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CN107854151B - Pull-down type assembly tool of magnetic force anastomat - Google Patents

Pull-down type assembly tool of magnetic force anastomat Download PDF

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Publication number
CN107854151B
CN107854151B CN201711331602.5A CN201711331602A CN107854151B CN 107854151 B CN107854151 B CN 107854151B CN 201711331602 A CN201711331602 A CN 201711331602A CN 107854151 B CN107854151 B CN 107854151B
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CN
China
Prior art keywords
piece
anastomat
magnetic force
clamping
anastomosis
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Application number
CN201711331602.5A
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Chinese (zh)
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CN107854151A (en
Inventor
徐忠法
石会勇
王若谷
甄亚男
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AFFILIATED HOSPITAL OF SHANDONG ACADEMY OF MEDICAL SCIENCES
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AFFILIATED HOSPITAL OF SHANDONG ACADEMY OF MEDICAL SCIENCES
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Priority to CN201711331602.5A priority Critical patent/CN107854151B/en
Publication of CN107854151A publication Critical patent/CN107854151A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus

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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)
  • Physiology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a pull-down type assembly tool of a magnetic force anastomat, which comprises the magnetic force anastomat and an assembly mechanism thereof, wherein the magnetic force anastomat comprises a first body and a second body which are oppositely arranged, the first body and the second body are provided with magnets which are mutually attracted, the first body and the second body are provided with communicated through holes, the assembly mechanism can pass through the through holes, the assembly mechanism comprises an operation rod which is clamped with the second body, the operation rod is sleeved with an operation piece which can move up and down, an elastic piece is arranged in the operation piece, a clamping piece is arranged on the elastic piece, a boss is arranged at the top end of the operation piece and used for inwards pressing the elastic piece, the second body is provided with a clamping groove matched with the clamping piece, and the clamping piece is provided with a first state which is positioned in the clamping groove and is clamped with the second body and a second state which is separated from the operation rod and the second body by the clamping groove. The magnetic anastomosis device has the advantages that the circular anastomosis device in the nail anastomosis and the magnetic anastomosis device in the magnetic anastomosis are combined, and the advantages of the magnetic anastomosis and the nail anastomosis are combined.

Description

Pull-down type assembly tool of magnetic force anastomat
Technical Field
The invention relates to an assembling tool of a magnetic anastomat, in particular to a pull-down assembling tool of a magnetic anastomat.
Background
Gastrointestinal anastomosis has been a 100-year history in which a number of different materials have been used for gastrointestinal anastomosis, including silk threads, catgut threads, stainless steel sutures, novel single fiber threads and absorbable threads. During the last 30 years, anastomotic devices have been touted by surgeons. How to choose the anastomosis and the appliance anastomosis is still a matter of a plurality of academic debates.
Surgical complications gradually decrease as anastomosis techniques develop, but anastomotic fistulae remain one of the most feared postoperative complications. The incidence of anastomotic fistulae (1% -24%) was very different, while the incidence of lower rectal anastomotic fistulae (12% -19%) was higher than that of colonic anastomotic fistulae (11%). Anastomotic fistulae have a correlation with higher local recurrence rates and lower long-term survival rates. In addition, long-term gastrointestinal function can also be adversely affected by complications such as anastomotic modes, methods, and anastomotic fistulae. Over a hundred years, intestinal anastomosis techniques have been explored constantly, and the aim is to establish anastomosis techniques which are safer, more reliable and more convenient than manual suturing and have less impact on intestinal function, and new methods and new instruments have been reported frequently, and various anastomosis techniques have been proved to be comparable to standard manual anastomosis and anastomat techniques. However, most alternative anastomosis techniques are not mature.
The existing anastomosis technique comprises the following steps: 1. nail anastomosis; 2. pressurized anastomosis; 3. magnetic control anastomosis technology; wherein the compression anastomosis device employed in the compression anastomosis in turn comprises nickel-titanium memory alloy (SMA), and an EndoCAR. And the magnetic control type anastomosis and the manual anastomosis or anastomat have no statistical significance in the aspect of anastomosing intestinal canal anastomosis complications. The magnetic intestinal anastomosis has innovation without causing the intestinal canal stenosis, has wide application prospect, and the magnetic anastomat and the prior nail anastomosis are not combined to be applied to an assembly tool in the operation in the market at present.
Disclosure of Invention
In order to overcome the defects in the prior art, the invention aims to provide a pull-down type assembly tool of a magnetic anastomat.
The invention adopts the following technical scheme:
the utility model provides a pull-down assembly tool of magnetic force anastomat, includes magnetic force anastomat and assembly mechanism thereof, magnetic force anastomat includes relative first body and the second body that sets up, be equipped with the magnet of mutual actuation on first body and the second body, be equipped with communicating through-hole on first body and the second body, assembly mechanism can pass the through-hole, assembly mechanism includes the action bars with the looks joint of second body, the action bars cover is equipped with the operating piece that can reciprocate, be equipped with the shell fragment in the operating piece, be equipped with the screens piece on the shell fragment, the operating piece top is equipped with the boss, be used for inwards oppression the shell fragment, the boss is located the shell fragment top, be equipped with on the second body with screens piece looks adaptation, the screens piece has and is located make the action bars with the first state of second body joint and break away from the screens make the action bars with the second state that the second body separates.
Further, a bump is arranged on the elastic piece at a position corresponding to the boss, and the bump contacts with the boss and presses the elastic piece inwards to enable the clamping piece to be separated from the clamping groove.
Further, the boss is annular, and the contact surface between the boss and the lug is an arc surface or an inclined surface.
Further, the surface of the convex block is provided with an arc surface or an inclined surface.
Further, the number of the elastic pieces is multiple, the elastic pieces are circumferentially arranged on a sleeve, the operating piece is sleeved outside the sleeve, an elongated driving shaft is arranged in the sleeve, and the sleeve is fixedly connected with the elongated driving shaft.
Further, a puncture cone and a nail bin assembly are arranged at the top end of the slender driving shaft, the puncture cone penetrates through the magnetic anastomat to be connected with a nail supporting seat, and the nail supporting seat is clamped with the first body.
Further, the operating piece is connected with an extension piece, and the extension piece is sleeved at the tail end of the operating piece and fixedly connected with the operating piece.
Further, the assembly mechanism comprises a nail propping seat, and the nail propping seat is detachably clamped with the first body.
Further, the clamping groove is an annular groove and is arranged on the inner wall of the through hole of the second body.
Further, the number of the clamping grooves is multiple, and the clamping grooves are circumferentially distributed on the inner wall of the through hole of the second body.
Compared with the prior art, the invention has the beneficial effects that:
the circular anastomat in the nail anastomosis and the magnetic anastomat in the magnetic anastomosis are combined, the circular anastomat is used as an assembly tool of the magnetic anastomat, an operation rod of the circular anastomat is clamped with a second body of the magnetic anastomat, and the connection and the separation of the circular anastomat and the magnetic anastomat can be realized through the operation rod, so that the advantages of the magnetic anastomosis and the nail anastomosis are combined, the defect that the anastomotic stoma is easy to narrow due to the nail anastomosis is avoided, the application range is enlarged, the anastomosis operation on the near anus side can be performed, more intestinal tracts on the anus side can be reserved, and the anus function is ensured.
Drawings
FIG. 1 is a schematic view of an assembly tool according to an embodiment of the present invention;
FIG. 2 is a schematic cross-sectional view of an operating member according to an embodiment of the present invention in a first state;
FIG. 3 is a schematic cross-sectional view of an operating member according to an embodiment of the present invention in a second state;
fig. 4 is a schematic structural view of a sleeve with a spring according to an embodiment of the present invention;
fig. 5 is a schematic structural view of an operating member according to an embodiment of the present invention.
In the figure: 10. a magnetic force anastomat; 11. a first body; 12. a second body; 13. a through hole; 14. a clamping groove; 20. an assembly mechanism; 21. a nail supporting seat; 22. an operation lever; 23. an elongated drive shaft; 24. a puncture cone; 25. a staple cartridge assembly; 30. an operating member; 31. a clamping piece; 32. a spring plate; 33. a boss; 34. a bump; 35. a sleeve; 36. screw holes; 37. a screw; 38. an extension; 39. a contact surface.
Detailed Description
The present invention will be further described with reference to the accompanying drawings and detailed description, wherein it is to be understood that, on the premise of no conflict, the following embodiments or technical features may be arbitrarily combined to form new embodiments.
In the description of the present invention, it should be noted that, for the azimuth words such as "center", "lateral", "longitudinal", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", etc., the azimuth and positional relationships are based on the azimuth or positional relationships shown in the drawings, it is merely for convenience of describing the present invention and simplifying the description, and it is not to be construed as limiting the specific scope of protection of the present invention that the device or element referred to must have a specific azimuth configuration and operation.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features. Thus, the definition of "a first", "a second" or "a second" feature may explicitly or implicitly include one or more such feature, and in the description of the invention, the meaning of "a number" is two or more, unless otherwise specifically defined.
In the present invention, unless explicitly stated and limited otherwise, the terms "assembled," "connected," and "connected" are to be construed broadly, e.g., as being either fixedly connected, detachably connected, or integrally connected; or may be a mechanical connection; can be directly connected or connected through an intermediate medium, and can be communicated with the inside of the two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
As shown in fig. 1-5, a pull-down assembly tool of a magnetic force anastomat 10 comprises a magnetic force anastomat 10 and an assembly mechanism 20 thereof, wherein the magnetic force anastomat 10 comprises a first body 11 and a second body 12 which are oppositely arranged, magnets which are mutually attracted are arranged on the first body 11 and the second body 12, a through hole 13 which is communicated is arranged on the first body 11 and the second body 12, the assembly mechanism 20 can pass through the through hole 13, the assembly mechanism 20 comprises an operation rod 22 which is clamped with the second body 12, the operation rod 22 is sleeved with an operation piece 30 which can move up and down, an elastic piece 32 is arranged in the operation piece 30, a clamping piece 31 is arranged on the elastic piece 32, a boss 33 is arranged at the top end of the operation piece 30 and used for inwards pressing the elastic piece 32, the boss 33 is positioned above the elastic piece 32, a clamping groove 14 which is matched with the clamping piece 31 is arranged on the second body 12, and the clamping piece 31 is provided with a first state which is positioned in the clamping groove 14 to clamp the operation rod 22 with the second body 12 and a second state which is separated from the clamping groove 14 to the second body 12.
The circular anastomat in the nail anastomosis and the magnetic anastomat 10 in the magnetic anastomosis are combined, the circular anastomat is used as an assembling tool of the magnetic anastomat 10, the operating rod 22 of the circular anastomat is clamped with the second body 12 of the magnetic anastomat 10, the connection and the separation of the circular anastomat and the magnetic anastomat 10 can be realized through the operating rod 22, the advantages of the magnetic anastomosis and the nail anastomosis are integrated, the defect that the nail anastomosis is easy to cause anastomotic stenosis is avoided, the application range is enlarged, the anastomosis operation of the near anus side can be performed, more intestinal tracts of the anus side can be reserved, and the anus function is ensured.
More specifically, the clamping is achieved by the clamping piece 31 on the elastic piece 32 in the operating piece 30 and the clamping groove 14 on the first body 11, and the positions of the clamping piece 31 and the clamping groove 14 are interchangeable.
The spring plate 32 is provided with a bump 34 at a position corresponding to the boss 33, and the bump 34 contacts with the boss 33 and presses the spring plate 32 inwards to enable the clamping piece 31 to be separated from the clamping groove 14.
The specific operation method comprises the following steps: when the operating lever 22 is connected with the second body 12, the boss 33 is located above the bump 34, the connection between the operating lever 22 and the second body 12 needs to be released, when the circular anastomat is taken down, the operating member 30 is pulled down, the boss 33 contacts with the bump 34 and then presses the elastic sheet 32 inwards, the clamping member 31 is pushed out of the clamping groove 14 backwards, the second body 12 is not connected with the operating lever 22 any more, the operating lever 22 is taken out of the magnetic anastomat 10 with the nail supporting seat 21, and leaves the gastrointestinal anastomosis position, the magnetic anastomat 10 clamps the anastomosis opening, remains in the body, and is discharged out of the body after the anastomosis opening heals.
In order to facilitate extrusion of the bump 34, the boss 33 and the bump 34 may be in a manner of point-to-surface fit, surface-to-surface fit, or the like, more specifically, the boss 33 is annular, is disposed at the top end of the operating member 30, protrudes inward, and has an arc surface or an inclined surface, or the contact surface 39 with the bump 34 is set to be an arc surface or an inclined surface, and meanwhile, the surface of the bump 34 is set to be an adaptive arc surface or an inclined surface.
As shown in fig. 4, the number of the elastic sheets 32 is plural, and the elastic sheets are circumferentially arranged on a sleeve 35, so that the processing and the assembly are convenient, the operating member 30 is sleeved outside the sleeve 35, the sleeve 35 is internally provided with the slender driving shaft 23, and the sleeve 35 is fixedly connected with the slender driving shaft 23, so that no relative displacement exists between the sleeve 35 and the slender driving shaft 23, and the stability of use is maintained. More specifically, the lower end of the sleeve 35 is provided with a screw hole 36, and is fixedly connected to the elongated driving shaft 23 by a screw 37.
The top end of the slender driving shaft 23 is provided with a puncture cone 24 and a nail bin assembly 25, the puncture cone 24 penetrates through the magnetic anastomat 10 to be connected with the nail propping seat 21, and the nail propping seat 21 is clamped with the first body 11.
The assembly mechanism 20 includes a nail supporting seat 21, and the nail supporting seat 21 is detachably clamped with the first body 11.
The specific operation mode is as follows: firstly, the nail propping seat 21 is placed into the through hole 13 on the first body 11 and clamped with the first body 11, then the top end of the operation rod 22 is inserted into the through hole 13 on the second body 12, then clamped with the clamping piece 31 through the clamping groove 14, then the top end of the operation rod 22 and the second body 12 are placed into the other tissue breaking port to be anastomosed, the puncture cone 24 at the top end of the operation rod 22 is connected with the nail propping seat 21, the nail propping seat is gradually closed to the operation rod through the slender driving shaft 23 until the first body 11 and the second body 12 clamp the two tissue breaking ends to be anastomosed, then the nail bin assembly 25 at the top end of the operation rod 22 cuts off the inner stitching opening, the nail in the nail bin assembly stretches out, the nail propping seat is blocked to be folded back, meanwhile, the tubular cutter blade in the nail bin assembly cuts off the nail firmly-bound inner circle tissue, then the annular boss 33 on the inner wall of the operation piece 30 is pulled down through the operation piece 30, the elastic piece 34 on the inner circle 32 is pressed, the elastic piece 32 is inwards deformed, the clamping piece 31 at the top end of the operation rod 32 is withdrawn from the clamping piece 14, the second body 12 is withdrawn from the nail bin assembly 12 is removed from the magnetic force mechanism, and the magnetic force is removed from the inner wall of the operation rod body 20, and the anastomosed in order to be assembled with the body 20.
The operating member 30 is connected with an extension piece 38, the extension piece 38 is sleeved at the tail end of the operating member 30 and is clamped with the operating member 30, so that a user can conveniently hold the operating member 30.
The specific structure of the clamping groove 14 may be various, one is that the clamping groove 14 is an annular groove, the clamping groove is arranged on the inner wall of the through hole 13 of the second body 12, and the clamping piece 31 can rotate in the clamping groove 14 by taking the operation rod 22 as an axis. Alternatively, the number of the clamping grooves 14 is plural, the number corresponds to the clamping pieces 31, the clamping grooves are circumferentially distributed on the inner wall of the through hole 13 of the second body 12, and the sleeve 35 with the clamping pieces 31 cannot rotate greatly.
The magnet on the magnetic anastomat 10 has a magnetic force of 2000-3000 gauss, which not only can ensure the complete and tight anastomosis, but also can be smoothly dropped and discharged after the anastomosis is completed, and has no magnetic influence on tissues around the anastomotic ball. The thickness of the magnetic ring is only 2mm; the outer surface of the shell is smooth, gastrointestinal mucosa is not easy to damage, the intestinal tract is not easy to damage when the shell moves in the intestine after falling off, the external body is conveniently removed, incarceration does not occur, and the body does not have uncomfortable reactions such as falling and expanding when the shell does not fall off, so that complications such as angulation, stenosis, adhesion, obstruction and even perforation of the intestinal tract can not be caused. The shell is made of medical polyethylene plastic, the surface is smooth, the mounting piece is made of stainless steel materials, the magnetic ring is made of neodymium iron boron magnetic rings, the total weight of the whole magnetic anastomat is only 25g, no foreign matter reaction is caused, and the tissue compatibility is good.
The above embodiments are only preferred embodiments of the present invention, and the scope of the present invention is not limited thereto, but any insubstantial changes and substitutions made by those skilled in the art on the basis of the present invention are intended to be within the scope of the present invention as claimed.

Claims (5)

1. The pull-down type assembly tool of the magnetic force anastomat is characterized by comprising the magnetic force anastomat and an assembly mechanism thereof, wherein the magnetic force anastomat comprises a first body and a second body which are oppositely arranged, the first body and the second body are provided with magnets which are mutually attracted, the first body and the second body are provided with through holes which are communicated, the assembly mechanism can pass through the through holes, the assembly mechanism comprises an operation rod which is clamped with the second body, the operation rod is sleeved with an operation piece which can move up and down, an elastic piece is arranged in the operation piece, a clamping piece is arranged on the elastic piece, a boss is arranged at the top end of the operation piece and used for inwards pressing the elastic piece, the boss is positioned above the elastic piece, the second body is provided with a clamping groove which is matched with the clamping piece, and the clamping piece is provided with a first state which is positioned in the clamping groove and enables the operation rod to be clamped with the second body and a second state which is separated from the clamping groove and enables the operation rod to be separated from the second body;
a bump is arranged on the elastic piece at a position corresponding to the boss, and is contacted with the boss and presses the elastic piece inwards to enable the clamping piece to be separated from the clamping groove;
the number of the elastic pieces is multiple, the elastic pieces are circumferentially arranged on a sleeve, the operating piece is sleeved outside the sleeve, an elongated driving shaft is arranged in the sleeve, and the sleeve is fixedly connected with the elongated driving shaft;
the top end of the slender driving shaft is provided with a puncture cone and a nail bin assembly, the puncture cone penetrates through the magnetic anastomat to be connected with a nail supporting seat, and the nail supporting seat is clamped with the first body;
the operating piece is connected with an extension piece, and the extension piece is sleeved at the tail end of the operating piece and fixedly connected with the operating piece;
the assembly mechanism comprises a nail propping seat, and the nail propping seat is detachably clamped with the first body.
2. The pull-down assembly tool of the magnetic force anastomat according to claim 1, wherein the boss is annular, and the contact surface with the lug is an arc surface or an inclined surface.
3. The pull-down assembly tool of the magnetic force anastomat according to claim 1, wherein the convex block surface is provided with an arc surface or an inclined surface.
4. A pull-down assembly tool for a magnetic force anastomat according to any one of claims 1 to 3, wherein the clamping groove is an annular groove arranged on the inner wall of the through hole of the second body.
5. The pull-down assembly tool of the magnetic force anastomat according to any one of claims 1 to 3, wherein the number of the clamping grooves is plural, and the clamping grooves are circumferentially distributed on the inner wall of the through hole of the second body.
CN201711331602.5A 2017-12-13 2017-12-13 Pull-down type assembly tool of magnetic force anastomat Active CN107854151B (en)

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CN107854151A CN107854151A (en) 2018-03-30
CN107854151B true CN107854151B (en) 2024-02-02

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201701250U (en) * 2009-12-10 2011-01-12 彭阳慧 Novel alimentary canal stapler osculating device
CN104201494A (en) * 2014-09-16 2014-12-10 上海航天科工电器研究院有限公司 Spring piece type pushing-to-unlock connector
CN104921772A (en) * 2015-07-02 2015-09-23 张林安 Manual type anorectal surgery magnetic ring anastomat
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN107332044A (en) * 2017-08-30 2017-11-07 苏州丰年科技股份有限公司 A kind of connector is to slotting locking mechanism
CN209032497U (en) * 2017-12-13 2019-06-28 山东省医学科学院附属医院 A kind of pull-down assembly tool of magnetic force stapler

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201701250U (en) * 2009-12-10 2011-01-12 彭阳慧 Novel alimentary canal stapler osculating device
CN104201494A (en) * 2014-09-16 2014-12-10 上海航天科工电器研究院有限公司 Spring piece type pushing-to-unlock connector
CN104921772A (en) * 2015-07-02 2015-09-23 张林安 Manual type anorectal surgery magnetic ring anastomat
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN107332044A (en) * 2017-08-30 2017-11-07 苏州丰年科技股份有限公司 A kind of connector is to slotting locking mechanism
CN209032497U (en) * 2017-12-13 2019-06-28 山东省医学科学院附属医院 A kind of pull-down assembly tool of magnetic force stapler

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