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CN104116538B - It is a kind of that there is the stapler for showing sound function - Google Patents

It is a kind of that there is the stapler for showing sound function
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CN104116538B
CN104116538BCN201410336537.5ACN201410336537ACN104116538BCN 104116538 BCN104116538 BCN 104116538BCN 201410336537 ACN201410336537 ACN 201410336537ACN 104116538 BCN104116538 BCN 104116538B
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sound
show
shell
stapler
block
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CN104116538A (en
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高轶明
赵宇
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BJ ZHF Panther Medical Equipment Co Ltd
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Beijing Panther Medical Technology Co Ltd
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Abstract

Translated fromChinese

本发明提供了一种具有示声功能的吻合器,包括外壳、设置于所述外壳内部的丝杆,分别与所述丝杆两端连接的尾部旋钮和抵钉座。该具有示声功能的吻合器还包括与所述丝杆连接且可与所述丝杆同步运动的示声架、与所述尾部旋钮连接的示声齿轮、与所述示声架通过第一弹性件连接的示声块,所述示声块能够与所述示声齿轮接触。通过示声功能,医生可以在进行手术过程中按声音提示操作,而不必靠感觉来判断,在保证吻合器闭合精度的情况下,提供给医生更加人性化的操作方式,同时降低了由于操作不当导致的损伤人体组织的风险。

The present invention provides a stapler with a sound indicating function, which comprises a shell, a screw rod arranged inside the shell, a tail knob and an abutment seat respectively connected to two ends of the screw rod. The anastomat with sound indicating function also includes a sound indicating frame which is connected with the screw mandrel and can move synchronously with the screw mandrel, a sound indicating gear connected with the tail knob, and the sound indicating frame through a first The sound indicating block connected with the elastic member, the sound indicating block can be in contact with the sound indicating gear. Through the sound display function, the doctor can operate according to the voice prompts during the operation, instead of relying on the feeling to judge. In the case of ensuring the closing accuracy of the stapler, it provides the doctor with a more humanized operation mode, and at the same time reduces the risk of accidents due to improper operation. Risk of damage to human tissue.

Description

Translated fromChinese
一种具有示声功能的吻合器An anastomotic device with sound indication function

技术领域technical field

本发明涉及医疗器械技术领域,特别涉及一种具有示声功能的吻合器。The invention relates to the technical field of medical instruments, in particular to a stapler with sound indication function.

背景技术Background technique

在外科手术中,医用吻合器已成为人体组织缝合过程中的必不可少的医疗器械。随着医学的发展和产品研发,越来越多功能的吻合器产品应用于临床,适用范围已涉及到胃肠外科、肝胆外科、胸外科、泌尿外科、妇科等各个领域,成为医生必不可少的工具之一。医用吻合器的应用具有手术中出血较少、手术时间较短、可减少手工操作误差、术后功能恢复快等诸多优点。In surgical operations, medical staplers have become an indispensable medical device in the process of suturing human tissues. With the development of medicine and product research and development, more and more multifunctional stapler products are used in clinical practice, and the scope of application has involved various fields such as gastrointestinal surgery, hepatobiliary surgery, thoracic surgery, urology, gynecology, etc. one of the tools. The application of medical stapler has many advantages such as less blood loss during operation, shorter operation time, reduction of manual operation error, and quick recovery of postoperative function.

大部分管型吻合器在闭合过程中,医生要根据病人的个体状况选择合适的闭合间隙,闭合间隙的大小根据吻合器的视窗中的指针的位置来判断。但是在器械闭合过程中,医生要始终观察视窗中的指针,如果不留神,指针容易错过最佳位置,造成闭合间隙过小,组织被过度压缩,此时如果将指针调回到最佳位置,组织可能已经不处于最佳的状态,最终可能影响吻合效果,也使医生经常处于精神紧张的状态,很难得到一个精准的闭合位置,吻合器闭合效果较差,使得吻合器的操作难度较大。During the closing process of most tubular staplers, the doctor should select a suitable closing gap according to the individual condition of the patient, and the size of the closing gap is judged according to the position of the pointer in the window of the stapler. However, during the closing process of the instrument, the doctor should always observe the pointer in the window. If the pointer is not careful, the pointer will easily miss the best position, resulting in too small closing gap and excessive compression of the tissue. At this time, if the pointer is adjusted back to the best position, The tissue may not be in the best state, which may eventually affect the anastomotic effect, and also make the doctor often in a state of mental stress, it is difficult to obtain an accurate closing position, and the closing effect of the stapler is poor, making the operation of the stapler more difficult .

因此,在保证吻合器的闭合精度下,降低吻合器的操作难度,使吻合器的操作更加人性化,同时降低由于医生误操作导致的人体组织损伤是本领域人员需要解决的一个问题。Therefore, while ensuring the closing accuracy of the stapler, it is a problem to be solved by those skilled in the art to reduce the operation difficulty of the stapler, make the operation of the stapler more humanized, and at the same time reduce the damage of human tissue caused by the doctor's misoperation.

发明内容Contents of the invention

本发明的目的是提供一种具有示声功能的吻合器,在保证吻合器闭合精度的情况下,提供给医生更加人性化的操作方式,同时降低了由于操作不当导致的损伤人体组织的风险。The purpose of the present invention is to provide a stapler with a sound display function, which can provide doctors with a more humanized operation mode while ensuring the closure accuracy of the stapler, and at the same time reduce the risk of damage to human tissue caused by improper operation.

为了实现上述目的,本发明提供了一种具有示声功能的吻合器,包括外壳、设置于所述外壳内部的丝杆,分别与所述丝杆两端连接的尾部旋钮和抵钉座,还包括与所述丝杆连接且可与所述丝杆同步运动的示声架、与所述尾部旋钮连接的示声齿轮、与所述示声架通过第一弹性件连接的示声块,所述示声块能够与所述示声齿轮接触。In order to achieve the above object, the present invention provides a stapler with a sound display function, which includes a shell, a screw rod arranged inside the shell, a tail knob and an abutment seat respectively connected to both ends of the screw rod, and It includes a sounding frame that is connected with the screw rod and can move synchronously with the screw rod, a sounding gear connected with the tail knob, and a sounding block connected with the sounding frame through a first elastic member. The sound indicating block can be in contact with the sound indicating gear.

优选地,还包括连接所述示声架和所述外壳的第二弹性件,所述丝杆通过丝杆凸起与所述示声架的示声架凸起抵接。Preferably, it further includes a second elastic member connecting the sound frame and the housing, and the threaded rod abuts against the sound frame protrusion of the sound frame through the screw protrusion.

优选地,所述示声架上设置有通槽,所述外壳上还设置有外壳凸起,所述外壳凸起可以处于所述通槽内,所述示声架通过第二弹性件连接在所述外壳的外壳凸起上。Preferably, a through groove is provided on the sound sound stand, and a shell protrusion is also arranged on the outer shell, and the shell protrusion can be located in the through groove, and the sound sound stand is connected to the The casing is raised on the casing.

优选地,所述第二弹性件为拉簧。Preferably, the second elastic member is a tension spring.

优选地,所述示声架设置有限位槽,所述示声块设置于所述限位槽内。Preferably, the sound indicating frame is provided with a limiting slot, and the sound indicating block is arranged in the limiting slot.

优选地,所述第一弹性件为压簧,所述限位槽设置有固定杆,所述示声块设置有安装孔,所述固定杆设置于所述安装孔内,所述压簧套接于所述固定杆上。Preferably, the first elastic member is a compression spring, the limiting groove is provided with a fixing rod, the sound indicating block is provided with a mounting hole, the fixing rod is disposed in the mounting hole, and the compression spring sleeve connected to the fixed rod.

优选地,所述限位槽的内侧壁设置有第一通道,所述示声块的侧部相对所述第一通道设置有侧限位凸起。Preferably, a first channel is provided on the inner side wall of the limiting groove, and a side limiting protrusion is provided on the side of the sounding block opposite to the first channel.

优选地,所述限位槽的底侧内壁上设置有凸出部,所述示声块的底部相对所述凸出部设置有凹槽。Preferably, a protrusion is provided on the inner wall of the bottom side of the limiting groove, and a groove is provided on the bottom of the sounding block opposite to the protrusion.

优选地,所述凸出部为安装在所述示声架的底部的螺钉。Preferably, the protruding part is a screw installed on the bottom of the sounding stand.

优选地,所述示声块的近端为直齿状,所述也为连续直齿状。Preferably, the proximal end of the sounding block is straight-toothed, and the said sound-indicating block is also continuously straight-toothed.

本发明提供的吻合器,包括外壳、设置于所述外壳内部的丝杆,分别与所述丝杆两端连接的尾部旋钮和抵钉座,还包括与所述丝杆连接且可与所述丝杆同步运动的示声架、与所述尾部旋钮连接的示声齿轮、与所述示声架通过第一弹性件连接的示声块,所述示声块与所述示声齿轮能够接触。因此,在医生进行手术操作时,先旋转尾部旋钮减小吻合器的闭合间隙,与此同时,所述丝杆带动所述示声架移动,所述示声架带动所述示声块接近所述示声齿轮,当快要到达合适的闭合间隙时,所述示声块与所述示声齿轮接触,所述尾部旋钮继续带动所述示声齿轮旋转,所述示声齿轮与所述示声块撞击发出提示声音,提醒医生快要到达合适闭合间隙,此时医生可以放慢旋转速度,通过吻合器的视窗判断准确位置,使得手术可在提示声音下进行,而不必靠感觉来判断,在保证吻合器的闭合精度下,降低了由于医生误操作导致的人体组织损伤的风险。The stapler provided by the present invention includes a shell, a screw rod arranged inside the shell, a tail knob and an anvil seat respectively connected to both ends of the screw rod, and a screw rod connected to the screw rod and capable of being connected to the The sounding frame with the synchronous movement of the screw, the sounding gear connected with the tail knob, and the sounding block connected with the sounding frame through the first elastic member, and the sounding block can be in contact with the sounding gear . Therefore, when the doctor performs an operation, he first rotates the tail knob to reduce the closing gap of the stapler. When the sound indicating gear is about to reach a suitable closed gap, the sound indicating block contacts the sound indicating gear, and the tail knob continues to drive the sound indicating gear to rotate, and the sound indicating gear and the sound indicating gear The impact of the block makes a prompt sound, reminding the doctor that the appropriate closing gap is about to be reached. At this time, the doctor can slow down the rotation speed and judge the exact position through the window of the stapler, so that the operation can be performed under the prompt sound instead of relying on the feeling to judge. The closed accuracy of the stapler reduces the risk of human tissue damage caused by doctor's misoperation.

附图说明Description of drawings

图1为根据本发明的一个实施例的吻合器的结构示意图;Fig. 1 is a schematic structural view of a stapler according to an embodiment of the present invention;

图2为图1所示吻合器的示声部分的正视剖面图;Fig. 2 is a front sectional view of the acoustic part of the stapler shown in Fig. 1;

图3为图2所示的A处的局部放大图;Fig. 3 is a partial enlarged view of A place shown in Fig. 2;

图4为图2所示的示声部分的局部结构示意图;Fig. 4 is a partial structural schematic diagram of the sound display part shown in Fig. 2;

图5为图2所示的吻合器的示声架的结构示意图;Fig. 5 is a structural schematic diagram of the sounding stand of the stapler shown in Fig. 2;

图6为图2所示的吻合器的示声块的结构示意图;Fig. 6 is a schematic structural diagram of the acoustic block of the stapler shown in Fig. 2;

图7为图2所示的吻合器的示声块的结构示意图;Fig. 7 is a schematic structural diagram of the acoustic block of the stapler shown in Fig. 2;

图8为图1所述吻合器的示声部分的俯视剖面图;Fig. 8 is a top sectional view of the acoustic part of the stapler shown in Fig. 1;

图9为图8所示的示声部分处于示声状态下的俯视剖面图。Fig. 9 is a top sectional view of the sound indicating part shown in Fig. 8 in the sound indicating state.

具体实施方式detailed description

本发明的核心是提供一种具有示声功能的吻合器,在保证吻合器闭合精度的情况下,提供给医生更加人性化的操作方式,同时降低了由于操作不当导致的损伤人体组织的风险。The core of the present invention is to provide a stapler with a sound display function, which provides doctors with a more humanized operation mode while ensuring the closing accuracy of the stapler, and at the same time reduces the risk of damage to human tissue caused by improper operation.

为了使本领域技术人员更好地理解本发明的技术方案,下面将结合附图和具体实施例对本发明作进一步的详细说明。In order to enable those skilled in the art to better understand the technical solutions of the present invention, the present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.

参见图1-图3,在本发明的一个实施例中,吻合器包括外壳1、设置于外壳1内部的丝杆2,以及分别与丝杆2两端连接的尾部旋钮3和抵钉座4,还包括与丝杆2连接且可与丝杆2同步运动的示声架5、与尾部旋钮3连接的示声齿轮31、与示声架5通过第一弹性件572连接的示声块53,示声块53能够与示声齿轮31接触。示声块53的近端可以为齿状、锥状、半圆状或球状,优选地为直齿状。上述示声齿轮31优选地也为连续直齿状。第一弹性件572可以为压簧或弹片等。示声架5可以通过焊接或粘接直接固定在丝杆2上,压簧的一端可以通过焊接或嵌套等连接方式与示声块53连接。在医生进行手术操作初期,如图8所示,示声块53的近端不与示声齿轮31接触,随着医生逐渐旋转尾部旋钮3来减小抵钉座4与外壳1之间的闭合间隙,丝杆2也带动示声架5向近端运动,从而示声架5带动示声块53接近示声齿轮31,当快要到达合适的闭合间隙时,示声块53的近端与示声齿轮31接触,继续旋转尾部旋钮3以带动示声架5向近端运动,此时由于第一弹性件572的弹性连接作用,可使示声齿轮31与示声块53持续接触一段时间(如图9所示)并发出咔咔咔的提示声音,这样可提醒医生快要到达合适的闭合间隙,此时医生可以放慢旋转尾部旋钮3的速度,并结合观察吻合器的视窗来判断准确位置,当指针指向合适位置时,按下扳机,外壳1内部的钉仓则会推出缝钉,缝钉与抵钉座4接触,从而缝合组织,同时环形刀对组织进行切断。该吻合器的示声设计使得整个手术过程可按声音提示进行,而不必仅依靠医生感觉和经验来判断,由此在保证吻合器的闭合精度的情况下,降低了由于操作不当而过度挤压人体组织从而导致损伤组织的风险。Referring to Figures 1-3, in one embodiment of the present invention, the stapler includes a housing 1, a screw 2 disposed inside the housing 1, and a tail knob 3 and an abutment seat 4 respectively connected to both ends of the screw 2 , also includes the sounding frame 5 connected with the screw mandrel 2 and can move synchronously with the screw mandrel 2, the sounding gear 31 connected with the tail knob 3, and the sounding block 53 connected with the sounding frame 5 through the first elastic member 572 , the sound indicating block 53 can be in contact with the sound indicating gear 31 . The proximal end of the sound indicating block 53 can be toothed, conical, semicircular or spherical, preferably straight toothed. The above-mentioned sounding gear 31 is also preferably in the shape of continuous straight teeth. The first elastic member 572 may be a compression spring or an elastic sheet, or the like. The sounding frame 5 can be directly fixed on the screw rod 2 by welding or bonding, and one end of the compression spring can be connected with the sounding block 53 by welding or nesting. At the initial stage of the doctor’s operation, as shown in Figure 8, the proximal end of the sounding block 53 is not in contact with the sounding gear 31, as the doctor gradually rotates the tail knob 3 to reduce the closure between the anvil 4 and the shell 1 The screw mandrel 2 also drives the sound indicating frame 5 to move towards the proximal end, so that the sound indicating frame 5 drives the sound indicating block 53 to approach the sound indicating gear 31. The sound gear 31 is in contact, and the tail knob 3 is continued to be rotated to drive the sound display frame 5 to move to the proximal end. At this time, due to the elastic connection effect of the first elastic member 572, the sound display gear 31 can be continuously contacted with the sound display block 53 for a period of time ( As shown in Figure 9) and make a prompt sound of clicking, which can remind the doctor that the appropriate closing gap is about to be reached. At this time, the doctor can slow down the speed of rotating the tail knob 3 and judge the exact position by observing the window of the stapler , when the pointer points to a proper position, press the trigger, the staple magazine inside the shell 1 will push out the staples, and the staples will contact with the nail abutment seat 4, thereby suturing the tissue, and at the same time, the circular knife cuts the tissue. The acoustic design of the stapler enables the entire operation process to be carried out according to the voice prompts, instead of relying on the doctor's feeling and experience to judge, thereby reducing excessive extrusion due to improper operation while ensuring the closing accuracy of the stapler human tissue thereby causing a risk of tissue damage.

参见图2与图4,在本发明的另一个优选实施例中,还包括连接示声架5与外壳1的第二弹性件52,此时示声架5还可以不固定在丝杆2上。丝杆2设置有丝杆凸起21,示声架5设置有示声架凸起51,丝杆2与示声架5通过丝杆凸起21与示声架凸起51而抵接。示声架5通过第二弹性件52连接在外壳1上,具体地,外壳1上设置有外壳凸起11,示声架上设置有拉钩54,第二弹性件52一端连接在外壳凸起11上,另一端连接在拉钩54上。示声架5上设置有通槽56,外壳凸起11可以处于通槽56内。第二弹性件52可以为拉簧或弹性带等。当丝杆2向近端运动时,丝杆凸起21推动示声架凸起51使示声架5向近端运动;当丝杆2向远端运动时,拉簧拉动示声架5向远端运动。加入第二弹性件52的设计,使示声架5能够更加平滑地沿着丝杆运动方向而纵向运动,且便于安装。Referring to Fig. 2 and Fig. 4, in another preferred embodiment of the present invention, it also includes a second elastic member 52 connecting the sound frame 5 and the shell 1, and the sound frame 5 may not be fixed on the screw rod 2 at this time . The screw rod 2 is provided with a screw protrusion 21 , and the sounding frame 5 is provided with a sounding frame protrusion 51 , and the screw rod 2 and the sounding frame 5 abut against each other through the screw protrusion 21 and the sounding frame protrusion 51 . The sound frame 5 is connected to the shell 1 through the second elastic member 52. Specifically, the shell 1 is provided with a shell protrusion 11, the sound frame is provided with a pull hook 54, and one end of the second elastic member 52 is connected to the shell protrusion 11. The other end is connected to the drag hook 54. A through groove 56 is arranged on the sounding frame 5 , and the shell protrusion 11 can be placed in the through groove 56 . The second elastic member 52 can be a tension spring or an elastic belt. When the screw mandrel 2 moves to the proximal end, the screw protrusion 21 pushes the sounding frame protrusion 51 to move the sounding frame 5 to the proximal end; when the screw mandrel 2 moves to the far end, the tension spring pulls the sounding frame 5 to remote movement. The design of adding the second elastic member 52 enables the sounding frame 5 to move longitudinally along the moving direction of the screw rod more smoothly, and is convenient for installation.

参见图5-图7,为了使示声块53更稳定的相对于示声架5运动,示声架5上设置有限位槽57,示声块53设置于限位槽57内,从而使示声块53沿丝杆2方向纵向运动以防止左右摆动。限位槽57内设置有固定杆571,示声块53设置有安装孔532,压簧套接于固定杆571上,固定杆571设置于安装孔532内且可滑动,固定杆571将示声块53与压簧、示声架连接在一起。限位槽57的内侧壁设置有第一通道573,示声块53的侧部相对第一通道573而设置有侧限位凸起531,从而防止示声块53在上下方向晃动。优选地,限位槽57的左右两个内侧壁均设置有第一通道573。限位槽57的底侧内壁上设置有第二通道,在第二通道上设置有凸出部55(参见图3),示声块53的底部相对凸出部55而设置有凹槽533,这样在示声块53纵向运动时,凹槽533的纵向方向的两个边缘限定了凸出部55的运动范围,从而限定了示声块53的运动范围,这样防止示声块在操作过程中脱落或挤压错位。上述凸出部55可以为安装在示声架5底部上的螺钉或螺栓。5-7, in order to make the sound display block 53 move more stably relative to the sound display frame 5, the sound display frame 5 is provided with a limit groove 57, and the sound display block 53 is arranged in the limit groove 57, so that the display The sound block 53 moves longitudinally along the direction of the screw mandrel 2 to prevent it from swinging left and right. A fixed rod 571 is arranged in the limit groove 57, and the sound indicating block 53 is provided with a mounting hole 532. Block 53 is connected together with stage clip, sound indicating frame. A first channel 573 is provided on the inner side wall of the limiting groove 57 , and a side limiting protrusion 531 is provided on the side of the sound indicating block 53 opposite to the first channel 573 , so as to prevent the sound indicating block 53 from shaking in the up and down direction. Preferably, the left and right inner sidewalls of the limiting groove 57 are both provided with a first channel 573 . A second channel is provided on the inner wall of the bottom side of the limiting groove 57, and a protrusion 55 is provided on the second channel (see FIG. 3 ). The bottom of the sound indicating block 53 is provided with a groove 533 opposite to the protrusion 55, In this way, when the sound indicating block 53 moves longitudinally, the two edges in the longitudinal direction of the groove 533 limit the range of motion of the protrusion 55, thereby limiting the range of motion of the sound indicating block 53, preventing the sound indicating block during operation. Detached or squeezed out of place. The above-mentioned protruding part 55 can be a screw or a bolt installed on the bottom of the sounding frame 5 .

本文中的近端、远端是根据业界惯例所限定,即手术时离医生近者为近端,相反一端为远端。The proximal end and the distal end in this article are defined according to industry practice, that is, the nearer end to the doctor during the operation is the proximal end, and the opposite end is the distal end.

以上对本发明所提供的具有示声功能的吻合器进行了详细介绍。本文中应用了具体示例对本发明的原理及实施方式进行了阐述,但以上实施例的说明只是用于帮助理解本发明的原理及其核心思想,并非对本发明保护范围的限定。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以对本发明进行若干改进和修饰,这些改进和修饰也落入本发明权利要求的保护范围内。The stapler with sound indication function provided by the present invention has been introduced in detail above. In this paper, specific examples are used to illustrate the principles and implementation methods of the present invention, but the descriptions of the above embodiments are only used to help understand the principles and core ideas of the present invention, and are not intended to limit the protection scope of the present invention. It should be pointed out that for those skilled in the art, without departing from the principles of the present invention, some improvements and modifications can be made to the present invention, and these improvements and modifications also fall within the protection scope of the claims of the present invention.

Claims (9)

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