Disclosure of Invention
The present application is directed to solving the problems described above. It is an object of the present application to provide a laparoscopic stapler that solves any one of the above problems. In particular, the present application provides a stapler for a endoscope that can suture inside the endoscope without blocking the entrance to the endoscope and the field of view.
In order to solve the technical problems, the application provides an endoscopic stapler for brain surgery, which comprises a stay bar, wherein the stay bar sequentially comprises a main rod and a chuck, and the main rod has a structure that a preset operation space and a preset visual field space are reserved at an endoscopic entrance of the stapler in a working state.
The main rod is of a lath-shaped structure and sequentially comprises a control part, a positioning part and a connecting part, wherein a preset included angle alpha is formed between the control part and the connecting part.
The clamping head comprises a first clamping rod and a second clamping rod, wherein the first end of the first clamping rod is fixedly connected with the main rod, the first end of the second clamping rod is fixedly connected with the main rod, the first clamping rod and the second clamping rod are arranged in parallel, and a movable groove with a preset width is formed between the first side of the first clamping rod and the first side of the second clamping rod; the second side of the first clamping rod is provided with a first protrusion, and the second side of the second clamping rod is provided with a second protrusion.
The anastomat further comprises a nail bin and a handle, wherein the nail bin is fixedly connected with the stay bar; the handle comprises a shell, a rotating wheel and a pressing part, wherein the rotating wheel is rotatably connected with the shell and fixedly connected with the stay bar; the pressing part is in sliding connection with the shell, the pressing part is in transmission connection with the nail bin, and the pressing part is in sliding connection with the chuck.
The handle further comprises a first linkage mechanism, the first linkage mechanism comprises a pushing groove and an elastic device, the supporting rod is located in the pushing groove and is in sliding connection with the pushing groove, the first end of the pushing groove is in sliding connection with the clamping head, the second end of the pushing groove is in rotatable connection with the elastic device, the elastic device is in sliding connection with the pressing portion, and the elastic device is in elastic connection with the outer shell.
The elastic device comprises a push block and a spring, wherein the push block is elastically connected with the shell through the spring, and the push block is slidably connected with the pressing part.
The handle further comprises a push rod, the push rod is in sliding connection with the nail bin, the first end of the push rod is in contact with the stitching nails in the nail bin, and the second end of the push rod is in transmission connection with the pressing part.
Wherein, the pressing part is a pressing structure or a pushing structure.
Wherein the preset included angle alpha is larger than 12 degrees, and the vertical distance between the second end of the control part and the reverse extension line of the connecting part is larger than 2cm.
Wherein, the location portion is arc structure.
According to the endoscope anastomat for brain surgery, disclosed by the application, the anastomat can be smoothly sutured in an endoscope through the special-shaped stay bar, the pushing groove and the handle which is in linkage with the pushing groove and the nail bin, the entrance of the endoscope can not be blocked in the suturing process, the observation and the use of auxiliary tools are facilitated, and convenience is brought to the surgery.
Other characteristic features and advantages of the application will become apparent from the following description of exemplary embodiments, which is to be read with reference to the accompanying drawings.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present application more apparent, the technical solutions of the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application, and it is apparent that the described embodiments are some embodiments of the present application, but not all embodiments of the present application. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application. It should be noted that, without conflict, the embodiments of the present application and features of the embodiments may be arbitrarily combined with each other.
The inventor can avoid the rest space at the entrance of the endoscope when the anastomat is used for suturing in the endoscope by designing the special-shaped stay bar, so that other tools can be used for corresponding auxiliary operation at the same time, and the intracranial suturing is facilitated.
The endoscopic stapler for brain surgery according to the present application will be described in detail with reference to the accompanying drawings.
The endoscopic stapler for brain surgery of the present application includes a stay bar, fig. 1 shows a side structural schematic view of a specific embodiment of the stay bar, fig. 2 shows a top view of the stay bar of the embodiment, and referring to fig. 1 and 2, the stay bar 1 sequentially includes a main bar 11 and a collet 12, the main bar 11 has a structure such that a predetermined operation space and a view space are left at an endoscopic entrance of the stapler 100 in a working state, not only is convenient for observation, but also other auxiliary tools can be simultaneously used in the endoscopic during suturing, thereby accelerating a suturing speed, reducing a probability of bacteria breeding and infection to a certain extent, and reducing a surgical risk.
In the particular embodiment shown in fig. 1, the boom 11 is a slat-like structure. As shown in fig. 2, the main lever 11 may include a control part 111, a positioning part 112, and a connection part 113 in this order, the connection part 113 connecting the collet 12 and the positioning part 112; the positioning part 112 is used for setting a preset included angle alpha between the control part 111 and the connecting part 113, namely, the main rod 11 is of a bent structure, so that when the clamping head 12 is used for suturing a wound, the extending direction of the control part 111 and the connecting part 113 is deviated, the entrance of the endoscope is kept away, and other auxiliary tools such as forceps and the like can be simultaneously put into the endoscope.
Fig. 3 shows a partial enlarged view of the portion a in fig. 2, and fig. 3 shows a detailed structure of the chuck 12 in this specific embodiment. Referring to fig. 3, in this embodiment, the clamping head 12 includes a first clamping rod 121 and a second clamping rod 122, a first end of the first clamping rod 121 is fixedly connected with the main rod 11, a first end of the second clamping rod 122 is fixedly connected with the main rod 11, the first clamping rod 121 and the second clamping rod 122 are parallel to each other and are opposite to each other, a movable groove with a predetermined width is formed between a first side of the first clamping rod 121 and a first side of the second clamping rod 122, so that elastic extrusion is conveniently performed between an end of the first clamping rod 121 and an end of the second clamping rod 122, and a suture nail to be sutured is only required to be located between an end of the first clamping rod 121 and an end of the second clamping rod 122, so that suturing of a predetermined position can be realized by extruding the first clamping rod 121 and the second clamping rod 122.
Specifically, the first clamp lever 121 is provided with a first protrusion 121a on the second side, the second clamp lever 122 is provided with a second protrusion 122a on the second side, and the first protrusion 121a and the second protrusion 122a are both slidably connected to the pressing portion 32. When the pressing portion 32 is pressed, the first clamp lever 121 and the second clamp lever 122 are pressed by sliding with the first protrusion 121a and the second protrusion 122 a. In addition, a first stopper 121b is provided at the end of the second side of the first clamping bar 121, a second stopper 122b is provided at the end of the second side of the second clamping bar 122, and the first stopper 121b and the second stopper 122b are symmetrically provided; the stitching nail to be stitched is located between the first stop block 121b and the second stop block 122b, when the first clamping rod 121 and the second clamping rod 122 are extruded, the stitching nail is extruded under the action of the first stop block 121b and the second stop block 122b, and then the stitching nail is closed, so that stitching operation is realized.
Fig. 4 shows a schematic side view of a endoscopic stapler for brain surgery according to the present application, fig. 5 shows an enlarged view of a portion B of the partial cross-section of fig. 4, and referring to fig. 4 and 5, the stapler 100 further includes a cartridge 2 and a handle 3, the handle 3 being used for holding and controlling staples in the cartridge 2 for stapling; the nail bin 2 is fixedly connected with the main rod 11, the stitching nails in the nail bin 2 reach the clamping head 12 along the main rod 11, the end parts of the stitching nails hook the edge parts of the layers to be stitched, and the stitching nails are closed by extruding the two clamping rods of the clamping head 12, so that the stitching of the wound is realized.
Specifically, the handle 3 includes a housing 30, a rotating wheel 31 and a pressing part 32, wherein the rotating wheel 31 is rotatably connected with the housing 30, the rotating wheel 31 is fixedly connected with the main rod 11, and the angle of the main rod 11 can be adjusted by rotating the rotating wheel 31, so as to adjust the angle and the position of the stitching nails in the nail bin 2 connected with the main rod 11; the pressing part 32 is in sliding connection with the shell 30, the pressing part 32 is in transmission connection with the nail bin 2, the pressing part 32 is in sliding connection with the clamping head 12, through pressing operation on the pressing part 32, not only can the clamping head 12 be pressed to close the stitching nails at the end part of the nail bin 2, but also stitching nails in the nail bin 2 can be pushed forward, so that the next stitching nails are pushed to the clamping head 12 to stitch next.
Fig. 6 is a schematic view showing the structure of the endoscopic stapler of the present application after removing the upper cover of the housing 30, fig. 7 is an enlarged view of a portion C in fig. 6, and referring to fig. 6 and 7 in combination, the handle 3 further includes a first link mechanism 33, and the pressing portion 32 is slidably connected to the collet 12 via the first link mechanism 33 to press and close the staples located at the collet 12. Specifically, the first linkage 33 includes a push groove 331 and an elastic device 332. Fig. 8 shows a schematic side view of a specific embodiment of the push slot 331, fig. 9 shows a schematic top view of the push slot 331 of this embodiment, and referring to fig. 6-9, the stay bar 1 is located in the push slot 331 and slidingly connected with the push slot 331, in this embodiment, the stay bar 1 is in a bent structure, so that the push slot 331 is also in a bent structure, and the bent structure of the push slot 331 is slightly larger than the bent structure of the stay bar 1, that is, a predetermined gap is left between the push slot 331 and the stay bar 1, so as to ensure smooth sliding between the two structures; while the first end of the push slot 331 is slidably connected to the chuck 12, i.e.: the pushing groove 331 may be pushed by sliding, and the first end of the pushing groove 331 slides along the first protrusion 121a and the second protrusion 122a, so that the first clamping bar 121 and the second clamping bar 122 are pressed, and the staples located at the clamping head 12 are pressed and closed. The second end of the pushing groove 331 is fixedly connected with the rotating wheel 31 and rotatably connected with the elastic device 332, and the pushing groove 331 can rotate simultaneously with the stay bar 1 along with the rotation of the rotating wheel 31 under the condition that the position of the elastic device 332 is unchanged; the elastic device 332 is slidably connected with the pressing portion 32, the elastic device 332 is elastically connected with the housing 30, and when the pressing portion 32 is pressed, the elastic device 332 slides along the housing 30, so that the pushing groove 331 is driven to slide along the supporting rod 1, and further the first end of the pushing groove 331 slides along the first protrusion 121a and the second protrusion 122a, so that the clamping head 12 is extruded, and the stitching nails at the clamping head 12 are closed.
In the present embodiment, the elastic means 332 includes a push block 332a and a spring 332b, the push block 332a is elastically connected to the housing 30 by the spring 332b while the housing 30 is slidably connected, and the push block 332a is slidably connected to the pressing portion 32.
Fig. 10 shows a schematic structural view of a specific embodiment of the push block 332a, and referring to fig. 10, an end portion of the push block 332a is provided with a cylindrical structure with a groove, and an end portion 332c of the cylindrical structure is fitted into the long hole 331a at the second end of the push groove 331, so that the push groove 331 can rotate around a central axis of the end portion of the push block 332. The side part of the pushing block 332a is provided with a wedge block 332d, the inner side of the pressing part 32 is provided with a groove, the wedge block 332d is positioned in the groove, the end part of the groove is provided with a baffle post 321, when the pressing part 32 is pressed, the baffle post 321 slides along the inclined edge of the wedge block 332d, so as to push the pushing block 332a to slide along the shell 30 and squeeze the spring 332b, meanwhile, under the action of the end part 332c of the pushing block 332a, the pushing groove 331 is pushed to slide along the supporting rod 1, and then the first end of the pushing groove 331 slides and squeezes the first protrusion 121a and the second protrusion 122a, so that the squeezing and closing of the stitching nails are realized through the clamping head 12; after releasing the pressing portion 32, the pushing block 332a drives the pushing groove 331 to return to the original position under the elastic restoring force of the spring 332 b.
Referring back to fig. 6 and 7, the handle 3 further includes a second linkage mechanism by which the pressing portion 32 is slidably connected to the cartridge 2. In this embodiment, the second linkage mechanism is a push rod 34, the push rod 34 is slidably connected with the staple cartridge 2, a first end of the push rod 34 contacts with the staples in the staple cartridge 2, and a second end of the push rod 34 is in transmission connection with the pressing portion 32. After the pressing portion 32 is operated to close the staples at the cartridge 12, when the pressing portion 32 is released, the already closed staples are separated from between the cartridge 2 and the cartridge 12 and remain at the wound, and at the same time, the ejector rod 34 pushes the staples in the cartridge 2 to slide along the extending direction of the cartridge 2 and the stay bar 1 through the transmission connection with the pressing portion 32, so that the next staples are pushed to the cartridge 12 to be stapled next.
Specifically, the pressing portion 32 may be provided as a pressing structure or a pushing structure, and the pressing structure or the pushing structure may be provided as either a single-sided operation or a double-sided symmetrical and simultaneous operation, as shown in the drawings, in the present embodiment, the pressing portion 32 is a pressing structure and is a double-sided symmetrical and simultaneous operation.
Since the inside diameter of a endoscope used for brain surgery is generally about 2cm, the predetermined angle α between the control portion 111 and the connecting portion 113 of the strut 1 of the endoscopic stapler 100 according to the present application needs to be set to be larger than 12 degrees in order to provide a predetermined operation space and a predetermined visual field space when suturing the inside of the endoscope, and for example, may be set to 15 degrees or 18 degrees, and a specific value thereof may be set according to factors such as the length of the strut 1 and the size of the housing 30 of the handle 3. The purpose of this angular setting is mainly to make the vertical distance between the second end of the control part 111 and the opposite extension of the connecting part 113 greater than 2cm, i.e. the vertical distance between the end of the housing 30 of the handle 3 and the opposite extension of the connecting part 113 greater than the diameter of the endoscope, so that it is ensured that the entrance of the endoscope and the inside thereof are completely visible and not blocked when suturing in the endoscope using the stapler 100. The endoscopic stapler 100 according to the present application can be applied not only to minimally invasive brain surgery performed on the nasal side or the like, but also to other minimally invasive surgery that uses a endoscope and requires internal suturing.
Finally, it should be noted that the positioning portion 112 is any structure that can form a predetermined angle between the connecting portion 113 and the control portion 111. For example, in the present embodiment, the positioning portion 112 has an arc-shaped structure.
The above description may be implemented alone or in various combinations and these modifications are within the scope of the present application.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising one …" does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises the element.
Finally, it should be noted that: the above embodiments are only for illustrating the technical solution of the present application, and are not limiting. Although the application has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit and scope of the technical solutions of the embodiments of the present application.