Minimally invasive endoscope anastomat convenient to adjust clamping angleTechnical Field
The invention relates to the technical field of minimally invasive endoscopic staplers, in particular to a minimally invasive endoscopic stapler convenient for adjusting a clamping angle.
Background
The minimally invasive endoscope anastomat can only swing left and right to adjust in the using process and cannot adjust up and down, so that muscle tissues with higher positions in the operation process need an operator to continuously rotate a wrist to adjust the clamping angle of the anastomat, the operation time is longer, the anastomat is also caused to be touched, damaged and influenced by other organs inside the human body due to the fact that the anastomat rotates inside the human body, the swing angle of the existing anastomat is adjusted through manual rotation, the anastomat is inconvenient to operate by one person in the operation process, the clamping angle can be adjusted only by stopping manually in the adjusting process, the operation time is prolonged, and the overall fatigue of the operator is increased.
Disclosure of Invention
The invention aims to provide a minimally invasive endoscopic anastomat convenient for adjusting a clamping angle aiming at the defects of the prior art, so as to solve the problems that the minimally invasive endoscopic anastomat proposed in the background technology can only carry out left-right swing adjustment and can not carry out up-down adjustment in the using process, therefore, the muscle tissue with higher position needs the operator to continuously rotate the wrist to adjust the holding angle of the anastomat in the operation process, which not only takes longer operation time, but also causes the anastomat to rotate in the human body to touch and damage and influence other organs in the human body, moreover, the swing angle of the existing anastomat is adjusted through manual rotation, so that the operation of the anastomat by a single person in the operation process is inconvenient, and the clamping angle can be adjusted only by stopping manual operation in the adjusting process, so that the operation time is prolonged, and the overall fatigue of an operator is increased.
In order to achieve the purpose, the invention provides the following technical scheme: a minimally invasive endoscope anastomat convenient for adjusting a clamping angle comprises a connecting block, an adjusting disc, an installing block, a wire block, a gear, a screw rod, a joint pipe, a first straight pipe, a conical body, a bearing, a second straight pipe, an installing body, a rotating motor and a fixed handle, wherein a first clamping groove is formed in the periphery of the connecting block, first through grooves are formed in two sides of the connecting block in a penetrating mode, a first mounting groove is formed in the periphery of the adjusting disc, a second through groove is formed in the upper portion of the adjusting disc in a penetrating mode, racks are fixed on two sides inside the first mounting groove, the adjusting disc is fixed to the right side of the connecting block through the second through grooves and the first through grooves in a matching mode, a second mounting groove is formed in the periphery of the installing block, a movable groove is formed in the left side of the installing block, a third through groove is, a first output motor, a second output motor, a third output motor and a fourth output motor are respectively fixed in the second mounting groove, connecting plate groups are fixed on two sides of the screw block, the gear is movably mounted between the connecting plate groups through a fixing pin, the bottom of the screw rod penetrates through the screw block and extends into the second mounting groove, the top end of the screw rod is respectively and fixedly connected with the output ends of the first output motor, the second output motor, the third output motor and the fourth output motor, the gear is meshed with the rack, the lug is movably connected with the connecting block through a first clamping groove, a nail gun clamping plate is fixedly connected below the left side of the joint pipe, a second clamping groove is formed at the top end of the nail gun clamping plate, a nail abutting seat is fixed above the left side of the joint pipe through a movable pin, a sliding groove is formed below the inner part of the nail abutting seat, an abutting block is slidably mounted in the sliding groove, the right side of the joint, a cutter is movably arranged in the first straight pipe, the left side of the cutter penetrates through the third through groove, the second through groove, the first through groove, the pipe joint and the sliding groove to be fixedly connected with the right side of the abutting block, the right side of the mounting block is fixedly connected with the left side of the first straight pipe, and a sliding hole is formed in the left side of the conical body;
the inner ring of the bearing is fixed with groove teeth, the bearing is fixed on the right side inside the conical body, the inside of the second straight pipe is movably provided with a connecting rod, a charging hole is formed below the right side of the installation body, the right side inside the installation body is fixed with a storage battery, the output end of the rotating motor is fixed with a driving gear, the rotating motor is fixed on the left side inside the installation body, the lower side of the left side of the installation body is movably provided with a firing handle, the right side of the firing handle is movably provided with a movable handle, the left side of the movable handle is fixedly embedded with a first control switch, the left side of the fixed handle is fixedly embedded with a second control switch, the fixed handle is fixed on the right side of the movable handle, a switching button is embedded above the surface of the installation body, the right side of the second straight, and driven gear is connected with the groove tooth meshing, the driving gear runs through the conical body right side and extends inside the groove tooth meshing and be connected with the groove tooth meshing, conical body right side and installation body left side fixed connection, the connecting rod right side runs through driven gear and is connected with the percussion handle, the battery passes through electric wire and charging hole electric connection, the rotating electrical machines all passes through electric wire and battery and first control switch electric connection, first output motor, second output motor, third output motor and fourth output motor all pass through electric wire and battery and second control switch electric connection.
Preferably, the number of the racks is 2, and the racks are symmetrically arranged about the center line of the mounting groove.
Preferably, the difference between the installation distances of the movable groove and the adjusting disc is 1-1.5 mm.
Preferably, the connecting rod is shaped like an 'L'.
Preferably, the number of the convex blocks is 4, and the convex blocks are symmetrically arranged around the axis of the mounting block.
Preferably, the wire block, the gear, the connecting plate group and the rack form a moving mechanism, and the moving distance of the moving mechanism ranges from 0 cm to 5 cm.
Preferably, the number of the gears is 2, and the gears are symmetrically arranged around the central line of the wire block
Preferably, the connection shape of the bearing and the groove tooth is concentric circles
Preferably, the rotating motor, the driving gear, the groove gear, the bearing and the driven gear form a rotating mechanism, and the rotating mechanism has a rotating angle range of 0-360 degrees.
Compared with the prior art, the invention has the beneficial effects that: the minimally invasive endoscopic anastomat convenient for adjusting the clamping angle,
(1) the adjusting disc is arranged, the adjusting disc is driven to move by different motors, so that the inclined direction of the tube joint is changed, the tube joint can be inclined and rotated in different directions conveniently, the rotating directions of the whole nail gun clamping plate and the nail abutting seat are changed, the surgical treatment on organs with different heights in a patient is facilitated, the condition that an operator rotates a wrist to adjust the clamping angle of the anastomat when adjusting different directions is avoided, the whole operation time is reduced, and the condition that the anastomat is contacted with the internal organs of the patient to cause secondary damage to the internal organs of the patient in the process of manually rotating the anastomat is avoided;
(2) the second controller is respectively connected with the first output motor, the second output motor, the third output motor and the fourth output motor through the second controller, so that different output motors are started to work through changing the motion direction of the second controller in the operation process, the holding angle of the anastomat is changed, the holding angle of the anastomat can be changed through manual rotation in the operation process of an operator is avoided, the simple operation of the operator is facilitated, and meanwhile, the integral fatigue strength of the operator is also avoided being increased in the operation process;
(3) be provided with the battery, provide working power for whole equipment through the battery to store electric power inside the battery through the battery, make things convenient for the quick adjustment of whole equipment operation in-process to add the operation of holding the angle, thereby reach and shorten whole operation time and improve whole operation efficiency, avoid whole operation time overlength to increase operator's fatigue strength.
Drawings
FIG. 1 is a schematic front sectional view of the present invention;
FIG. 2 is a schematic right-view structural diagram of a connecting block according to the present invention;
FIG. 3 is a schematic cross-sectional view of an adjusting plate and a mounting block of the present invention;
FIG. 4 is a front view of the mounting block of the present invention;
FIG. 5 is a schematic view of a bearing and groove tooth configuration of the present invention;
FIG. 6 is a schematic view of the cross-sectional elevation view of the cone of the present invention;
fig. 7 is a schematic view of the left side structure of the fixed handle of the present invention.
In the figure: 1. a connecting block, 2, a first clamping groove, 3, a first through groove, 4, an adjusting disc, 5, a first mounting groove, 6, a second through groove, 7, a rack, 8, a mounting block, 9, a second mounting groove, 10, a movable groove, 11, a third through groove, 12, a connecting rod, 13, a bump, 14, a first output motor, 15, a second output motor, 16, a third output motor, 17, a fourth output motor, 18, a thread block, 19, a connecting plate group, 20, a gear, 21, a screw rod, 22, a joint pipe, 23, a nail gun clamping plate, 24, a second clamping groove, 25, a nail abutting seat, 26, a sliding groove, 27, an abutting block, 28, a first straight pipe, 29, a cutter, 30, a conical body, 31, a sliding hole, 32, a bearing, 33, a groove tooth, 34, a second straight pipe, 35, a connecting rod, 36, a mounting body, 37, a charging hole, 38, a storage battery, 39, a rotating motor, 40, a driving gear, 41, a firing handle, 42. the device comprises a movable handle, 43, a first control switch, 44, a fixed handle, 45, a second control switch, 46, a switching button, 47 and a driven gear.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-7, the present invention provides a technical solution: the utility model provides a wicresoft's chamber mirror anastomat convenient to adjust centre gripping angle, as shown in fig. 2, fig. 3, fig. 4 and fig. 5, connectingblock 1 has seted up first draw-ingroove 2 all around, connectingblock 1 both sides are run through and have seted up firstlogical groove 3, adjustingdisk 4 has seted upfirst mounting groove 5 all around, adjustingdisk 4 top is run through and has been seted up second through-groove 6, the inside both sides offirst mounting groove 5 are fixed withrack 7,rack 7 is provided with 2, and rack 7 sets up about 5 central lines symmetry in first mounting groove, so conveniently keep perpendicular decurrent thrust withsilk piece 18 inmounting groove 5 internal motion process all the time, preventrack 7 set upsingle silk piece 18 and just causesilk piece 18 to drivegear 20 can't keepsilk piece 18 perpendicular downward motion all the time inrack 7 meshing process, thereby cause to cause great angle skew in the downward motion process to lead to the fact to supportnail seat 25 andnail rifle 23 to adjust inclination and contact with human internal organs On the bad side, the adjustingdisk 4 is fixed on the right side of the connectingblock 1 through the matching of the second through groove 6 and the first throughgroove 2, the second mounting groove 9 is arranged around themounting block 8, themovable groove 10 is arranged on the left side of themounting block 8, the mounting distance between themovable groove 10 and the adjustingdisk 4 is 1-1.5mm, if the mounting distance between themovable groove 10 and the adjustingdisk 4 is too close, the top end of the inner part of themovable groove 10 is in contact friction motion in the motion process of the adjustingdisk 4, thereby the flexible motion of the adjustingdisk 4 in themovable groove 10 can not be realized, the output power of an output motor is increased, the normal service life between the adjustingdisk 4 and themovable groove 10 is easily shortened in the friction motion process for a long time, the whole anastomat can not adjust the angle, the replacement cost of the whole equipment is increased, and the problem that the mounting distance between themovable groove 10 and the adjustingdisk 4 is, the right side of themounting block 8 is provided with a third through groove 11 in a penetrating way, the left side of themounting block 8 is fixed with a connectingrod 12, the connectingrod 12 is in an L shape, so that thelug 13 is conveniently and flexibly connected with thefirst clamping groove 2, meanwhile, the connectingrod 12 provides a certain supporting force and a supporting point for the connectingblock 1, the connectingblock 1 is prevented from being supported without any supporting force between the connectingblock 1 and the connectingrod 12 to easily cause the connectingblock 1 to fall into themovable groove 10, the clamping angle of the anastomat cannot be adjusted in the process of meshing thegear 20 and therack 7, the connectingrod 12 is in an L shape, the integral practicability and the integral simplicity and attractiveness are reflected, thelug 13 is fixed at the bottom of the connectingrod 12, the 4lugs 13 are arranged, thelugs 13 are symmetrically arranged relative to the axis of themounting block 8, thelug 13 and themovable groove 10 are flexibly mounted, so that the clamping angle of the integral, and 4bumps 13 are arranged to adjust four different clamping angles according to requirements, and also avoid the problem that the whole anastomat cannot be adjusted to the corresponding clamping angle due to too many or toofew bumps 13, and meanwhile, thebumps 13 are symmetrically arranged about the axis of themounting block 8, so that the symmetry of thewhole mounting block 8 and the appearance beauty of thewhole mounting block 8 are reflected, afirst output motor 14, asecond output motor 15, athird output motor 16 and afourth output motor 17 are respectively fixed in the second mounting groove 9, connectingplate groups 19 are fixed on two sides of thewire block 18, agear 20 is movably arranged between the connectingplate groups 19 through fixing pins, the bottom of thescrew 21 penetrates through thewire block 18 and extends into the second mounting groove 9, and the top end of thescrew 21 is respectively fixedly connected with the output ends of thefirst output motor 14, thesecond output motor 15, thethird output motor 16 and thefourth output motor 17, thegear 20 is engaged with therack 7, thewire block 18, thegear 20, the connectingplate group 19 and therack 7 form a moving mechanism, the moving distance range of the moving mechanism is 0-5cm, the inclination angle of the whole adjustingdisc 4 is changed through the relative motion of thegear 20 and therack 7, the maximum moving distance of the whole moving mechanism is 5cm, when the whole moving mechanism reaches the maximum moving distance, the bottom of thescrew rod 21 is in friction contact with the bottom end inside theinstallation groove 5, so that theinstallation groove 5 is easily damaged by friction in the moving process of thescrew rod 21, meanwhile, the whole moving mechanism is provided with 2 groups, so that the corresponding adjusting angle of the adjustingdisc 4 is conveniently changed through different moving mechanisms, so that the clamping angle of the whole anastomat is changed, 2gears 20 are arranged, and thegears 20 are symmetrically arranged about the central line of thewire block 18, so that the relative motion of thegear 20 and therack 7 is convenient to keep thegear 20, if thegear 20 is single, thegear 20 on one side is easily disengaged from therack 7 when the adjustingdisc 4 is inclined in different directions, so that thegear 20 cannot be engaged with therack 7 and the inclination angle of the corresponding side of the adjustingdisc 4 cannot be changed, which increases the difficulty of adjustment in the whole operation process, and thegear 20 is provided with two devices which perform corresponding operations according to the number of theracks 7, namely prevents thegear 20 and therack 7 from being disengaged to increase the difficulty of adjustment of the holding angle in the operation process, thebump 13 is movably connected with the connectingblock 1 through thefirst clamping groove 2, a nailgun clamping plate 23 is fixedly connected below the left side of the joint pipe 22, a second clamping groove 24 is formed at the top end of the nailgun clamping plate 23, anail abutting seat 25 is fixed above the left side of the joint pipe 22 through a movable pin, a sliding groove 26 is formed below the inner part of thenail abutting seat 25, and an abutting, the right side of the pipe joint 22 is fixedly connected with the left side of the connectingblock 1, thecutter 29 is movably mounted inside the firststraight pipe 28, the left side of thecutter 29 penetrates through the third through groove 11, the second through groove 6, the first throughgroove 3, the pipe joint 22 and the sliding groove 26 and is fixedly connected with the right side of the abutting block 27, and the right side of themounting block 8 is fixedly connected with the left side of the firststraight pipe 28.
As shown in fig. 1, 6 and 7, asliding hole 31 is formed at the left side of thecone 30, agroove tooth 33 is fixed on the inner ring of thebearing 32, thebearing 32 is fixed at the right side inside thecone 30, the connecting shape of thebearing 32 and thegroove tooth 33 is concentric, so that thegroove tooth 33 is fixedly connected with the inner ring of thebearing 32, and thegroove tooth 33 is prevented from being separated from thebearing 32 when thegroove tooth 33 drives thebearing 32 to move, if the connecting shape of thebearing 32 and thegroove tooth 33 is different, thebearing 32 and thegroove tooth 33 need to be connected through other auxiliary workpieces in the connecting process of thebearing 32 and thegroove tooth 33, and thebearing 32 and thegroove tooth 33 are inevitably loosened in the using process of the integral anastomat, at this time, the rotation angle of the firststraight pipe 28 and the secondstraight pipe 34 cannot be adjusted, a connecting rod 35 is movably installed inside the secondstraight pipe 34, acharging hole 37 is formed at the lower part of the right side of the, thestorage battery 38 is fixed on the right side inside themounting body 36, thedriving gear 40 is fixed at the output end of the rotatingmotor 39, the rotatingmotor 39 is fixed on the left side inside themounting body 36, thefiring handle 41 is movably mounted below the left side of themounting body 36, themovable handle 42 is movably mounted on the right side of thefiring handle 41, thefirst control switch 43 is fixedly embedded on the left side of themovable handle 42, thesecond control switch 45 is fixedly embedded on the left side of thefixed handle 44, thefixed handle 44 is fixed on the right side of themovable handle 42, theswitching button 46 is embedded above the surface of themounting body 36, the right side through slidinghole 31 of the secondstraight pipe 34 is fixedly connected with the drivengear 47, the drivengear 47 is mounted inside thegroove teeth 33, the drivengear 47 is meshed with thegroove teeth 33, thedriving gear 40 penetrates through theconical body 30 and extends to be meshed with thegroove teeth 33, Thebearing 32 and the drivengear 47 form a rotating mechanism, the rotating angle range of the rotating mechanism is 0-360 degrees, thedriving gear 40 is driven to move by therotating motor 39, thereby changing the rotation angle of the firststraight pipe 28 and the secondstraight pipe 34, and the connection between the parts of the integral rotation mechanism is simple and clear, meanwhile, the integral rotating mechanism is convenient to mount and dismount, the integral rotating mechanism is convenient to operate by one hand in sequence, trouble of operation by two hands is avoided, the right side of theconical body 30 is fixedly connected with the left side of themounting body 36, the right side of the connectingrod 12 penetrates through the drivengear 47 to be connected with thetrigger handle 41, thestorage battery 38 is electrically connected with thecharging hole 37 through an electric wire, the rotatingmotor 39 is electrically connected with thestorage battery 38 and thefirst control switch 43 through electric wires, and thefirst output motor 14, thesecond output motor 15, thethird output motor 16 and thefourth output motor 17 are electrically connected with thestorage battery 38 and thesecond control switch 45 through electric wires.
The working principle is as follows: when the minimally invasive endoscope anastomat convenient for adjusting the clamping angle is used, firstly, a charging wire is manually connected with acharging hole 37, the charging wire charges astorage battery 38, when the charging wire is fully charged, the charging wire is manually separated from thecharging hole 37 again, then, the whole anastomat is placed at a corresponding position, when thefixed handle 44 is manually held in the operation process to apply upward pulling force, thefixed handle 44 drives theinstallation body 36, the secondstraight pipe 34 and the firststraight pipe 28 to move in the same direction, when thenail abutting seat 25 and the nailgun clamping plate 23 are perpendicular to the opening of the puncture outfit, a certain downward pushing force is applied to thefixed handle 44, thefixed handle 44 drives theinstallation body 36, the secondstraight pipe 34 and the firststraight pipe 28 to move in the same direction, when the joint pipe 22 enters the human body, a key above asecond control switch 45 is manually held, at the moment, thesecond control switch 45 controls thesecond output motor 15 to start, thesecond output motor 15 is started to drive thescrew rod 21 to move, thescrew rod 21 drives thescrew block 18 to move downwards, thescrew block 18 drives the connectingplate group 19 and thegear 20 to move in the same direction, thegear 20 moves relative to therack 7 in the process of moving, thegear 20 drives the adjustingdisc 4 to move upwards and obliquely in themovable groove 10 in the process of moving downwards, the adjustingdisc 4 drives the connectingblock 1 to move in the same direction in the process of moving, meanwhile, the connectingblock 1 drives thefirst clamping groove 2 to move relative to the connectingrod 12 and thelug 13 in the process of moving, the joint pipe 22 is driven to move in the same direction in the process of moving the connectingblock 1, the joint pipe 22 drives the nailgun clamping plate 23 and thenail abutting seat 25 to move in the same direction, when the adjusting angles of the nailgun clamping plate 23 and thenail abutting seat 25 are observed through corresponding equipment, thesecond control switch 45 is loosened manually, themovable handle 42 is held manually, thefirst control switch 43, the rotatingmotor 39 drives thedriving gear 40 to move, thedriving gear 40 drives thegroove teeth 33 to move, thegroove teeth 33 drive thebearing 32 to move, thegroove teeth 33 drive the drivengear 47 to move in the moving process, the drivengear 47 drives the secondstraight pipe 34, the firststraight pipe 28 and the joint pipe 22 to move in a rotating mode, the joint pipe 22 drives the nailgun clamping plate 23 and thenail abutting seat 25 to move in the same direction, when the rotating direction of the nailgun clamping plate 23 and thenail abutting seat 25 is observed through corresponding equipment, thefirst control switch 43 is loosened manually, the rotatingmotor 39 stops moving at the moment, then theswitching button 46 is pressed manually, when theswitching button 46 is pressed, thehandle 41 is gripped again manually, thefiring handle 41 drives the connecting rod 35 to move towards the left side of theconical body 30 and thesliding hole 31, the connecting rod 35 drives thecutter 29 to move towards the left side of the firststraight pipe 28, thecutter 29 drives the abutting block 27 to move towards, during the movement of the abutting block 27, the nails in the nailgun clamping plate 23 are extruded out of the nailgun clamping plate 23 to repair the internal organs of the patient, when the nailgun clamping plate 23 and thenail abutting seat 25 are observed through corresponding equipment to repair the internal organs of the patient, theswitching button 46 is manually pressed again, the connecting rod 35 moves towards the right side of theconical body 30 and theslide hole 31, the connecting rod 35 drives thecutter 29 to move towards the right side of the firststraight pipe 28 during the movement, thecutter 29 drives the abutting block 27 to move towards the right side inside the slide groove 26, theswitching button 46 is loosened when thecutter 29 moves inside the firststraight pipe 28, thecutter 29 stops moving at the moment, then the left button of thesecond control switch 45 is manually held again, thesecond control switch 45 controls thethird output motor 16 to start, thethird output motor 16 starts to drive thescrew rod 21 to move, thescrew rod 21 drives thescrew block 18 to move downwards, thescrew block 18 drives the connectingplate group 19, and thegear 20 moves relative to therack 7 during the movement process, and thegear 20 drives the adjustingdisc 4 to tilt to the right side in themovable groove 10 during the downward movement process, the adjustingdisc 4 drives the connectingblock 1 to move in the same direction during the movement process, and simultaneously the connectingblock 1 drives thefirst clamping groove 2 to move relative to the connectingrod 12 and thebump 13 during the movement process, the connectingblock 1 drives the joint pipe 22 to move in the same direction during the movement process, the joint pipe 22 drives the nailgun clamping plate 23 and thenail abutting seat 25 to move in the same direction, when the nailgun clamping plate 23 and thenail abutting seat 25 are observed to be perpendicular to the firststraight pipe 28 through corresponding equipment, thesecond control switch 45 is manually loosened, thethird output motor 16 stops moving, thefirst output motor 14 and thefourth output motor 17 operate in the same direction, and when thefixed handle 44 is manually held to apply upward pulling force after the whole step is completed, thefixed handle 44 drives themounting body 36, The secondstraight tube 34 and the firststraight tube 28 move in the same direction, when thenail abutting seat 25 and the nailgun clamping plate 23 are separated from the puncture device through opening, the integral anastomat is separated from the human body, the whole operation is completed, and the content which is not described in detail in the specification belongs to the prior art which is well known by a person skilled in the art.
The terms "central," "longitudinal," "lateral," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are used in the orientation or positional relationship indicated in the drawings for simplicity of description only and are not intended to indicate or imply that the referenced devices or elements must be in a particular orientation, constructed and operative in a particular orientation, and are not to be considered limiting of the claimed invention.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.