A kind of nail bin of anastomat and anastomatTechnical field
The present invention relates to technical field of medical instruments, specifically be a kind of nail bin of anastomat.
Background technology
Tube type anastomat is conventional surgical instruments in operation, and many surgery reconstruction of digestive tracts all must have this apparatus just can complete.Research finds that the arrangement mode of the suturing nail in nail bin has a great impact tissue hemostasis and healing.The arrangement mode that in the cast using at present or its nail bin of anorectal anastomat, suturing nail mainly adopts is double symmetrical stagger arrangement, (arrangement mode of linear anastomat as shown in Figure 2) as shown in Figure 1, there is following problem in this arrangement mode: the spacing of (1) front nail and rear nail nail lower limb is little of excessive tissue puncture, and occurs the phenomenon that local organization strength decreased is easily torn; Space between (2) two staples is large, can not effectively block the interstitial walking blood vessel of staple; (3) in order to distribute and to reach the staple quantity of sewing effect on limited circumference, its lip limit is narrow, easily occurs organizing run-bake-needle fault phenomenon.
Summary of the invention
The technical problem to be solved in the present invention is, overcome above-mentioned the deficiencies in the prior art, provide a kind of and avoid excessive tissue puncture, and haemostatic effect is good, can be at the anastomat that guarantees to obtain the anastomat nail storehouse of larger cutting internal diameter under safe lip limit prerequisite and apply this nail bin structure.
Technical scheme of the present invention is, a kind of nail bin of anastomat, comprise the nail bin hole through nail bin surface, described nail bin hole alternative arrangement, two one, nail angles in nail bin hole are the first nail angle near cutter, another is the second nail angle away from cutter, and the projection at the second nail angle drops on adjacent nail bin hole, and this projection is 1/4-1/2 nail hole length apart from the first nail angular distance in adjacent nail bin hole.
Another object of the present invention is to provide a kind of anastomat, the nail bin of anastomat comprises the nail bin hole through nail bin surface, described nail bin hole alternative arrangement, two one, nail angles in nail bin hole are the first nail angle near cutter, another is the second nail angle away from cutter, the projection at the second nail angle drops on adjacent nail bin hole, and this projection is 1/4-1/2 nail hole length apart from the first nail angular distance in adjacent nail bin hole.
Further, preferred structure as linear anastomat, there are two rows in the nail bin hole on nail bin surface, first row nail bin hole alternative arrangement, two one, nail angles in nail bin hole are the first nail angle near cutter, and another is the second nail angle away from cutter, and the projection at the second nail angle drops on adjacent nail bin hole, this projection is 1/4-1/2 nail hole length apart from the first nail angular distance in adjacent nail bin hole, and outside the second nail angle in nail bin hole transversely arranged second row nail bin hole.Can further improve sewing effect.
The invention has the beneficial effects as follows, the nail bin hole of nail bin adopts above-mentioned arrangement mode, more traditional symmetrical double symmetrical stagger arrangement mode has the following advantages: (1) provides more staple quantity on identical circumference, guarantee to greatest extent to be all held before and after the blood vessel in tissue, to obtain better haemostatic effect.(2) avoid due in conventional spread, front and back nail nail lower limb spacing is little of excessive tissue puncture, and occurs the phenomenon that local organization strength decreased is easily torn.(3) guaranteeing, under safe lip limit prerequisite, can to obtain larger cutting internal diameter, so that obtain larger anastomotic stoma internal diameter.The present invention is applicable to the anastomat of circular nail bin, is also applicable to linear anastomat.
Accompanying drawing explanation
The nail bin structural representation of the tube type anastomat of Fig. 1 prior art;
The nail bin structural representation of the linear anastomat of Fig. 2 prior art;
The structural representation of the nail bin of Fig. 3 tube type anastomat of the present invention;
The structural representation of the nail bin of Fig. 4 linear anastomat of the present invention;
The structural representation of the nail bin of Fig. 5 linear anastomat of the present invention;
1 nail bin in figure, 2 cutter, 3 nail bin holes, 31 first nail angles, 32 second nail angles, 3 ' adjacent nail bin hole, the 31 ' first nail angle, 4 first row nail bin holes, 5 second row nail bin holes.
The specific embodiment
As shown in Figure 3 and Figure 4, thenail bin 1 of anastomat of the present invention, comprise thenail bin hole 3 through nail bin surface, describednail bin hole 3 alternative arrangements, two one, nail angles innail bin hole 3 are thefirst nail angle 31 nearcutter 2, it is upper that another projection that is 32, thesecond nail angles 32, the second nail angle away fromcutter 2 drops on adjacent nail bin hole 3 ', and this projection is 1/4-1/2 nail hole length apart from the first nail angle 31 ' distance in adjacent nail bin hole 3 '.
As shown in Figure 5, linear anastomat can adopt mixed type nail bin structure, and arrange according to nail bin of the present invention hole arrangement mode in a hole,nail storehouse 4, thesecond nail 32 transversely arranged second row nail bin holes, outside 5, angle in nail bin hole.The nail bin structure that adopts mixed type to arrange can further improve sewing effect.