CN203609466U - Linear stitching and cutting apparatus - Google Patents
Linear stitching and cutting apparatus Download PDFInfo
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- CN203609466U CN203609466U CN201320592747.1U CN201320592747U CN203609466U CN 203609466 U CN203609466 U CN 203609466U CN 201320592747 U CN201320592747 U CN 201320592747U CN 203609466 U CN203609466 U CN 203609466U
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- linear seam
- safety block
- lower jaw
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- seam cutter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
- A61B17/07207—Surgical 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
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Abstract
Description
技术领域technical field
本实用新型涉及一种直线型缝切器,属于医疗器械技术领域。The utility model relates to a linear seam cutter, which belongs to the technical field of medical instruments.
背景技术Background technique
直线型缝切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,典型的直线型缝切器如美国专利US5129570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。该类直线型缝切器一般包括上、下两个钳夹,以及用于闭合上、下钳夹的闭合把手,相对设置在上、下钳夹远端的钉砧和钉仓,设于钉仓内并可同时相对所述钉仓移动的击发片和远端设有切刀的推刀杆,以及用于驱动所述击发片和推刀杆移动的推钮。所述钉仓内排列设置有缝合钉,所述击发片依次按顺序推动推钉片并将缝合钉推向钉砧,所述切刀将位于钉仓和钉砧之间的组织切断。Linear sewing cutters are widely used in surgical operations for wound suturing, internal tissue suturing and cutting. Typical linear sewing cutters, as disclosed in U.S. Patent No. 5,129,570, have two functions of suturing and cutting. At the same time, excess tissue is removed. This type of linear seam cutter generally includes upper and lower jaws, and a closing handle for closing the upper and lower jaws. The firing piece inside the magazine and capable of moving relative to the staple magazine at the same time, the push knife rod with a cutter at the far end, and the push button for driving the movement of the firing piece and the push knife rod. Staples are arranged in the staple cartridge, the firing piece sequentially pushes the staple pushers and pushes the staples to the anvil, and the cutter cuts off the tissue located between the staple cartridge and the anvil.
现有技术中,直线型缝切器的钉仓是可以更换多次使用的。在临床使用时,经常需要多次缝合切割组织,因此在手术时需要多次更换钉仓。在没有放入钉仓的情况下,推钮可以被任意向前推动,进而切刀会被推出,会造成只切割而未缝合的严重后果。因此,现有技术的直线型缝切器都会设置一种保险机构。In the prior art, the staple cartridge of the linear seam cutter can be replaced and used for many times. During clinical use, multiple suturing and cutting tissues are often required, so the staple cartridge needs to be replaced multiple times during the operation. In the case of not putting in the staple cartridge, the push button can be pushed forward arbitrarily, and then the cutting knife will be pushed out, which will cause serious consequences of only cutting but not suturing. Therefore, a kind of safety mechanism is all arranged on the linear seam cutter of the prior art.
美国专利US5129570号揭示了一种保险机构,在器械的中部设置一个带有切刀通道与击发片通道的保险块,在切刀下面设置弹片。当器械处于打开位置(即上、下两个钳夹未闭合)时,弹片将切刀弹起,使切刀无法通过切刀通道,起到保险作用;当器械装上钉仓,且上、下两个钳夹闭合后,钉仓压迫切刀顶部,使切刀克服弹片的弹力并恢复到与切刀通道对准的状态,这时保险解除,器械可以击发使用。U.S. Patent No. US5129570 discloses a safety mechanism. A safety block with a cutter channel and a firing piece channel is arranged in the middle of the instrument, and a shrapnel is arranged under the cutter. When the instrument is in the open position (that is, the upper and lower jaws are not closed), the shrapnel bounces the cutter so that the cutter cannot pass through the cutter channel, which plays a role of insurance; After the next two jaws are closed, the staple magazine presses the top of the cutter, so that the cutter overcomes the elastic force of the shrapnel and returns to the state aligned with the cutter channel. At this time, the safety is released and the instrument can be used for firing.
美国专利US7055730号揭示了另一种保险机构,在器械的中部设置一个带有推刀杆通道与击发片通道的保险块,该保险块在扭簧作用下可绕器械转动。当器械处于打开位置(即上、下两个钳夹未闭合)时,保险块发生扭转,使击发片与推刀杆都无法通过通道,起到保险作用;当器械装上钉仓,且上、下两个钳夹闭合后,钉仓压迫保险块使其克服扭簧的弹力而恢复正常位置(即击发片与推刀杆分别与其保险块上的通道对准),使击发片与推刀杆都可通过保险块,这时保险解除,器械可以击发使用。U.S. Patent No. US7055730 discloses another safety mechanism, in which a safety block with a channel for a pusher rod and a passage for a firing sheet is arranged in the middle of the instrument, and the safety block can rotate around the instrument under the action of a torsion spring. When the instrument is in the open position (that is, the upper and lower jaws are not closed), the safety block is twisted, so that neither the firing piece nor the push knife rod can pass through the passage, which plays a role of insurance; , After the lower two jaws are closed, the nail magazine presses the safety block to overcome the elastic force of the torsion spring and return to the normal position (that is, the firing piece and the push knife rod are respectively aligned with the channels on the safety block), so that the firing piece and the push knife All rods can pass through the safety block, and at this moment the safety is released, and the apparatus can be fired and used.
以上几种结构均比较复杂,加工组装困难,价格昂贵。The above several structures are all relatively complicated, difficult to process and assemble, and expensive.
实用新型内容Utility model content
本实用新型的目的是提出一种具有简单结构的保险机构的直线型缝切器。The purpose of this utility model is to propose a linear seam cutter with a safety mechanism of simple structure.
本实用新型的目的,将通过以下技术方案得以实现:The purpose of this utility model will be achieved through the following technical solutions:
一种直线型缝切器,包括:可相互闭合或打开的上、下钳夹,所述下钳夹的远端设置有钉仓;所述下钳夹内可相对所述钉仓移动地设有击发片和远端安装有切刀的推刀杆,所述击发片和推刀杆的近端均配接于同一个用于驱动两者移动的滑块,所述击发片和下钳夹之间设有一个保险机构,所述保险机构至少包括一个固定于所述下钳夹上的下保险块,所述下保险块包括一限位凸块,当所述直线型缝切器处于未安装所述钉仓至下钳夹上的初始状态时,所述限位凸块设置在所述击发片的移动路线上;所述钉仓的下表面上设有一用于挤压所述限位凸块并将所述限位凸块推离所述击发片的移动路线的凸台。A linear slit cutter, comprising: upper and lower jaws that can be closed or opened mutually, the distal end of the lower jaws is provided with a staple cartridge; There is a firing piece and a push knife rod with a cutting knife installed on the far end. The proximal ends of the firing piece and the pushing knife rod are connected to the same slider for driving the movement of the two. The firing piece and the lower jaw There is a safety mechanism between them, the safety mechanism at least includes a lower safety block fixed on the lower jaw, and the lower safety block includes a limit projection, when the linear seam cutter is in the When the staple cartridge is installed to the initial state on the lower jaw, the limit protrusion is arranged on the moving route of the firing piece; the lower surface of the staple cartridge is provided with a The protrusion pushes the limiting protrusion away from the protrusion of the moving route of the firing piece.
优选的,所述击发片包括一连接片,当所述直线型缝切器处于未安装所述钉仓至下钳夹上的初始状态时,所述限位凸块卡在所述连接片的远端面上。Preferably, the firing piece includes a connecting piece, and when the linear seam cutter is in an initial state where the staple cartridge is not installed on the lower jaw, the limiting protrusion is stuck on the connecting piece. on the distal face.
优选的,所述下钳夹上设有一用于所述限位凸块穿过的开口,当所述直线型缝切器处于未安装所述钉仓至下钳夹上的初始状态时,所述限位凸块穿过所述开口卡在所述连接片的远端面上。Preferably, the lower jaw is provided with an opening for the limit protrusion to pass through. When the linear seam cutter is in the initial state where the staple cartridge is not installed on the lower jaw, the The limiting protrusion passes through the opening and is clamped on the distal surface of the connecting piece.
优选的,所述下保险块包括至少一个本体,所述限位凸块相对远离所述本体,所述本体和限位凸块通过一柔性连接臂连接。Preferably, the lower safety block includes at least one body, the limiting protrusion is relatively far away from the body, and the body and the limiting protrusion are connected by a flexible connecting arm.
优选的,所述下保险块的本体上设有卡钩,所述上保险块上设有相对配合的凹槽。Preferably, a hook is provided on the body of the lower safety block, and a matching groove is provided on the upper safety block.
优选的,所述保险机构还包括一个设于所述下钳夹内的上保险块,所述上保险块和下保险块相互固定,所述下保险块的柔性连接臂贴紧于所述下钳夹的底面。Preferably, the safety mechanism further includes an upper safety block arranged in the lower jaw, the upper safety block and the lower safety block are fixed to each other, and the flexible connecting arm of the lower safety block is closely attached to the lower safety block. The underside of the clamp.
优选的,所述下钳夹上设有用于所述至少一个本体穿过的开口。Preferably, the lower jaw is provided with an opening for the at least one body to pass through.
优选的,所述本体的外侧设有限位块。Preferably, a limiting block is provided on the outer side of the body.
优选的,所述上保险块上设有用于使所述推刀杆通过的通道。Preferably, the upper safety block is provided with a channel for the push rod to pass through.
优选的,所述推刀杆包括一台阶,当所述推刀杆复位至所述直线型缝切器的初始状态时,所述台阶与所述上保险块的通道的远端面干涉。Preferably, the pusher rod includes a step, and when the pusher rod is reset to the initial state of the linear seam cutter, the step interferes with the distal end surface of the channel of the upper safety block.
本实用新型的有益效果主要体现在:保险机构结构简单,加工方便,安全可靠,具有很好的市场推广价值。The beneficial effects of the utility model are mainly reflected in that the insurance mechanism is simple in structure, convenient in processing, safe and reliable, and has good market promotion value.
附图说明Description of drawings
图1是本实用新型的下钳夹的爆炸示意图。Fig. 1 is an explosion schematic diagram of the lower jaw of the present invention.
图2是本实用新型的下钳夹未安装钉仓时的立体示意图。Fig. 2 is a three-dimensional schematic view of the lower jaw of the present invention when no staple cartridge is installed.
图3是本实用新型的下钳夹未安装钉仓时的俯视图。Fig. 3 is a top view of the lower jaw of the present invention when no staple cartridge is installed.
图4是图3中C-C方向的剖示图。Fig. 4 is a sectional view along C-C direction in Fig. 3 .
图4a是图4中A部分的放大图。Fig. 4a is an enlarged view of part A in Fig. 4 .
图5是本实用新型的下钳夹安装钉仓后的剖示图。Fig. 5 is a cross-sectional view of the lower jaw of the present invention after the nail cartridge is installed.
图5a是图5中B部分的放大图。Fig. 5a is an enlarged view of part B in Fig. 5 .
图6是本实用新型的上保险块的放大示意图。Fig. 6 is an enlarged schematic view of the upper safety block of the present invention.
具体实施方式Detailed ways
如图1所示,本实用新型提供了一种直线型缝切器的保险机构。与现有技术一致,所述直线型缝切器包括塑料外壳,可相互闭合或打开的上、下钳夹,上钳夹的远端设有钉砧(图中未示出),下钳夹1的远端设有钉仓2。当然,上下钳夹的位置可以互换,本实用新型为了表达清楚才如此定义。As shown in Figure 1, the utility model provides a safety mechanism for a linear seam cutter. Consistent with the prior art, the linear seam cutter includes a plastic shell, upper and lower jaws that can be closed or opened mutually, the distal end of the upper jaws is provided with an anvil (not shown), and the lower jaws The distal end of the 1 is provided with a
所述下钳夹1为∪形,其内可相对所述钉仓2移动地设有击发片3和远端安装有切刀4的推刀杆5,所述击发片3和推刀杆5的近端均配接于同一个用于驱动两者移动的滑块6。使用时,将组织放在钉砧与钉仓之间,然后对合上、下钳夹,闭合把手,使上、下钳夹夹紧组织,然后推动设置在上下钳夹近端的击发推钮,与击发推钮连接的滑块6带动击发片3和推刀杆5即可实施组织的缝合和切割。The
本实用新型的特点在于:所述直线型缝切器的击发片3和下钳夹1之间设有一个保险机构。所述保险机构包括相互固定的上保险块7和下保险块8,所述上保险块7和下保险块8均固定于所述下钳夹1上,所述下保险块8包括一限位凸块81,所述下钳夹上设有一用于所述限位凸块81穿过的开口11。当所述直线型缝切器处于未安装所述钉仓2至下钳夹1上的初始状态时,所述限位凸块81设置在所述击发片3的移动路线上。The utility model is characterized in that: a safety mechanism is provided between the
结合图2、图3、图4和图4a所示,所述击发片3包括一连接片31,当所述直线型缝切器处于未安装所述钉仓2至下钳夹1上的初始状态时,所述限位凸块81穿过所述开口11卡在所述连接片31的远端面上。这样,当所述直线型缝切器处于未安装所述钉仓2至下钳夹1上的初始状态时,所述限位凸块81限制了击发片3的移动,起到了保险作用。As shown in FIG. 2, FIG. 3, FIG. 4 and FIG. 4a, the
具体的,所述下保险块8包括至少一个本体80。本优选实施例中,本体是扁平块,具有分设在限位凸块81两侧、相互平行的两块。所述限位凸块81相对远离所述本体80,所述本体80和限位凸块81通过一柔性连接臂82连接。所述下保险块8的本体80上设有卡钩83,所述上保险块7上设有相对配合的凹槽71。Specifically, the
所述下钳夹1还对应所述本体80设有至少一个用于所述本体80穿过的开口,该至少一个开口与用于所述限位凸块81穿过的开口相比,其位于下钳夹1的较近一侧。所述下保险块8的本体80侧面上还设有限位块84,所述限位块84可穿过所述下钳夹上对应的开口并将所述下保险块8卡在所述下钳夹1上。The
安装保险机构时,先将下保险块8通过下钳夹1底部对应的开口装入下钳夹1上,限位块84将下保险块8卡在所述下钳夹1上;此时卡钩83伸入到下钳夹1内,再将上保险块7卡接于所述卡钩83内。这样,上、下保险块均被固定于所述下钳夹1内。当所述上保险块7和下保险块8固定后,所述下保险块8的柔性连接臂82贴紧于所述下钳夹1的底面12。When installing the safety mechanism, the
如图5和图5a所示,所述钉仓2的下表面上设有一用于挤压所述限位凸块81并将所述限位凸块81推离所述击发片3的移动路线的凸台21。当安装所述钉仓2时,该凸台21挤压所述限位凸块81,使所述限位凸块81脱离所述击发片3的移动路线。此时解除保险,可以自由地进行缝切。As shown in Fig. 5 and Fig. 5a, the lower surface of the
如图6所示,所述上保险块7上设有用于使所述推刀杆5通过的通道72。所述推刀杆5包括一台阶51,当所述推刀杆5复位至所述直线型缝切器的初始状态时,所述台阶51与所述上保险块7的通道72的远端面73干涉,使所述推刀杆5回复到初始位置,而不会被过分复位,便于更换新的钉仓时,切刀与推刀杆进行配合。As shown in FIG. 6 , the
本实用新型中的近端是指靠近操作者的一端,反之,远端为远离操作者的一端。本实用新型尚有多种实施方式,凡采用等同变换或者等效变换而形成的所有技术方案,均落在本实用新型的保护范围之内。The proximal end in the present invention refers to the end close to the operator, on the contrary, the far end is the end away from the operator. The utility model still has multiple implementation modes, and all technical solutions formed by equivalent transformation or equivalent transformation all fall within the protection scope of the utility model.
Claims (10)
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| CN201320592747.1U CN203609466U (en) | 2012-09-14 | 2013-09-13 | Linear stitching and cutting apparatus |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103654898A (en) * | 2012-09-14 | 2014-03-26 | 苏州天臣国际医疗科技有限公司 | Straight-line stitching and cutting device |
| CN104306038A (en) * | 2014-11-07 | 2015-01-28 | 常州威克医疗器械有限公司 | Anastomosis cutting driving device of one-step linear cutting anastomat |
| WO2018028134A1 (en) * | 2016-08-08 | 2018-02-15 | 苏州天臣国际医疗科技有限公司 | Tissue closing device and medical instrument |
| CN107890362A (en) * | 2017-02-28 | 2018-04-10 | 江苏风和医疗器材股份有限公司 | Surgical instruments |
-
2013
- 2013-09-13 CN CN201320592747.1U patent/CN203609466U/en not_active Expired - Lifetime
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103654898A (en) * | 2012-09-14 | 2014-03-26 | 苏州天臣国际医疗科技有限公司 | Straight-line stitching and cutting device |
| CN103654898B (en) * | 2012-09-14 | 2016-02-10 | 苏州天臣国际医疗科技有限公司 | Linear seam cutting device |
| CN104306038A (en) * | 2014-11-07 | 2015-01-28 | 常州威克医疗器械有限公司 | Anastomosis cutting driving device of one-step linear cutting anastomat |
| WO2018028134A1 (en) * | 2016-08-08 | 2018-02-15 | 苏州天臣国际医疗科技有限公司 | Tissue closing device and medical instrument |
| US11123072B2 (en) | 2016-08-08 | 2021-09-21 | Touchstone International Medical Science Co., Ltd. | Tissue closure device and medical instrument |
| CN107890362A (en) * | 2017-02-28 | 2018-04-10 | 江苏风和医疗器材股份有限公司 | Surgical instruments |
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