blood vessel, in cylinder
Shape, can be connected with supporting support, by the way that front end is fixed at the intermediate groove of supporting support with ligature.Will during operation technique
Supporting support with artificial blood vessel is inserted in human vas, then fixes supporting support (this portion can be omitted suddenly) with silk thread ligation, so
Fixed afterwards outside human vas with above-mentioned anastomosis clamp.
To achieve the above object, this invention takes following technical proposals：
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
Sandwich part, connecting portion and clipping part.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
Sandwich part, connecting portion and clipping part, the sandwich part by two it is semiorbicular cylinder or irregular roundness cylindricalitys constitute, in pair
The annular shape of the opening of title.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
Sandwich part, connecting portion and clipping part, the sandwich part by two it is semiorbicular cylinder or irregular roundness cylindricalitys constitute, in pair
There can be ring-type cushion in the annular shape of the opening of title, the sandwich part.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
Sandwich part, connecting portion and clipping part, the coupling part are to be fixedly connected with portion and active connection part.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
Tell that the portion of being fixedly connected includes to be fixedly connected with portion and active connection part in sandwich part, connecting portion and clipping part, the coupling part
Positioned at the same side and level or unhorizontal two fix bars, can be connected to each other three identical clips fixation.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
Tell that the portion of being fixedly connected includes to be fixedly connected with portion and active connection part in sandwich part, connecting portion and clipping part, the coupling part
Positioned at the same side and level or unhorizontal two fix bars, can be connected to each other three identical clips fixation, and the activity is even
Two semi-circular sandwich parts of identical clip can be connected to each other fixation by socket part by bearing, and activity point of view is equal to or more than 90
Degree.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
There is prominent briar tooth sandwich part, connecting portion and clipping part, the clipping part side, and opposite side has the buckle teeth of depression, adjustably
Close up briar tooth to serve clamping with buckle teeth and adjust local elastic.
One embodiment of the present invention is：The anastomosis clamp is made up of three identical clips, and each identical clip includes
There are prominent dome-type or conical dop in sandwich part, connecting portion and clipping part, the clipping part side, and opposite side has UNICOM
Circular hole clipping, fixed by dop with hole clipping.
One embodiment of the present invention is：The supporting support is cylindrical, the cross section of supporting support both sides front end
For parabola shaped streamlined design, the length of supporting support is slightly shorter than the length of anastomosis clamp, the side of supporting support with it is artificial
Blood vessel is connected.
One embodiment of the present invention is：The supporting support is cylindrical, the cross section of supporting support both sides front end
For parabola shaped streamlined design, the length of supporting support is slightly shorter than the length of anastomosis clamp, and supporting support is located at artificial blood vessel
It is interior.
One embodiment of the present invention is：The supporting support is cylindrical, fluted in the middle of supporting support, support branch
The cross section of frame both sides front end is parabola shaped streamlined design, and the length of supporting support is slightly shorter than the length of anastomosis clamp, branch
The side of support support is connected with artificial blood vessel.
One embodiment of the present invention is：The supporting support is cylindrical, can be fluted in the middle of supporting support, support
The cross section of support both sides front end is parabola shaped streamlined design, and the length of supporting support is slightly shorter than the length of anastomosis clamp,
Supporting support is located in artificial blood vessel.
One embodiment of the present invention is：The artificial blood vessel is cylindrical, can be connected with supporting support, by by before
End is fixed at the intermediate groove of supporting support with ligature.
One embodiment of the present invention is：The clamping part of various anastomosis clamps can have it is one or more circular or
The scarce such as part of irregular shape.
The present invention has the advantages that：Simplify aorta anastomosis operation, and make to coincide safely, effectively, it is to avoid coincide
Mouth leakage blood.Optimize the hydrodynamics at previous anastomotic, and reduce the damage of the human vas at previous anastomotic, reduce back of the body clad can product of coincideing,
Increase anastomotic position blood vessel blood supply, be easy to anastomosis vascular repair growth.
Brief description of the drawings
Fig. 1 is the schematic perspective view of the I types clamp folder of one embodiment of the invention；
Fig. 2 is the side view of the I types clamp folder of one embodiment shown in Fig. 1；
Fig. 3 is the schematic perspective view of the II types clamp folder of one embodiment of the invention；
Fig. 4 is the side view of the II types clasp folder of one embodiment shown in Fig. 3；
Fig. 5 is the schematic perspective view of the type III clasp folder of one embodiment of the invention；
Fig. 6 is the side view of the type III clasp folder of one embodiment shown in Fig. 5；
Fig. 7 is the sectional view of the anastomosis clamp of one embodiment of the invention, and the anastomosis clamp inwall of this embodiment is without ring-like cushion；
Fig. 8 is the sectional view of the anastomosis clamp of one embodiment of the invention, and the anastomosis clamp inwall of this embodiment has ring-like cushion；
Fig. 9 is the inside top figure of the anastomosis clamp of one embodiment of the invention；
Figure 10 is the schematic perspective view of the supporting support of one embodiment of the invention；
Figure 11 is the diagrammatic cross-section of the supporting support of one embodiment of the invention shown in Figure 10；
Figure 12 is the schematic perspective view in the artificial blood vessel portion of the embodiment of the present invention；
Figure 13 a, Figure 13 b, Figure 13 c, Figure 13 d, Figure 13 e respectively illustrate each operation step in one embodiment of the invention
Suddenly.
Embodiment
Below in conjunction with accompanying drawing, the utility model surgical anastomat is discussed in detail.
Wherein, reference is as follows：
1st, anastomosis clamp；8th, supporting support；9th, artificial blood vessel part；7th, human vas；6th, ligature；11st, ring-type cushion；
12nd, cylinder portion；13rd, contraction flow region；14th, sandwich part；15th, it is fixedly connected with portion；16th, active connection part；17th, clipping part；21st, it is prominent
Briar tooth；22nd, the buckle teeth of depression；31st, prominent dop；32nd, the hole clipping of UNICOM；81st, rack groove；82nd, streamlined port.
A kind of aorta anastomosis device of the present invention is by anastomosis clamp 1, and supporting support 8, artificial blood vessel part 9 is constituted.
Reference picture 1, Fig. 2, clamp folder I types are made up of three identical clips, with sandwich part 14, are fixedly connected with portion 15, work
Rotation connection 16, holding section 17 are constituted, and there is prominent briar tooth 21 clipping part side, and there is the buckle teeth 22 of depression side, adjustably
Close up briar tooth to serve clamping with buckle teeth and adjust local elastic, if needing to change position after coincideing, the phase of clipping part 17 can be passed through
Clamping is unclamped to mobile.There is the ring-type cushion 11 of opening in sandwich part, reduce the damage to human vas, sandwich part middle card
Folder portion has cylinder portion 12 annular in shape, matches with the rack groove 81 of supporting support 8, plays support bracket fastened effect.
There are prominent dome-type or conical dop in reference picture 3, Fig. 4, clamp folder II types side, and opposite side has UNICOM
Circular hole clipping, is fixed by dop with hole clipping.
There is prominent conical dop reference picture 5, Fig. 6, clamp folder type III side, and opposite side has the circular of UNICOM
Hole clipping, is fixed by dop with hole clipping.
Reference picture 7, anastomosis clamp 1 has cylinder portion 12, contraction flow region 13.The contraction flow region 13 of anastomosis clamp 1 is irregular circle
Trunk portion, adhered shape supporting support it is streamlined, the movement of supporting support 8 can be limited, and make artificial blood vessel portion 9, people
Body blood vessel 7 is brought into close contact with supporting support 8, it is to avoid hemodynamics disturbance.
Reference picture 8, anastomosis clamp sandwich part inwall has the ring-like cushion 11 with opening, it is possible to reduce to human vas 7
Damage.There is cylinder portion 12 annular in shape clipping part in the middle of sandwich part, matches with the rack groove 81 of supporting support 8, plays
Support bracket fastened effect.
Reference picture 1, Fig. 9, anastomosis clamp be fixedly connected portion 15 be positioned at the same side and level or unhorizontal two fix bars,
Can be connected to each other three identical clips fixation.Active connection part 16 can be by two semi-circular clampings of identical clip by bearing
Portion is connected to each other fixation, and activity point of view is equal to or more than 90 degree.
Reference picture 10, Figure 11, support support 8 are streamlined, and are provided with rack groove 81 on its external wall.So, support branch
When human vas 7 is inserted in the fairshaped port in the side of frame 8, it is possible to reduce the damage to the inwall of human vas 7, opposite side streamline
The port of type is inserted in artificial blood vessel 9, and ligature 6 is ligatured in rack groove 81, the work of fixed supporting support 8 and people workman's pipe 9
With.
Reference picture 12, the bore of artificial blood vessel 9 is slightly larger than the bore of supporting support 8.
Identical method using a kind of above-mentioned aorta anastomosis device is as follows：
By the description to method of coincideing, a kind of above-mentioned 26S Proteasome Structure and Function of aorta anastomosis device also can more understand.Under
Face is by taking the coincideing of human vas and artificial blood vessel as an example.
Such as the identical method that Figure 13 a to Figure 13 e are shown, wherein supporting support 8 has rack groove 81 for center, coincide
Folder 1 is that clamp presss from both sides I types, and sandwich part inwall, which carries clipping part in the middle of the ring-type cushion 11 with opening, sandwich part, to be had and support branch
The cylinder portion 12 that the rack groove 81 of frame 8 matches annular in shape.The method of coincideing comprises the following steps：
(1) artificial blood vessel 9 is ligatured to the rack groove 81 in supporting support 8 with ligature 6；As depicted in fig. 13 a；
(2) blocking blood flow, the supporting support 8 with artificial blood vessel is inserted and made in the human vas 7 for intending coincideing of otch；
As illustrated in fig. 13b；
(3) human vas 7 for intending coincideing is ligatured to the rack groove 81 in supporting support 8 with ligature 6；Such as Figure 13 c institutes
Show；
(4) anastomosis clamp 1 is placed, the side briar tooth 21 that clamp is pressed from both sides into I types is pushed into the buckle teeth 22 of opposite side, adjusted elastic
Degree, coincide and finishes；As shown in figure 13d；
(4) the human vas part that suture is cut.As shown in figure 13e.
If pressing from both sides II types or type III using clamp, then above-mentioned steps have following change：
In A, step (4), the side dop 31 of anastomosis clamp II or type III is pushed into the hole clipping 32 of opposite side, coincide
Finish.
In above-mentioned technical proposal, supporting support 8 is streamlined, it is possible to reduce the damage to blood vessel；Supporting support 8 has
There is rack groove 81, by simple ligating methodses, blocking blood flow, support bracket fastened effect can be played；The contraction of anastomosis clamp 1
The airflow design that portion 13 matches with supporting support 8, can prevent supporting support 8 from shifting, and make human vas 7 and support
Support 8 is close to, blocking blood flow；The design of the independent stapler sandwich part 14 of connection again can reduce coincide back of the body clad can product, increase kiss
Position blood vessel blood supply is closed, is easy to anastomosis vascular repair growth, and human vas 7, supporting support 8 and artificial blood vessel can be made
Part 9 is brought into close contact by the effect of blood pool, it is to avoid anastomotic leakage and hemodynamics disturbance；Clamp presss from both sides the hook of I types
Tooth is designed with buckle teeth, convenient to adjust bore according to actual conditions, makes previous anastomotic reliable；Using matching somebody with somebody for anastomosis clamp 1 and supporting support 8
Close, simplify vascular anastomosis operation, shorten time-consuming, the Aided design, it is to avoid anastomotic leakage that coincide；Simultaneously because simplify anastomosis procedure,
Shorten time-consuming, the risk that reduction postoperative complication occurs is more safe and reliable.
Described above is only embodiment of the present utility model, can not limit guarantor of the present utility model with this certainly
Protect scope；Any equivalent substitution or conversion for above-mentioned technical proposal, all within protection domain of the present utility model.
Claims (10)
1. a kind of surgical anastomat, it is characterized in that：Including anastomosis clamp, supporting support, artificial blood vessel part；The supporting support
Cylindrical, the cross section of supporting support both sides front end is curved streamlined design, and the length of supporting support is slightly shorter than kiss
The length of co-clip；
The artificial blood vessel part is cylindrical, can be connected with supporting support, by the way that front end is fixed on into support branch with ligature
At the intermediate groove of frame.
2. a kind of surgical anastomat as claimed in claim 1, it is characterized in that：The anastomosis clamp is by three identical clip groups
Into each identical clip includes sandwich part, connecting portion and clipping part.
3. a kind of surgical anastomat as claimed in claim 2, it is characterized in that：The sandwich part is by two semiorbicular cylinders
Shape or irregular roundness cylindricality composition.
4. a kind of surgical anastomat as claimed in claim 2, it is characterized in that：The sandwich part is in the annulus being symmetrically open
Shape.
5. a kind of surgical anastomat as claimed in claim 2, it is characterized in that：There can be the ring-type of opening soft in the sandwich part
Pad.
6. a kind of surgical anastomat as claimed in claim 2, it is characterized in that：The coupling part is to be fixedly connected with portion and work
Rotation connection.
7. a kind of surgical anastomat as claimed in claim 6, it is characterized in that：The portion of being fixedly connected includes being located at the same side
And level or unhorizontal two fix bars, can be connected to each other three identical clips fixation.
8. a kind of surgical anastomat as claimed in claim 6, it is characterized in that：The active connection part will can be kissed by bearing
Two semi-circular sandwich parts for closing clip are connected to each other fixation, and activity point of view is equal to or more than 90 degree.
9. a kind of surgical anastomat as claimed in claim 2, it is characterized in that：There is prominent briar tooth the clipping part side,
Opposite side has the buckle teeth of depression, adjustably closes up briar tooth and serves clamping with buckle teeth and adjust local elastic.
10. a kind of surgical anastomat as claimed in claim 2, it is characterized in that：There is prominent hemisphere the clipping part side
The dop of type or cone, opposite side has the circular hole clipping of UNICOM, fixed by dop with hole clipping.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621148438.5U CN206414308U (en) | 2016-10-27 | 2016-10-27 | A kind of surgical anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621148438.5U CN206414308U (en) | 2016-10-27 | 2016-10-27 | A kind of surgical anastomat |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN206414308U true CN206414308U (en) | 2017-08-18 |
Family
ID=59578653
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201621148438.5U Expired - Fee Related CN206414308U (en) | 2016-10-27 | 2016-10-27 | A kind of surgical anastomat |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN206414308U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109674503A (en) * | 2019-01-18 | 2019-04-26 | 西安交通大学医学院第一附属医院 | A kind of mating instrument suitable for quick liver transfer operation vascular anastomosis |
| CN113397761A (en) * | 2021-05-27 | 2021-09-17 | 华中科技大学同济医学院附属协和医院 | Suturing-free artificial blood vessel and conveying device thereof |
-
2016
- 2016-10-27 CN CN201621148438.5U patent/CN206414308U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109674503A (en) * | 2019-01-18 | 2019-04-26 | 西安交通大学医学院第一附属医院 | A kind of mating instrument suitable for quick liver transfer operation vascular anastomosis |
| CN109674503B (en) * | 2019-01-18 | 2023-12-15 | 崇好科技有限公司 | Matched instrument suitable for vascular anastomosis in rapid liver transplantation |
| CN113397761A (en) * | 2021-05-27 | 2021-09-17 | 华中科技大学同济医学院附属协和医院 | Suturing-free artificial blood vessel and conveying device thereof |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20170818 Termination date: 20181027 |