CN201768000U - Cutting stitching instrument - Google Patents

Cutting stitching instrument Download PDF

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Publication number
CN201768000U
CN201768000U CN 201020262599 CN201020262599U CN201768000U CN 201768000 U CN201768000 U CN 201768000U CN 201020262599 CN201020262599 CN 201020262599 CN 201020262599 U CN201020262599 U CN 201020262599U CN 201768000 U CN201768000 U CN 201768000U
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China
Prior art keywords
piece
nail
cutter
percussion
waist
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Expired - Fee Related
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CN 201020262599
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Chinese (zh)
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陈望东
舒拓
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Touchstone International Medical Science Co Ltd
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Touchstone International Medical Science Co Ltd
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Priority to CN 201020262599 priority Critical patent/CN201768000U/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • 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)
  • Portable Nailing Machines And Staplers (AREA)

Abstract

The utility model provides a cutting stitching instrument. The cutting stitching instrument comprises an upper clamp, a lower clamp, a nail bin, a nail anvil, a nail pushing piece, a cutter, a percussion piece and a cutter pushing rod, wherein the percussion piece and the cutter pushing rod drive the nail pushing piece and the cutter to move; stitching nails are arranged in the nail bin; the percussion piece drives the nail pushing piece to push the stitching nails to the nail anvil; the cutter cuts off tissues positioned between the nail bin and the nail anvil in the moving process; the front end of the percussion piece is provided with a wedge-shaped piece for driving the nail pushing piece to move, and the rear end of the percussion piece is matched with a sliding block which comprises a through hole; the percussion piece comprises a waist-shaped groove; the major axis of the waist-shaped groove is vertical to the bottom surface of the percussion piece; and a pin passes through the through hole and the waist-shaped groove. The cutting stitching instrument has the main advantages that: the instrument is easy to use; friction force between the percussion piece and the lower clamp is greatly reduced; and only small driving force is needed when a doctor operates the instrument, so that the percussion of the instrument is smoother.

Description

切割缝合器 cutting stapler

技术领域technical field

本实用新型涉及一种外科手术用的切割缝合器,属于医疗器械技术领域。The utility model relates to a cutting and suturing device for surgical operations, which belongs to the technical field of medical instruments.

背景技术Background technique

外科切割缝合器被广泛用于外科手术中用于伤口缝合、内部组织缝合与切割,典型的外科切割缝合器如美国专利US5065929所揭示,具有缝合与切割两个功能,在进行伤口缝合的同时,将多余的组织切除。如图1所示,该类切割缝合器一般包括上、下钳夹4、5,用于闭合上、下钳夹的闭合把手6,相对设置在上下钳夹前端的钉砧7和钉仓8,设于钉仓8内并可同时相对所述钉仓移动的推钉片和切刀,以及驱动推钉片和切刀移动的击发片2和推刀杆,所述钉仓内排列设置有缝合钉,所述推钉片将缝合钉推向钉砧,所述切刀将位于钉仓和钉砧之间的组织切断。Surgical cutting staplers are widely used in surgical operations for wound suturing, internal tissue suturing and cutting. A typical surgical cutting stapler, as disclosed in U.S. Patent No. 5,065,929, has two functions of suturing and cutting. While suturing the wound, Excess tissue is excised. As shown in Figure 1, this type of cutting and stapler generally includes upper and lower jaws 4, 5, a closing handle 6 for closing the upper and lower jaws, and an anvil 7 and a staple bin 8 that are relatively arranged at the front ends of the upper and lower jaws. , the nail pusher and the cutter that are arranged in the staple bin 8 and can move relative to the nail bin at the same time, and the firing piece 2 and the pusher rod that drive the nail pusher and the cutter to move, and are arranged in the nail bin The staple pusher pushes the staples to the staple anvil, and the cutter cuts off the tissue between the staple cartridge and the staple anvil.

现有技术中,击发片的底面抵靠在下钳夹的内底面上,由于击发片相对于下钳夹会产生滑动,即两者底面会在击发片滑动的过程中产生摩擦,因此医生在操作的时候需要较大的驱动力驱使击发片滑动。另外,上、下钳夹4、5被闭合时,上、下钳夹4、5均会产生一定的弯曲,这样击发片和下钳夹之间的摩擦力会更大。In the prior art, the bottom surface of the firing piece is against the inner bottom surface of the lower jaw. Since the firing piece will slide relative to the lower jaw, that is, the bottom surfaces of the two will generate friction during the sliding process of the firing piece. Therefore, the doctor is operating A larger driving force is required to drive the firing piece to slide. In addition, when the upper and lower jaws 4, 5 are closed, the upper and lower jaws 4, 5 will bend to a certain extent, so that the frictional force between the firing piece and the lower jaws will be greater.

实用新型内容Utility model content

本实用新型的目的在于解决上述的技术问题,提供一种击发过程中摩擦较小的切割缝合器。The purpose of the utility model is to solve the above-mentioned technical problems, and to provide a cutter and stapler with less friction during the firing process.

本实用新型的目的通过以下技术方案来实现:The purpose of this utility model is achieved through the following technical solutions:

一种切割缝合器,包括上、下钳夹,相对设置在上、下钳夹前端的钉仓和钉砧,可相对所述钉仓移动的推钉片和切刀,以及驱动所述推钉片和切刀移动的击发片和推刀杆,所述钉仓内排列设置有缝合钉,所述击发片驱动所述推钉片将缝合钉推向钉砧,所述切刀在其移动的过程中将位于钉仓和钉砧之间的组织切断,所述击发片的前端为驱动所述推钉片移动的楔形片,所述击发片的后端与一滑块配接,所述滑块包括一个通孔,所述击发片包括一个腰型槽,所述腰型槽的长径垂直于击发片的底面,有一销穿过所述通孔和腰型槽。A cutting and stapler, comprising upper and lower jaws, a staple cartridge and an anvil arranged relatively at the front ends of the upper and lower jaws, a nail pushing piece and a cutter that can move relative to the staple cartridge, and driving the nail pushing The firing piece and the pushing knife bar that the cutting knife moves, the staples are arranged in the staple bin, the firing piece drives the pushing piece to push the staples to the anvil, and the cutting knife moves During the process, the tissue located between the staple cartridge and the anvil is cut off. The front end of the firing piece is a wedge-shaped piece that drives the pusher piece to move, and the rear end of the firing piece is matched with a slider. The block includes a through hole, and the firing piece includes a waist-shaped groove, the long axis of the waist-shaped groove is perpendicular to the bottom surface of the firing piece, and a pin passes through the through-hole and the waist-shaped groove.

进一步地,所述击发片的底面到下钳夹内底面的距离大于所述滑块的底面到下钳夹内底面的距离。Further, the distance from the bottom surface of the firing piece to the inner bottom surface of the lower jaw is greater than the distance from the bottom surface of the slider to the inner bottom surface of the lower jaw.

本实用新型的有益效果主要体现在:器械使用简单,击发片与下钳夹之间的摩擦力大大减小,医生操作时只需较小的驱动力即可,使本器械击发更加顺畅。The beneficial effects of the utility model are mainly reflected in that the device is easy to use, the friction force between the percussion plate and the lower jaw is greatly reduced, and the doctor only needs a small driving force when operating, so that the percussion of the device is smoother.

附图说明Description of drawings

下面结合附图对本实用新型技术方案作进一步说明:Below in conjunction with accompanying drawing, technical scheme of the utility model is further described:

图1:现有技术切割缝合器的主视图。Figure 1: Front view of a prior art cutter and stapler.

图2:本实用新型切割缝合器的滑块和击发片的连接结构示意图。Figure 2: A schematic diagram of the connection structure of the slider and the firing piece of the cutting and suturing device of the present invention.

图3:本实用新型切割缝合器的滑块和击发片的连接结构剖视图。Fig. 3: A cross-sectional view of the connection structure of the slider and the firing piece of the cutting and suturing device of the present invention.

图4:本实用新型的下钳夹的主视图。Fig. 4: The front view of the lower jaw of the utility model.

其中:in:

1滑块       11通孔      12底面1 slider 11 through hole 12 bottom surface

2击发片     21腰型槽    22底面2 Firing piece 21 Waist groove 22 Bottom surface

3销         4上钳夹     5下钳夹3 pins 4 upper jaws 5 lower jaws

51内底面    6闭合把手   7钉砧51 inner bottom surface 6 closing handle 7 nail anvil

8钉仓8 staples

具体实施方式Detailed ways

本实用新型揭示了一种外科切割缝合器,如图1所示,与现有技术一致,包括上、下钳夹4、5和一个枢轴设置在下钳夹5上的闭合把手6。所述的上钳夹4的前端设置钉砧7,下钳夹5的前端相对设置钉仓8。所述的闭合把手6可在打开位置和闭合位置间运动,当闭合把手6处于打开位置时,上、下钳夹4、5处于相对打开的位置;当闭合把手6处于闭合位置时,上、下钳夹4、5处于充分闭合的位置。当上、下钳夹4、5充分闭合时,由于仅为两个连接点接触,因此上、下钳夹4、5会产生一定的弯曲。The utility model discloses a surgical cutting and suturing device, as shown in Fig. 1, consistent with the prior art, comprising upper and lower jaws 4, 5 and a closing handle 6 pivotally arranged on the lower jaws 5. The front end of the upper jaw 4 is provided with an anvil 7 , and the front end of the lower jaw 5 is oppositely provided with a staple cartridge 8 . The closed handle 6 can move between the open position and the closed position. When the closed handle 6 is in the open position, the upper and lower jaws 4, 5 are in relatively open positions; The lower jaws 4, 5 are in a fully closed position. When the upper and lower jaws 4, 5 are fully closed, since only two connection points are in contact, the upper and lower jaws 4, 5 will be bent to a certain extent.

与现有技术一样,所述切割缝合器还包括可相对所述钉仓8移动的推钉片和切刀,以及驱动所述推钉片和切刀移动的击发片2和推刀杆,所述钉仓8内排列设置有缝合钉,所述击发片2驱动所述推钉片将缝合钉推向钉砧7,所述切刀在其移动的过程中将位于钉仓8和钉砧7之间的组织切断。As in the prior art, the cutting and stapler also includes a staple pusher and a cutter that can move relative to the staple bin 8, and a firing piece 2 and a pusher rod that drive the pusher and the cutter to move, so Staples are arranged in the staple bin 8, and the firing piece 2 drives the nail pusher to push the staples to the anvil 7, and the cutter will be positioned between the staple bin 8 and the anvil 7 during its movement. The tissue in between is severed.

结合图2至图4所示,所述击发片2的前端为驱动所述推钉片移动的楔形片,所述击发片2的后端与一滑块1配接,所述滑块1包括一个通孔11,所述击发片2包括一个腰型槽21,有一销3穿过所述通孔11和腰型槽21。由于所述腰型槽21的长径垂直于击发片2的底面22,因此当上、下钳夹4、5闭合时,销3可以在腰型槽21中移动,最终的结果是击发片2可相对于滑块1有一定的串动,减小了击发片2的底面22与下钳夹5的内底面51之间的接触程度,进而降低了击发片2在滑动的过程中与下钳夹5之间的摩擦力。而由于腰型槽21的短径与通孔11及销3的直径大致相等,因此不会影响到滑块1驱动所述击发片2滑动。As shown in FIG. 2 to FIG. 4, the front end of the firing piece 2 is a wedge-shaped piece that drives the movement of the nail pushing piece, and the rear end of the firing piece 2 is matched with a slider 1, and the slider 1 includes A through hole 11, the firing piece 2 includes a waist-shaped groove 21, and a pin 3 passes through the through-hole 11 and the waist-shaped groove 21. Since the long diameter of the waist-shaped groove 21 is perpendicular to the bottom surface 22 of the firing piece 2, when the upper and lower jaws 4, 5 are closed, the pin 3 can move in the waist-shaped groove 21, and the final result is that the firing piece 2 can Relative to the slider 1, there is a certain series movement, which reduces the degree of contact between the bottom surface 22 of the firing piece 2 and the inner bottom surface 51 of the lower jaw 5, thereby reducing the contact between the firing piece 2 and the lower jaw during the sliding process. 5 between friction. And because the short diameter of the waist-shaped groove 21 is approximately equal to the diameters of the through hole 11 and the pin 3 , it will not affect the slider 1 to drive the firing piece 2 to slide.

当然,相反的设计:即击发片2上设置一个通孔,而在滑块1上设置腰型槽,属于本实用新型的等同设计,同样在本实用新型的保护范围之内。Of course, the opposite design: that is, a through hole is set on the firing piece 2, and a waist-shaped groove is set on the slider 1, which belongs to the equivalent design of the present invention, and is also within the protection scope of the present invention.

进一步地,本实用新型为了更大效果地减小摩擦,所述击发片2的底面22到下钳夹5的内底面51的距离大于所述滑块1的底面12到下钳夹5的内底面51的距离。即如图3所示,击发片2的底面22与滑块1的底面12之间有个高度差H,这样即使当滑块1的底面12与下钳夹5的内底面51产生摩擦时,所述击发片2的底面22与下钳夹5的内底面51也还有一段距离。这样,就能更加地降低摩擦产生的可能性。Further, in order to reduce friction more effectively in the present invention, the distance from the bottom surface 22 of the firing piece 2 to the inner bottom surface 51 of the lower jaw 5 is greater than the distance from the bottom surface 12 of the slider 1 to the inner bottom surface of the lower jaw 5 The distance from the bottom surface 51. That is, as shown in Figure 3, there is a height difference H between the bottom surface 22 of the firing piece 2 and the bottom surface 12 of the slider 1, so that even when the bottom surface 12 of the slider 1 rubs against the inner bottom surface 51 of the lower jaw 5, There is also a certain distance between the bottom surface 22 of the firing piece 2 and the inner bottom surface 51 of the lower jaw 5 . In this way, the possibility of friction generation can be further reduced.

本实用新型尚有多种具体的实施方式,凡采用等同替换或者等效变换而形成的所有技术方案,均落在本实用新型要求保护的范围之内。The utility model still has many specific implementation modes, and all technical solutions formed by equivalent replacement or equivalent transformation all fall within the protection scope of the utility model.

Claims (2)

1.一种切割缝合器,包括上、下钳夹,相对设置在上、下钳夹前端的钉仓和钉砧,可相对所述钉仓移动的推钉片和切刀,以及驱动所述推钉片和切刀移动的击发片和推刀杆,所述钉仓内排列设置有缝合钉,所述击发片驱动所述推钉片将缝合钉推向钉砧,所述切刀在其移动的过程中将位于钉仓和钉砧之间的组织切断,其特征在于:所述击发片的前端为驱动所述推钉片移动的楔形片,所述击发片的后端与一滑块配接,所述滑块包括一个通孔,所述击发片包括一个腰型槽,所述腰型槽的长径垂直于击发片的底面,有一销穿过所述通孔和腰型槽。1. A cutting stapler, comprising upper and lower jaws, a nail bin and an anvil that are relatively arranged on the front end of the upper and lower jaws, a nail pusher and a cutter that can move relative to the nail bin, and drive the The firing piece and the pushing knife rod that the nail pushing piece and the cutter move, the staples are arranged in the staple bin, the firing piece drives the nail pushing piece to push the staples to the anvil, and the cutting knife is in its During the movement, the tissue located between the staple cartridge and the anvil is cut off, and the feature is that: the front end of the firing piece is a wedge-shaped piece that drives the pushing piece to move, and the rear end of the firing piece is connected with a slider Matching, the slider includes a through hole, the firing piece includes a waist-shaped groove, the long diameter of the waist-shaped groove is perpendicular to the bottom surface of the firing piece, and a pin passes through the through-hole and the waist-shaped groove. 2.根据权利要求1所述的切割缝合器,其特征在于:所述击发片的底面到下钳夹内底面的距离大于所述滑块的底面到下钳夹内底面的距离。2 . The cutting and stapler according to claim 1 , wherein the distance from the bottom surface of the firing piece to the inner bottom surface of the lower jaw is greater than the distance from the bottom surface of the slider to the inner bottom surface of the lower jaw. 3 .
CN 201020262599 2010-06-10 2010-07-13 Cutting stitching instrument Expired - Fee Related CN201768000U (en)

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Application Number Priority Date Filing Date Title
CN 201020262599 CN201768000U (en) 2010-06-10 2010-07-13 Cutting stitching instrument

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Application Number Priority Date Filing Date Title
CN201020221876.6 2010-06-10
CN201020221876 2010-06-10
CN 201020262599 CN201768000U (en) 2010-06-10 2010-07-13 Cutting stitching instrument

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101849851A (en) * 2010-06-10 2010-10-06 苏州天臣国际医疗科技有限公司 cutting stapler
CN103720499A (en) * 2013-12-31 2014-04-16 苏州天臣国际医疗科技有限公司 Straight line sewing and cutting device
US10265070B2 (en) 2013-12-31 2019-04-23 Suzhou Touchstone International Medical Science Co., Ltd. Linear cutting stapler

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101849851A (en) * 2010-06-10 2010-10-06 苏州天臣国际医疗科技有限公司 cutting stapler
CN101849851B (en) * 2010-06-10 2012-09-19 苏州天臣国际医疗科技有限公司 cutting stapler
CN103720499A (en) * 2013-12-31 2014-04-16 苏州天臣国际医疗科技有限公司 Straight line sewing and cutting device
CN103720499B (en) * 2013-12-31 2016-02-17 苏州天臣国际医疗科技有限公司 Straight line stitching instrument cutter sweep
US10265070B2 (en) 2013-12-31 2019-04-23 Suzhou Touchstone International Medical Science Co., Ltd. Linear cutting stapler

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Granted publication date: 20110323

Termination date: 20130713