Background
Gastrointestinal anastomosis is one of the most common surgical operations, such as gastro-esophageal anastomosis, gastro-intestinal anastomosis, small intestine-esophageal anastomosis, intestine-intestine anastomosis, and anus-intestine anastomosis. In recent years, a decomposable anastomotic ring (BAR) prepared by biodegradable materials is widely applied to clinical operations, and Chinese patent CN1141913C also proposes an in vivo decomposable anastomotic ring prepared by biodegradable materials. However, the anastomosis rings are all designed in an embedding manner, and the embedding parts of the anastomosis rings have slits which cannot be completely sealed; the existence of the slit may cause intestinal fluid to leak from the slit which cannot be completely sealed, thereby affecting the healing of the operation wound of the patient and even generating anastomotic leakage.
In order to solve the above problems, chinese patent CN201223418Y provides a non-absorbable disintegrable anastomosis clip for gastrointestinal anastomosis surgery, which can effectively prevent leakage after anastomosis, but has the disadvantages of complex structure, complex production process and more biodegradable materials. In addition, the gastrointestinal anastomotic ring to which this patent application relates may also be made of similar biodegradable materials, the portion of which is not important to the claimed patent application, and therefore, reference may be made to this prior art by those skilled in the art upon reading this patent, the entire disclosure of which is incorporated herein by reference.
Against the above prior art, a series of technical solutions that can solve the above problems are proposed in chinese patent applications 201310172918, X, 201310514851.3, 201320666999.4, 201320667000.8, 201320666997.5, which are incorporated herein by reference in their entirety as part of the disclosure of the present application, and those skilled in the art can assist in understanding the technical field, background, summary, and embodiments of the present invention in light of the above listed description of the prior art.
Disclosure of Invention
The technical problem underlying the present invention is to provide a gastrointestinal anastomosis ring, reducing or avoiding the problems mentioned above.
Specifically, the invention provides a gastrointestinal tract anastomosis ring, which comprises a first half ring and a second half ring which can be mutually anastomosed, wherein the first half ring comprises a first hemispherical shell body of which the bottom surface is provided with a through hole and a first connecting guide cylinder extending along the through hole, the second half ring comprises a second hemispherical shell body of which the bottom surface is provided with a through hole and a second connecting guide cylinder extending along the through hole, an anastomosis cylinder is arranged between the second hemispherical shell body and the second connecting guide cylinder, and the top of the anastomosis cylinder is provided with second circular-arc-shaped sawteeth anastomotic with the edge of the first hemispherical shell body.
Preferably, the first and second connection guide cylinders have the same structure.
Preferably, first connection guide cylinder with the second connection guide cylinder by a plurality of interval distribution, follow the circular arc limit evenly distributed's of through-hole first circular arc piece and second circular arc piece constitute, wherein, first circular arc piece is "nearly" shape circular arc piece, second circular arc piece inboard be provided with the structure assorted buckle structure of "nearly" shape circular arc piece.
Preferably, the first arc pieces are uniformly distributed on a first arc, the second arc pieces are uniformly distributed on a second arc, and the outer diameter of the first arc is less than or equal to the inner diameter of the second arc.
Preferably, in an inosculating state of the first half ring and the second half ring, the first arc piece of the first connecting guide cylinder is arranged on the inner side of the second arc piece of the second connecting guide cylinder, and the 'several' -shaped structure of the first arc piece of the first connecting guide cylinder and the fastening structure of the second arc piece of the second connecting guide cylinder form a snap fit; the second circular arc piece of first connection guide cylinder sets up the outside of the first circular arc piece of second connection guide cylinder, just the buckle structure of the second circular arc piece of first connection guide cylinder with "nearly" shape structure formation buckle cooperation of the first circular arc piece of second connection guide cylinder.
Preferably, the "several" shaped circular arc pieces of the first circular arc piece are of a hollow circular arc plate-shaped structure.
Preferably, the second arc sheet is a solid arc plate-shaped structure.
Preferably, the fastening structure arranged on the inner side of the second arc piece comprises an assembling positioning fastener and two inosculating positioning fasteners.
Preferably, a plurality of lightening holes are provided on the first and second hemispherical shells.
Preferably, a pre-breaking groove is provided between the lightening holes.
The gastrointestinal tract anastomosis ring with the improved structure provided by the invention has the advantages that the two half rings, the second half ring is provided with the anastomosis cylinder positioned inside, and the anastomosis cylinder is used for anastomosis with the first hemispherical shell of the first half ring, so that the anastomosis part of the gastrointestinal tract is shielded and protected by the second hemispherical shell of the second half ring, and the anastomosis reliability of the anastomosis ring and the operation safety are improved.
Detailed Description
In order to more clearly understand the technical features, objects, and effects of the present invention, embodiments of the present invention will now be described with reference to the accompanying drawings. Wherein like parts are given like reference numerals.
The invention relates to a medical instrument, in particular to an anastomosis ring for gastrointestinal tract surgery, which is similar to the anastomosis ring for gastrointestinal tract anastomosis surgery disclosed in the prior art mentioned in the background technology section and belongs to an improvement on the prior art. The working principle, materials and the like of the anastomosis ring related to the patent of the invention are similar to those of the prior art, so that the application refers to the prior art in its entirety, and the details of the operation principle and the like are not repeated.
Figure 1 illustrates a diagram of a gastrointestinal anastomosis ring in an exploded configuration, in accordance with an embodiment of the present invention. As shown in fig. 1, the gastrointestinal anastomosis ring according to the present invention includes a first half ring 1 and a second half ring 2 which are anastomotic with each other. Wherein, the first half-ring 1 comprises a first semi-spherical shell 12 with a through hole 11 on the bottom surface and a first connecting guide cylinder 13 extending along the through hole 11, the second half-ring 2 also comprises a second semi-spherical shell 22 with a through hole 21 on the bottom surface and a second connecting guide cylinder 23 extending along the through hole 21 (due to the view angle, only a small part of the end of the second connecting guide cylinder 23 is shown in fig. 1, which can be understood by referring to fig. 4 and 5), and significantly different from the prior art, an anastomosis cylinder 24 (not visible in fig. 1, see fig. 4 and 5) is arranged between the second semi-spherical shell 22 and the second connecting guide cylinder 23, and the top of the anastomosis cylinder 24 is provided with a second circular arc-shaped sawtooth 25 (see fig. 4 and 5) which is anastomosed with the edge of the first semi-spherical shell 12. Correspondingly, the edge of the first hemispherical shell 12 is provided with first circular arc saw teeth 15 which are matched with the second circular arc saw teeth 25.
The invention provides a gastrointestinal tract anastomosis ring with an improved structure, wherein in two half rings, the second half ring is provided with an anastomosis cylinder positioned inside, and the anastomosis cylinder is used for anastomosis with a first hemispherical shell of the first half ring, so that an anastomosis part of a gastrointestinal tract can be shielded and protected by a second hemispherical shell of the second half ring positioned outside the anastomosis cylinder, the anastomosis part is not easy to expose to generate inflammation, and a suture of the anastomosis part is not easy to fall off due to gastrointestinal tract peristalsis, thereby improving the anastomosis reliability of the anastomosis ring and the operation safety.
In addition, in one embodiment shown in fig. 1, the first and second connecting guide cylinders 13 and 23 have the same structure. The embodiment provides the gastrointestinal anastomosis ring with a simple structure, and the gastrointestinal anastomosis ring adopts two connecting guide cylinders with the same structure, so that related structures can be produced by adopting the same mould design, the mould opening, manufacturing and assembling cost is reduced, the production process is simplified, and the production cost is reduced.
Fig. 2 shows a schematic perspective view of a first half ring in fig. 1, fig. 4 shows a schematic perspective view of a second half ring in fig. 1, as shown in fig. 2 and 4, in an embodiment, the first connecting guide cylinder 13 and the second connecting guide cylinder 23 have the same structure, and each of the first connecting guide cylinder 13 and the second connecting guide cylinder 23 is composed of a plurality of first arc pieces 31 and second arc pieces 32 which are distributed at intervals and uniformly distributed along arc edges of the through holes 11 and 21, wherein the first arc pieces 31 are "several" arc pieces, and the inner sides of the second arc pieces 32 are provided with fastening structures 321 which are matched with the structures of the "several" arc pieces (the first arc pieces 31).
The first arc piece (the 'several' -shaped arc piece) 31 is of a hollow arc-shaped plate-shaped structure, so that the requirement on the quantity of materials during manufacturing is greatly reduced on the basis of ensuring the connection strength. For ease of manufacture and positioning, it is preferred that each connecting guide cylinder 13, 23 is provided with two "several" circular arcs. Correspondingly, the second arc piece 32 is a solid arc plate-shaped structure, and since the first arc piece 31 and the second arc piece 32 are distributed at intervals, in the corresponding embodiment, two second arc pieces 32 are respectively arranged on each connecting guide cylinder 13, 23.
The invention adopts the 'n' -shaped arc sheet, the 'n' -shaped hollow part of the 'n' -shaped arc sheet can reduce materials on one hand, and on the other hand, the 'n' -shaped arc sheet can also be matched with the structure of the buckle structure 321 of the second arc sheet 32 to form a firm connection relationship.
Fig. 3 is a plan view of the first half ring shown in fig. 2, fig. 5 is a plan view of the second half ring shown in fig. 4, and as can be seen from fig. 3 and 5, the first circular arc pieces 31 are uniformly distributed on a first circular arc, and the second circular arc pieces 32 are uniformly distributed on a second circular arc, wherein the outer diameter of the first circular arc is smaller than or equal to the inner diameter of the second circular arc.
Two first arc pieces 31 and two second arc pieces 32 on two half rings shown in fig. 1-5, the first arc pieces 31 of the first connecting guide cylinder 13 are arranged on the inner side of the second arc pieces 32 of the second connecting guide cylinder 23 under the matching state of the first half ring 1 and the second half ring 2, and the structure of the shape of the 'several' of the first arc pieces 31 of the first connecting guide cylinder 13 can form a snap fit with the snap structure 321 arranged on the second arc pieces 32 of the second connecting guide cylinder 23; meanwhile, the second arc piece 32 of the first connecting guide cylinder 13 is arranged outside the first arc piece 31 of the second connecting guide cylinder 23, and the snap structure 321 arranged on the second arc piece 32 of the first connecting guide cylinder 13 forms a snap fit with the 'n' -shaped structure of the first arc piece 31 of the second connecting guide cylinder 23. The above description appears very winding, and in fact, with reference to the specific embodiment shown in fig. 1-5, it can be seen that, when the first half ring 1 and the second half ring 2 are mutually staggered by an angle of 90 degrees, the first circular arc piece 31 and the second circular arc piece 32 of the two half rings are correspondingly inserted and connected together in a snap-fit manner.
According to the invention, the first connecting guide cylinder 13 and the second connecting guide cylinder 23 which are of the same structure are adopted, the first arc piece 31 and the second arc piece 32 which are arranged in a staggered mode are inserted and buckled in a staggered mode, each buckling position is that the second arc piece 32 is positioned on the outer side, so that the buckling structure formed in an inosculating state is a complete cylinder formed by the second arc pieces 32 of the solid arc plate-shaped structures, the slit area after inosculation is reduced, intestinal juice is prevented from leaking from the slit in a large range, and the healing of an operation wound of a patient is facilitated.
In addition, referring to fig. 1-5, in a preferred embodiment, said snap structure 321 provided on the inner side of the second circular arc 32 corresponding to each of said first circular arc 31 (the "several" circular arc) comprises a fitting positioning snap 33 and two anastomosis positioning snaps 34. The assembly positioning buckle 33 and the anastomosis positioning buckle 34 are arranged in a triangle, and the width of the two anastomosis positioning buckles 34 can be the same as the width of the hollow space of the 'n' -shaped first circular arc piece 31, so that after the anastomosis ring is anastomosed, the anastomosis positioning buckle 34 can stably fix the first circular arc piece 31.
The assembling and positioning buckle 33 is used for clamping and positioning the top of the 'several' shape of the first circular arc piece 31 during initial assembling, and because the assembling and positioning buckle 33 is only one, the positioning is only simple and is not completely clamped. After the anastomosis ring is completely positioned and assembled, the first half ring 1 and the second half ring 2 are fastened by force, and the two anastomosis positioning buckles 34 just clamp the first circular arc sheet 31, so that after the anastomosis ring is anastomosed, the anastomosis positioning buckles 34 can stably fix the 'Pi' -shaped structure of the first circular arc sheet 31.
In another embodiment, it is preferable that the second circular arc piece 32 is provided with an elongated rib 26 on the outer side thereof for reinforcing the strength of the second circular arc piece 32.
In addition, the existing gastrointestinal anastomosis ring prepared by adopting degradable materials is naturally degraded, namely, the gastrointestinal anastomosis ring is degraded into fragments with uneven sizes in the degradation process, so that the degradation time and the degradation process of the whole gastrointestinal anastomosis ring are not controllable, and if the fragments generated in the degradation process of the gastrointestinal anastomosis ring are large, the fragments can be dissociated to other positions in the human body, and discomfort is brought to a patient. Thus, in a preferred embodiment, as shown in fig. 1-3 and 5, the hemispherical shells 12 and 22 are provided with a plurality of lightening holes 27 for reducing the amount of material and saving cost, and in addition, the lightening holes 27 can further reduce the volume of fragments of the anastomotic ring after degradation, so that in another embodiment, the lightening holes 27 are provided with pre-made crushing grooves 28 therebetween. The purpose of the arrangement of the prefabricated crushing groove 28 is to provide a prefabricated fragment structure, so that when the prefabricated crushing groove 28 is degraded to the position of the prefabricated crushing groove in the degradation process, the prefabricated crushing groove 27 is used as a boundary to be decomposed into a plurality of fragments with uniform sizes, and the fragments are convenient for human tissues to absorb.
The gastrointestinal anastomosis ring provided by the invention has the advantages of simple structure, easy manufacture, easy positioning and less material consumption, can effectively save the consumption of biodegradable materials required to be used, simplifies the production process and reduces the production cost.
It should be appreciated by those of skill in the art that while the present invention has been described in terms of several embodiments, not every embodiment includes only a single embodiment. The description is given for clearness of understanding only, and it is to be understood that all matters in the embodiments are to be interpreted as including technical equivalents which are related to the embodiments and which are combined with each other to illustrate the scope of the present invention.
The above description is only an exemplary embodiment of the present invention, and is not intended to limit the scope of the present invention. Any equivalent alterations, modifications and combinations can be made by those skilled in the art without departing from the spirit and principles of the invention.