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CN107951524B - Pull rope type assembly tool of magnetic force anastomat - Google Patents

Pull rope type assembly tool of magnetic force anastomat Download PDF

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Publication number
CN107951524B
CN107951524B CN201711331607.8A CN201711331607A CN107951524B CN 107951524 B CN107951524 B CN 107951524B CN 201711331607 A CN201711331607 A CN 201711331607A CN 107951524 B CN107951524 B CN 107951524B
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CN
China
Prior art keywords
anastomat
magnetic force
pull rope
pull
anastomosis
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CN201711331607.8A
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CN107951524A (en
Inventor
徐忠法
孙子雯
甄亚男
石会勇
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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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Publication of CN107951524A publication Critical patent/CN107951524A/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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system

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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 rope 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 attracted with each other, the first body and the second body are provided with communicated through holes, the assembly mechanism passes through the through holes, the assembly mechanism comprises an operation rod which is clamped with the second body, the operation rod is provided with a jacking block which props against the second body and a pull rope which pulls the second body, and the pull rope is provided with a first state for tensioning and connecting the operation rod and the second body and a second state for loosening and separating the operation rod from the second body. The magnetic force anastomat has the advantages that the circular anastomat in the nail anastomosis and the magnetic force anastomat in the magnetic force anastomosis are combined, the connection and the separation of the circular anastomat and the magnetic force anastomat can be realized through the ejector block and the pull rope, the advantages of the magnetic force anastomosis and the nail anastomosis are integrated, and the defect that the nail anastomosis is easy to cause anastomotic stoma is avoided.

Description

Pull rope type assembly tool of magnetic force anastomat
Technical Field
The invention relates to an assembly tool of a magnetic anastomat, in particular to a pull rope type assembly 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 rope type assembling tool of a magnetic anastomat.
The invention adopts the following technical scheme:
the utility model provides a stay cord formula 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 the through-hole of intercommunication on first body and the second body, assembly mechanism passes the through-hole, assembly mechanism includes the action bars with second body joint, be equipped with on the action bars and prop up the kicking block of second body and pull the stay cord of second body, the stay cord has taut connection the first state of action bars and second body and loosen and make the action bars with the second state of second body separation.
Further, the second body is provided with a plurality of installation parts for the stay cord to pass through, each installation part comprises a through groove and a support column, each support column is arranged in the middle of the through groove, and the stay cord penetrates from one side of each support column and then penetrates from the other side of each support column.
Further, one end of the pull rope is connected with the mounting part, and the other end of the pull rope is connected with the bottom end of the operating rod.
Further, the operating rod comprises an elongated driving shaft, a sleeve sleeved outside the elongated driving shaft and an outer shell sleeved outside the sleeve, the ejector block is arranged at the top end of the sleeve, and the pull rope is positioned at the inner side of the outer shell.
Further, the bottom end of the sleeve is provided with a mounting screw for fixedly connecting with the slender driving shaft.
Further, the pull rope is connected with the mounting screw.
Further, the top end of the slender driving shaft is provided with a puncture cone and a nail bin assembly, the nail bin assembly is positioned in the through hole, and the puncture cone can pass through the through hole under the driving of the slender driving shaft.
Further, the housing of the second body is provided with a containing groove of the top block, and the top block is in contact with the top surface of the containing groove.
Further, the assembly mechanism comprises a nail propping seat, and the nail propping seat is detachably clamped with the first body.
Further, the pull rope is made of medical sanitary rope materials.
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 operating rod of the circular anastomat and a second body of the magnetic anastomat are detachably connected, the connection and the separation of the circular anastomat and the magnetic anastomat can be realized through a top block and a pull rope, 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 scope 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 assembly tool according to an embodiment of the present invention;
FIG. 3 is a schematic view of an embodiment of the present invention with the outer shell removed;
FIG. 4 is a schematic view of a sleeve according to an embodiment of the present invention;
fig. 5 is a schematic structural view of a housing of the second body according to the 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 mounting part; 15. a through groove; 16. a support post; 17. a housing; 18. a receiving groove; 20. an assembly mechanism; 21. an operation lever; 22. a top block; 23. a pull rope; 24. an elongated drive shaft; 25. a sleeve; 251. installing a screw; 26. an outer housing; 27. a nail supporting seat; 28. a puncture cone; 29. a staple cartridge assembly.
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.
The utility model provides a stay cord 23 assembly tool of magnetic force anastomat 10, including magnetic force anastomat 10 and assembly mechanism 20 thereof, magnetic force anastomat 10 includes relative first body 11 and the second body 12 that set up, be equipped with the magnet of mutual actuation on first body 11 and the second body 12, be equipped with intercommunication through-hole 13 on first body 11 and the second body 12, assembly mechanism 20 passes through-hole 13, assembly mechanism 20 includes the action bars 21 with the looks joint of second body 12, be equipped with the kicking block 22 that withstands second body 12 and the stay cord 23 that withstands second body 12 on the action bars 21, stay cord 23 has the first state of taut connection action bars 21 and second body 12 and unclamp the second state that makes action bars 21 and second body 12 separate.
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 21 of the circular anastomat and the second body 12 of the magnetic anastomat 10 are detachably connected, the connection and the separation of the circular anastomat and the magnetic anastomat 10 can be realized through the ejector block 22 and the pull rope 23, the advantages of the magnetic anastomosis and the nail anastomosis are combined, the defect that the nail anastomosis is easy to cause the 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 connection and disconnection of the assembly mechanism 20 and the magnetic force anastomat 10 are realized by the cooperation of the top block 22 and the pull rope 23. When the assembly mechanism 20 is connected with the magnetic force anastomat 10, the top block 22 on the operating rod 21 applies upward force to the second body 12, and the pull rope 23 applies downward force to the second body 12, so that the operating rod 21 and the second body 12 cannot generate relative movement in the vertical direction, and meanwhile, the assembly mechanism 20 passes through the magnetic force anastomat 10, so that the operating rod 21 and the second body 12 cannot generate relative movement in the horizontal direction, and the connection stability of the operating rod 21 and the second body 12 is ensured; when the operation rod 21 is required to be separated from the second body 12, the pulling rope 23 is loosened, the tension force on the second body 12 is eliminated, and the assembly mechanism 20 and the magnetic force anastomat 10 can be separated by moving the operation rod 21 backwards. There are various ways of releasing the pull cord 23, such as cutting the pull cord 23, releasing a knot of the pull cord 23, and the like.
The pull cord 23 is connected to the second body 12 in the following manner: the second body 12 is provided with a plurality of mounting portions 14 through which the pull ropes 23 pass, the mounting portions 14 comprise through grooves 15 and support columns 16, the support columns 16 are arranged in the middle of the through grooves 15, the pull ropes 23 penetrate from one side of the support columns 16 and then penetrate from the other side of the support columns 16, and in terms of structural arrangement, if the support columns 16 are thicker, the through grooves 15 are divided into two parts which are not communicated, and the protection scope of the embodiment also belongs to the protection scope of the embodiment. The mounting portion 14 is provided on the housing 17 of the second body 12.
Preferably, one end of the pull cord 23 is connected with the mounting portion 14, and the other end is connected with the bottom end of the operation rod 21, so that the pull cord 23 is conveniently cut off or bound by a user.
The operating rod 21 comprises an elongated driving shaft 24, a sleeve 25 sleeved outside the elongated driving shaft 24 and an outer shell 26 sleeved outside the sleeve 25, the top block 22 can be arranged at the top end of the sleeve 25 for conveniently installing the top block 22, the elongated driving shaft 24 is used for operating components such as a nail bin assembly 29 and a nail abutting seat 27 on a conventional circular anastomat, the outer shell 26 is arranged, the sleeve 25 and the stay rope 23 are folded inside the outer shell 26, and the stay rope 23 is used for preventing interference to surgical instruments during operation.
The sleeve 25 has a mounting screw 251 at its bottom end for securing with the elongate drive shaft 24. So that there is no relative displacement between the sleeve 25 and the elongate drive shaft 24, maintaining stability in use. Meanwhile, the exposed portion of the mounting screw 251 may serve as a connection end of the pull cord 23 on the operation lever 21, and the pull cord 23 is connected with the mounting screw 251.
The elongate drive shaft 24 is provided at its top end with a piercing cone 28 and a cartridge assembly 29, the cartridge assembly 29 being located in the throughbore through which the piercing cone 28 is driven by the elongate drive shaft 24.
More specifically, the housing 17 of the second body 12 is provided with a receiving groove 18 of the top block 22, and the top block 22 abuts against the top surface of the receiving groove 18.
The assembly mechanism 20 comprises a nail propping seat 27, and the nail propping seat 27 is detachably clamped with the first body 11.
The pull rope 23 is made of medical sanitary rope materials.
The specific operation mode is as follows: firstly, a nail propping seat 27 is placed into a through hole 13 on a first body 11 and is clamped with the first body 11, then the nail propping seat is placed into a tissue breaking port to be anastomosed, the top end of an operation rod 21 is inserted into the through hole 13 on a second body 12, the operation rod 21 is connected with a pull rope 23 through the matching of a top block 22, then the top end of the operation rod 21 and the second body 12 are placed into another tissue breaking port to be anastomosed, a puncture cone 28 at the top end of the operation rod 21 is connected with the nail propping seat 27, the nail propping seat is gradually made to be close to the operation rod through an elongated driving shaft 24 until the first body 11 and the second body 12 clamp the two tissue breaking ends to be anastomosed, then a nail bin assembly 29 at the top end of the operation rod 21 is used for cutting an internal suture hole, nails in the nail bin assembly extend out, a tubular knife blade in the nail bin assembly cuts off a nail inner circle tissue while the nail is tightly nailed by the nail propping seat, then the pull rope 23 is cut, the operation rod 21 and the nail propping seat 27 is withdrawn from the through hole 13, the magnetic anastomosing seat 10 is left in the body, and the assembly mechanism 20 is removed out.
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 17 is smooth, gastrointestinal mucosa is not easy to damage, the intestinal tract is not easy to damage when the intestinal tract moves after falling off, the external body is conveniently removed, incarceration does not occur, the body does not have uncomfortable reactions such as falling and expanding when falling off, and 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 (4)

1. The pull rope type assembling tool of the magnetic force anastomat is characterized by comprising the magnetic force anastomat and an assembling 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 attracted with each other, the first body and the second body are provided with through holes which are communicated, the assembling mechanism passes through the through holes, the assembling mechanism comprises an operating rod which is clamped with the second body, the operating rod is provided with a jacking block which jacks the second body and a pull rope which pulls the second body, and the pull rope is provided with a first state for tensioning and connecting the operating rod and the second body and a second state for loosening and separating the operating rod and the second body;
the second body is provided with a plurality of installation parts for the pull ropes to pass through, each installation part comprises a through groove and a support column, each support column is arranged in the middle of each through groove, and each pull rope penetrates from one side of each support column and then penetrates from the other side of each support column;
the operating rod comprises an elongated driving shaft, a sleeve sleeved outside the elongated driving shaft and an outer shell sleeved outside the sleeve, the ejector block is arranged at the top end of the sleeve, and the pull rope is positioned at the inner side of the outer shell;
the bottom end of the sleeve is provided with a mounting screw which is fixedly connected with the slender driving shaft;
the top end of the slender driving shaft is provided with a puncture cone and a nail bin assembly, the nail bin assembly is positioned in the through hole, and the puncture cone can pass through the through hole under the driving of the slender driving shaft;
one end of the pull rope is connected with the mounting part, and the other end of the pull rope is connected with the bottom end of the operating rod;
the assembly mechanism comprises a nail propping seat, and the nail propping seat is detachably clamped with the first body.
2. The pull-cord type assembly tool of a magnetic stapler of claim 1, wherein the pull cord is coupled to the mounting screw.
3. The pull-cord type assembling tool of a magnetic force anastomat according to any one of claims 1-2, wherein the housing of the second body is provided with a receiving groove of the top block, and the top block is abutted against the top surface of the receiving groove.
4. The pull-cord type assembling tool of a magnetic stapler according to any one of claims 1 to 2, wherein the pull cord is made of medical sanitary-grade cord material.
CN201711331607.8A 2017-12-13 2017-12-13 Pull rope type assembly tool of magnetic force anastomat Active CN107951524B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711331607.8A CN107951524B (en) 2017-12-13 2017-12-13 Pull rope type assembly tool of magnetic force anastomat

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711331607.8A CN107951524B (en) 2017-12-13 2017-12-13 Pull rope type assembly tool of magnetic force anastomat

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CN107951524A CN107951524A (en) 2018-04-24
CN107951524B true CN107951524B (en) 2024-01-02

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110215250B (en) * 2019-07-08 2022-04-15 北华大学 Tubular anastomat
CN115365197B (en) * 2022-09-01 2023-11-24 国网河南省电力公司宜阳县供电公司 Substation video monitoring camera cleaning tool

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CN102252054A (en) * 2011-04-22 2011-11-23 中航光电科技股份有限公司 Tensile connecting structure
DE202012102973U1 (en) * 2012-08-07 2012-09-05 Jiin Haur Industrial Co., Ltd. Folding and locking arrangement of a cutting giraffe
CN102734287A (en) * 2012-07-12 2012-10-17 梁晓明 Support rod and support frame comprising support rod
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN209032496U (en) * 2017-12-13 2019-06-28 山东省医学科学院附属医院 A kind of dragline type assembly tool of magnetic force stapler

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Publication number Priority date Publication date Assignee Title
US6981979B2 (en) * 2001-12-14 2006-01-03 Enrico Nicolo Surgical anastomotic devices
US8685046B2 (en) * 2008-08-05 2014-04-01 Covidien Lp Magnetic compression anastomosis device

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Publication number Priority date Publication date Assignee Title
CN102252054A (en) * 2011-04-22 2011-11-23 中航光电科技股份有限公司 Tensile connecting structure
CN102734287A (en) * 2012-07-12 2012-10-17 梁晓明 Support rod and support frame comprising support rod
DE202012102973U1 (en) * 2012-08-07 2012-09-05 Jiin Haur Industrial Co., Ltd. Folding and locking arrangement of a cutting giraffe
CN105078534A (en) * 2015-07-02 2015-11-25 史源 Magnetic loop anastomat for anorectal surgery
CN209032496U (en) * 2017-12-13 2019-06-28 山东省医学科学院附属医院 A kind of dragline type assembly tool of magnetic force stapler

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