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CN117064473A - Anastomotic reinforcement patch - Google Patents

Anastomotic reinforcement patch
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Publication number
CN117064473A
CN117064473ACN202311087728.8ACN202311087728ACN117064473ACN 117064473 ACN117064473 ACN 117064473ACN 202311087728 ACN202311087728 ACN 202311087728ACN 117064473 ACN117064473 ACN 117064473A
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backing
patch
arc
suture
line
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CN117064473B (en
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陈慧军
王华生
赵博
赵延瑞
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BEIJING BIOSIS HEALING BIOLOGICAL TECHNOLOGY CO LTD
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BEIJING BIOSIS HEALING BIOLOGICAL TECHNOLOGY CO LTD
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Abstract

Translated fromChinese

本公开提供一种吻合口加固修补片,包括:背衬、端帽、修补片、缝合线以及牵引线。所述背衬具有在厚度方向上相互背离的第一面和第二面,所述背衬配置为弧形结构,在所述弧形结构延伸方向上设置有方向相反的第一端和第二端,所述背衬用于装配弧形吻合器;修补片具有弧形结构,设置于所述第一面上,且与所述背衬为可拆卸连接;端帽设置于所述背衬的所述第一面,用于限制所述吻合口加固修补片与所述弧形吻合器连接;所述缝合线设置于所述背衬上,用于将所述背衬与所述修补片和所述端帽缝合,所述缝合线在所述背衬上设置为封闭环形;所述牵引线套设于临近所述第二端的所述缝合线上,在外力作用下拖拽所述牵引线,以带动所述缝合线与所述背衬分离。

The present disclosure provides an anastomotic reinforcement patch, which includes: a backing, an end cap, a patch, a suture, and a traction thread. The backing has a first surface and a second surface that are away from each other in the thickness direction, the backing is configured as an arc-shaped structure, and a first end and a second end with opposite directions are provided in the extending direction of the arc-shaped structure. end, the backing is used to assemble an arc-shaped stapler; the patch has an arc-shaped structure, is disposed on the first surface, and is detachably connected to the backing; the end cap is disposed on the backing The first surface is used to restrict the anastomosis reinforcement patch from being connected to the arc-shaped stapler; the suture is provided on the backing and is used to connect the backing with the patch and the arc-shaped stapler; The end cap is sewn, and the suture line is set in a closed ring shape on the backing; the traction line is set on the suture line adjacent to the second end, and the traction line is dragged under the action of external force , to drive the suture to separate from the backing.

Description

Translated fromChinese
吻合口加固修补片Anastomotic reinforcement patch

技术领域Technical field

本公开涉及医疗器械技术领域,具体而言,涉及一种吻合口加固修补片。The present disclosure relates to the technical field of medical devices, and specifically to an anastomotic reinforcing patch.

背景技术Background technique

吻合器的应用极大地推动了现代外科和微创外科的发展,具有里程碑的意义。吻合器可以在切割的同时通过吻合钉对组织钉合,广泛用于肠、胃、肺、胰腺等脏器组织的切割、缝合或吻合。但仅仅通过吻合钉的硬性钉合并不能完全避免吻合口组织的渗漏、出血。这是因为吻合钉为刚性结构,与软组织的柔性不能完全匹配,导致钉孔出现渗漏、出血。此外,由于不同区域的软组织性状存在差异,有些软组织例如肺的强度较低,可能存在吻合口撕裂的风险。为解决上述问题,可以通过将吻合口加固修补片与吻合器联用,使得吻合器切割和封闭创面的同时,将加固修补片固定于创面,封堵吻合钉钉孔,提高创面强度,从而避免创面的渗漏和出血。但是在临床实践中,由于某些特定部位的手术空间狭小,例如盆腔,普通的吻合器无法深入患处为患者进行吻合修补,故此,临床实践中还需要弧形吻合器。The application of staplers has greatly promoted the development of modern surgery and minimally invasive surgery, which is a milestone. The stapler can staple tissues through staples while cutting, and is widely used for cutting, suturing or anastomosis of intestines, stomach, lungs, pancreas and other organs and tissues. However, leakage and bleeding of anastomotic tissue cannot be completely avoided by using rigid staples alone. This is because the staples have a rigid structure and cannot fully match the flexibility of the soft tissue, causing leakage and bleeding in the nail holes. In addition, due to differences in soft tissue properties in different regions, some soft tissues such as the lungs have lower strength and may be at risk of anastomotic tearing. In order to solve the above problems, the anastomotic reinforcement patch can be used in conjunction with the stapler, so that the stapler cuts and seals the wound and at the same time fixes the reinforcement patch to the wound, seals the anastomotic nail holes, improves the strength of the wound, and thus avoids Leakage and bleeding from the wound. However, in clinical practice, due to the small surgical space in some specific parts, such as the pelvic cavity, ordinary staplers cannot penetrate into the affected area to perform anastomotic repair for the patient. Therefore, curved staplers are also needed in clinical practice.

发明内容Contents of the invention

本公开的目的在于针对相关技术中的技术问题,提供一种吻合口加固修补片。具体方案如下:The purpose of this disclosure is to provide an anastomotic reinforcement patch to address the technical problems in the related art. The specific plans are as follows:

本公开实施例提供一种吻合口加固修补片,包括:背衬,具有在厚度方向上相互背离的第一面和第二面,所述背衬配置为弧形结构,在所述弧形结构延伸方向上设置有方向相反的第一端和第二端,所述背衬用于装配弧形吻合器的吻合机构;修补片,设置于所述第一面上,且与所述背衬为可拆卸连接,具有与所述背衬匹配的弧形结构;端帽,设置于所述背衬的所述第一面,所述端帽的圆弧端与所述第一端连接,所述端帽用于限制所述吻合口加固修补片与所述弧形吻合器连接;缝合线,所述缝合线设置于所述背衬上,用于将所述背衬与所述修补片和所述端帽连接,所述缝合线在所述背衬上设置为封闭环形;以及牵引线,所述牵引线套设于临近所述第二端的所述缝合线上,在外力作用下拖拽所述牵引线,以带动所述缝合线与所述背衬分离。Embodiments of the present disclosure provide an anastomotic reinforcement patch, including: a backing having a first surface and a second surface that are away from each other in the thickness direction; the backing is configured in an arc-shaped structure; in the arc-shaped structure A first end and a second end with opposite directions are provided in the extension direction, and the backing is used to assemble the stapling mechanism of the arc-shaped stapler; the repair piece is disposed on the first surface and is in contact with the backing. It is detachably connected and has an arc-shaped structure matching the backing; an end cap is provided on the first surface of the backing, and the arc end of the end cap is connected to the first end. The end cap is used to limit the connection between the anastomosis reinforcement patch and the arc-shaped stapler; the suture line is provided on the backing and is used to connect the backing to the patch and the arc-shaped stapler; The end cap connection, the suture line is arranged in a closed ring shape on the backing; and the traction line is set on the suture line adjacent to the second end, and drags the suture line under the action of external force. The pulling thread is used to drive the suture thread to separate from the backing.

在一些实施例中,所述修补片的内圆弧的半径长度为r,r的取值范围为15mm-40mm;所述修补片的宽度为w,w的取值范围为5mm-20mm;所述弧形结构的圆心角角度为θ,θ的取值范围为80°-180°。In some embodiments, the radius length of the inner arc of the patch is r, and the value range of r is 15mm-40mm; the width of the patch is w, and the value range of w is 5mm-20mm; so The central angle of the arc-shaped structure is θ, and the value range of θ is 80°-180°.

在一些实施例中,所述缝合线包括:第一缝合线311,所述第一缝合线311多次穿设所述修补片与所述背衬,在所述背衬的第一面和所述修补片上露出双股线,所述双股线套形成套索结构,在所述背衬的第二面上露出单股线;以及第二缝合线,所述第二缝合线多次穿设于所述套索结构,所述第二缝合线受到外力作用后与所述第一缝合线311分离。In some embodiments, the suture line includes: a first suture line 311 that passes through the patch and the backing multiple times. A double-stranded thread is exposed on the patch, the double-stranded thread cover forms a lasso structure, and a single-stranded thread is exposed on the second side of the backing; and a second suture thread is threaded multiple times. In the noose structure, the second suture line is separated from the first suture line 311 after being acted upon by an external force.

在一些实施例中,所述牵引线与所述第二缝合线连接,在外力作用下拖拽所述牵引线将所述第二缝合线与所述第一缝合线311分离。In some embodiments, the traction line is connected to the second suture line, and the traction line is dragged under the action of external force to separate the second suture line from the first suture line 311 .

在一些实施例中,所述牵引线与所述缝合线连接的至少部分构造为牵引环,所述牵引环套设所述第二缝合线。In some embodiments, at least part of the connection between the traction line and the suture line is configured as a traction ring, and the traction ring covers the second suture line.

在一些实施例中,所述修补片与所述背衬具有至少一部分连接的第一状态,以及所述修补片与所述背衬相对独立的第二状态,外力作用拖拽所述牵引线以将所述修补片与所述背衬由第一状态转换至第二状态。In some embodiments, the patch and the backing have a first state in which they are at least partially connected, and a second state in which the patch and the backing are relatively independent, and the external force drags the pulling line to The patch and the backing are converted from a first state to a second state.

在一些实施例中,所述修补片沿所述背衬的弯曲方向延伸,且所述修补片的至少部分收容至所述端帽内部。In some embodiments, the patch extends along the curvature of the backing, and at least a portion of the patch is received inside the end cap.

在一些实施例中,所述背衬包括:第一弧形结构,所述第一弧形结构在所述背衬的第一面上朝逆时针方向弯曲;以及第二弧形结构,所述第二弧形结构在所述背衬的第一面上朝顺时针方向弯曲,其中,所述第一弧形结构和所述第二弧形结构在所述背衬的第一面上配置为对称结构。In some embodiments, the backing includes: a first arcuate structure curved in a counterclockwise direction on the first side of the backing; and a second arcuate structure, the A second arcuate structure is curved in a clockwise direction on the first side of the backing, wherein the first arcuate structure and the second arcuate structure are configured on the first side of the backing as Symmetrical structure.

在一些实施例中,所述缝合线为封闭环形,沿着所述第一弧形结构和所述第二弧形结构的边缘延伸,所述第一弧形结构和所述第二弧形结构的对称轴上横穿两条所述缝合线。In some embodiments, the suture line is a closed loop extending along the edges of the first arc-shaped structure and the second arc-shaped structure, the first arc-shaped structure and the second arc-shaped structure The axis of symmetry crosses the two suture lines.

在一些实施例中,所述牵引线套设两条所述缝合线,在外力作用下拖拽所述牵引线,以使两根所述缝合线同时与所述背衬分离。In some embodiments, the two suture lines are wrapped around the two suture lines, and the two suture lines are dragged under the action of external force to separate the two suture lines from the backing at the same time.

本公开实施例的上述方案与相关技术相比,至少具有以下有益效果:Compared with related technologies, the above solutions of the embodiments of the present disclosure have at least the following beneficial effects:

本公开提供一种吻合口加固修补片,包括弧形结构的背衬、与所述弧形结构背衬形状匹配的修补片、缝合线以及牵引线。所述缝合线在所述背衬上设置为封闭环形,牵引线套设于缝合线上,在外力作用下拖拽所述牵引线,可以带动所述缝合线与所述背衬分离。弧形吻合器应用于临床操作中,将所述吻合口加固修补片套设与所述吻合器上后,仅需拖拽牵引线,即可将环形封闭的缝合线与背衬分离,便于医生对吻合口加固修补片的控制,提高手术精确性和时效性。The present disclosure provides an anastomotic reinforcement patch, which includes a backing with an arc structure, a patch matching the shape of the backing with an arc structure, a suture, and a traction line. The suture line is arranged in a closed ring shape on the backing, and the traction line is set on the suture line. Dragging the traction line under the action of external force can drive the suture line to separate from the backing. The arc-shaped stapler is used in clinical operations. After the anastomotic reinforcement patch is sleeved on the stapler, only the pulling wire is needed to separate the annular closed suture from the backing, which is convenient for the doctor. Control the anastomotic reinforcement patch to improve surgical accuracy and timeliness.

应当理解的是,以上的一般描述和后文的细节描述仅是示例性和解释性的,并不能限制本公开。It should be understood that the foregoing general description and the following detailed description are exemplary and explanatory only, and do not limit the present disclosure.

附图说明Description of the drawings

此处的附图被并入说明书中并构成本说明书的一部分,示出了符合本公开的实施例,并与说明书一起用于解释本公开的原理。显而易见地,下面描述中的附图仅仅是本公开的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。在附图中:The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the disclosure and together with the description, serve to explain the principles of the disclosure. Obviously, the drawings in the following description are only some embodiments of the present disclosure. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without exerting creative efforts. In the attached picture:

图1是根据一示例性实施例示出的一种吻合口加固修补片的结构示意图。Figure 1 is a schematic structural diagram of an anastomotic reinforcement patch according to an exemplary embodiment.

图2是根据一示例性实施例示出的一种背衬的结构示意图。Figure 2 is a schematic structural diagram of a backing according to an exemplary embodiment.

图3是根据一示例性实施例示出的一种修补片的结构示意图。Figure 3 is a schematic structural diagram of a patch according to an exemplary embodiment.

图4是根据一示例性实施例示出的一种缝合线的结构示意图。Figure 4 is a schematic structural diagram of a suture according to an exemplary embodiment.

图5是根据一示例性实施例示出的另一种吻合口加固修补片展开的结构示意图。Figure 5 is a schematic structural diagram of another deployed anastomotic reinforcement patch according to an exemplary embodiment.

图6是根据一示例性实施例示出的另一种吻合口加固修补片展开的结构示意图。Figure 6 is a schematic structural diagram of another anastomotic reinforcement patch deployed according to an exemplary embodiment.

图7是根据图5示出的另一种吻合口加固修补片折叠的结构示意图。FIG. 7 is a schematic structural diagram of another folded anastomotic reinforcement patch shown in FIG. 5 .

附图标记:Reference signs:

背衬100、第一端101、第二端102、端帽103、第一弧形结构110、第二弧形结构120;Backing 100, first end 101, second end 102, end cap 103, first arc-shaped structure 110, second arc-shaped structure 120;

修补片200、引刀槽201、第一修补片210、第二修补片220;Repair piece 200, guide groove 201, first repair piece 210, second repair piece 220;

缝合线310、第一缝合线311、第二缝合线312、牵引线320、牵引环321。Suture line 310, first suture line 311, second suture line 312, traction line 320, traction ring 321.

具体实施方式Detailed ways

为了使本公开的目的、技术方案和优点更加清楚,下面将结合附图对本公开作进一步地详细描述,显然,所描述的实施例仅仅是本公开一部分实施例,而不是全部的实施例。基于本公开中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其它实施例,都属于本公开保护的范围。In order to make the purpose, technical solutions and advantages of the present disclosure clearer, the present disclosure will be described in further detail below in conjunction with the accompanying drawings. Obviously, the described embodiments are only some, not all, of the embodiments of the present disclosure. Based on the embodiments in this disclosure, all other embodiments obtained by those of ordinary skill in the art without making creative efforts fall within the scope of protection of this disclosure.

在本公开实施例中使用的术语是仅仅出于描述特定实施例的目的,而非旨在限制本公开。在本公开实施例和所附权利要求书中所使用的单数形式的“一种”、“所述”和“该”也旨在包括多数形式,除非上下文清楚地表示其他含义,“多种”一般包含至少两种,其它量词与之类似。The terminology used in the embodiments of the present disclosure is for the purpose of describing particular embodiments only and is not intended to limit the disclosure. As used in the embodiments of this disclosure and the appended claims, the singular forms "a," "the," and "the" are intended to include the plural forms as well, unless the context clearly dictates otherwise. Generally contains at least two kinds, and other quantifiers are similar.

应当理解,尽管在本公开实施例中可能采用术语第一、第二、第三等来描述……,但这些……不应限于这些术语。这些术语仅用来将……区分开。例如,在不脱离本公开实施例范围的情况下,第一……也可以被称为第二……,类似地,第二……也可以被称为第一……。此外,术语“第一”、“第二”、“第三”等仅用于描述目的,而不能理解为指示或暗示相对重要性。It should be understood that although the terms first, second, third, etc. may be used to describe... in the embodiments of the present disclosure, these... should not be limited to these terms. These terms are only used to distinguish... For example, without departing from the scope of the embodiments of the present disclosure, the first... may also be called the second..., and similarly, the second... may also be called the first.... Furthermore, the terms "first," "second," "third," etc. are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

应当理解,本文中使用的术语“和/或”仅仅是一种描述关联对象的关联关系,表示可以存在三种关系,例如,A和/或B,可以表示:单独存在A,同时存在A和B,单独存在B这三种情况。另外,本文中字符“/”,一般表示前后关联对象是一种“或”的关系。单数形式的“一种”、“所述”和“该”也旨在包括多数形式,除非上下文清楚地表示其他含义。It should be understood that the term "and/or" used in this article is only an association relationship describing related objects, indicating that there can be three relationships, for example, A and/or B, which can mean: A alone exists, and A and A exist simultaneously. B, there are three situations of B alone. In addition, the character "/" in this article generally indicates that the related objects are an "or" relationship. The singular forms "a", "the" and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise.

进一步可以理解的是,术语“中心”、“纵向”、“横向”、“前”、“后”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实施例和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。It is further understood that the terms "center", "longitudinal", "transverse", "front", "rear", "upper", "lower", "left", "right", "vertical", "horizontal" ", "top", "bottom", "inner", "outer", etc. indicate the orientation or positional relationship based on the orientation or positional relationship shown in the drawings. They are only for convenience of describing this embodiment and simplifying the description, rather than instructions. Or imply that the device or element referred to must have a specific orientation, be constructed and operate in a specific orientation, and therefore should not be construed as a limitation on the invention.

在本公开的描述中,需要说明的是,除非另有明确的规定和限定,术语“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本发明中的具体含义。In the description of the present disclosure, it should be noted that, unless otherwise clearly stated and limited, the terms "connected" and "connected" should be understood in a broad sense. For example, it can be a fixed connection, a detachable connection, or an integral connection. Ground connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood on a case-by-case basis.

取决于语境,如在此所使用的词语“如果”、“若”可以被解释成为“在……时”或“当……时”或“响应于确定”或“响应于检测”。类似地,取决于语境,短语“如果确定”或“如果检测(陈述的条件或事件)”可以被解释成为“当确定时”或“响应于确定”或“当检测(陈述的条件或事件)时”或“响应于检测(陈述的条件或事件)”。Depending on the context, the words "if" or "if" as used herein may be interpreted as "when" or "when" or "in response to determination" or "in response to detection." Similarly, depending on the context, the phrase "if determined" or "if (stated condition or event) is detected" may be interpreted as "when determined" or "in response to determining" or "when (stated condition or event) is detected )" or "in response to detecting (a stated condition or event)".

还需要说明的是,术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含,从而使得包括一系列要素的商品或者装置不仅包括那些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种商品或者装置所固有的要素。在没有更多限制的情况下,由语句“包括一个……”限定的要素,并不排除在包括所述要素的商品或者装置中还存在另外的相同要素。It should also be noted that the terms "comprises", "comprises" or any other variation thereof are intended to cover a non-exclusive inclusion, such that a good or apparatus including a list of elements includes not only those elements but also those not expressly listed other elements, or elements inherent to such goods or devices. Without further limitation, an element defined by the statement "comprises a..." does not exclude the presence of other identical elements in the goods or devices including the stated element.

在相关技术中,吻合口加固修补片包括:背衬、修补片和缝合线。缝合线将背衬和修补片连接在一起,使背衬和修补片成为一个整体,且两根缝合线具有较长的牵引段。使用时,将修补片安装至吻合器上,再将吻合器前部伸入体腔内,抵达病灶。闭合吻合器钳口,使钳口夹持住待吻合组织。然后抽拉牵引段,使修补片与背衬完全分离。由于缝合线与背衬在前端有固定连接点,此时背衬受缝合线拉扯后撤。接下来,击发吻合器,利用吻合器切割组织,并形成吻合口;吻合器在形成吻合口的同时将修补片固定至吻合口处,并切割为两部分。然后松解吻合器钳口,接着向病人体外撤出吻合器,并继续抽拉牵引段,取出背衬。从而完成操作,并实现修补片对吻合口修补的目的。In the related art, an anastomotic reinforcement patch includes: a backing, a patch, and a suture. The sutures connect the backing and the patch together so that the backing and the patch become a single unit, and the two sutures have longer traction sections. During use, the patch is installed on the stapler, and then the front part of the stapler is extended into the body cavity to reach the lesion. Close the jaws of the stapler so that the jaws clamp the tissue to be anastomotic. Then pull the traction section to completely separate the patch from the backing. Since the suture and the backing have a fixed connection point at the front end, the backing is pulled back by the suture at this time. Next, the stapler is fired, and the stapler is used to cut the tissue and form an anastomosis; while forming the anastomosis, the stapler fixes the patch to the anastomosis and cuts it into two parts. Then loosen the jaws of the stapler, then withdraw the stapler outside the patient's body, continue to pull the traction section, and remove the backing. This completes the operation and achieves the purpose of repairing the anastomosis with the patch.

常用腔镜吻合器主要是用于腹腔内的手术,吻合器经穿刺器进入腹腔,抵达病灶。这一类吻合器的前端为直线型的结构。但由于某些特定部位的手术空间狭小,例如在盆腔内的直肠肿瘤手术,采用直线型的吻合器虽然可以进入盆腔,但是由于其切割线为直线型,无法深入盆底切割肿瘤。对于这类手术,尤其是低位直肠肿瘤手术,采用弧形吻合器进行病灶切除,而采用吻合器就存在吻合口钉孔出血及发生吻合口缝合不严的风险。Commonly used laparoscopic staplers are mainly used for intra-abdominal surgeries. The staplers enter the abdominal cavity through the puncture device and reach the lesion. The front end of this type of stapler has a linear structure. However, due to the small surgical space in some specific parts, such as rectal tumor surgery in the pelvis, although a linear stapler can be used to enter the pelvic cavity, its cutting line is linear and cannot penetrate the pelvic floor to cut the tumor. For this type of surgery, especially for low rectal tumors, arc-shaped staplers are used for lesion resection. However, the use of staplers involves the risk of anastomotic nail hole bleeding and lax anastomotic suturing.

有鉴于此,下面结合附图详细说明本公开的可选实施例。In view of this, optional embodiments of the present disclosure are described in detail below with reference to the accompanying drawings.

本公开实施例提供一种吻合口加固修补片200,包括:背衬100、端帽103、修补片200、缝合线310以及牵引线320。The embodiment of the present disclosure provides an anastomotic reinforcement patch 200, which includes: a backing 100, an end cap 103, a patch 200, a suture 310 and a traction thread 320.

背衬100,具有在厚度方向上相互背离的第一面和第二面,所述背衬100配置为弧形结构,如图1所示,在所述弧形结构延伸方向上设置有方向相反的第一端101和第二端102,所述背衬100用于装配弧形吻合器的吻合机构。The backing 100 has a first surface and a second surface that are away from each other in the thickness direction. The backing 100 is configured as an arc-shaped structure. As shown in Figure 1, opposite directions are provided in the extending direction of the arc-shaped structure. The first end 101 and the second end 102 of the backing 100 are used to assemble the stapling mechanism of the arc-shaped stapler.

所述修补片200设置于所述第一面上,且与所述背衬100为可拆卸连接,具有与所述背衬100匹配的弧形结构。The patch 200 is disposed on the first surface, is detachably connected to the backing 100 , and has an arc-shaped structure matching the backing 100 .

当吻合口加固修补片200套设于弧形吻合器应用于临床实践时,带有修补片200的弧形吻合器探入人体腔室内,所述具有弧形结构的修补片200应用于弧形吻合器,可以在狭小空间内修补吻合口,以保护脆弱的组织免于被撕裂,从而起到加固吻合口,降低吻合口出血、渗液等风险。When the anastomotic reinforcing patch 200 is placed on the arc-shaped stapler for clinical practice, the arc-shaped stapler with the patch 200 is inserted into the human body cavity, and the patch 200 with the arc-shaped structure is used in the arc-shaped stapler. The stapler can repair the anastomosis in a small space to protect the fragile tissue from being torn, thereby strengthening the anastomosis and reducing the risk of anastomotic bleeding, exudation, etc.

所述端帽103设置于所述背衬100的所述第一面,所述端帽103的圆弧端与所述背衬100的第一端101固定连接,所述端帽103可折叠使所述端帽103与背衬100重合,所述端帽103用于限制所述吻合口加固修补片200与所述弧形吻合器连接。The end cap 103 is disposed on the first surface of the backing 100. The arc end of the end cap 103 is fixedly connected to the first end 101 of the backing 100. The end cap 103 is foldable. The end cap 103 overlaps the backing 100, and the end cap 103 is used to restrict the anastomosis reinforcement patch 200 from being connected to the arc-shaped stapler.

具体地,所述端帽103的至少部分与所述背衬100的端部固定连接,所述端帽103套设弧形吻合器,包裹所述弧形吻合器的端部,避免弧形吻合器的端部直接接触人体组织。Specifically, at least part of the end cap 103 is fixedly connected to the end of the backing 100. The end cap 103 is sleeved with an arc-shaped stapler and wraps the end of the arc-shaped stapler to avoid arc-shaped anastomosis. The end of the device is in direct contact with human tissue.

所述缝合线310设置于所述背衬100上,用于将所述背衬100与所述修补片200和所述端帽103连接,如图2所示,所述缝合线310在所述背衬100上设置为封闭环形。The suture line 310 is provided on the backing 100 for connecting the backing 100 to the patch 200 and the end cap 103. As shown in FIG. 2, the suture line 310 is on the backing 100. The backing 100 is provided in a closed ring shape.

在一些实施例中,所述缝合线310的至少部分与所述端帽103连接,以避免端帽103与修补片200之间存在缝隙使吻合器露出。其中,所述缝合线310使端帽103和修补片200与背衬100可拆卸地连接。In some embodiments, at least part of the suture 310 is connected to the end cap 103 to avoid a gap between the end cap 103 and the patch 200 to expose the stapler. The sutures 310 detachably connect the end cap 103 and the patch 200 to the backing 100 .

具体地,所述端帽103与所述背衬100具有展开状态和折叠状态,如图1、图2所示,当所述缝合线310未将端帽103与所述背衬100缝合时,所述端帽103与所述背衬100为展开状态,此时端帽103的端部与所述背衬100的第一段连接,端帽103与所述背衬100补充和;当所述缝合线310将端帽103与所述背衬100缝合时,所述端帽103与背衬100第一端101的部分重合,此时,所述端帽103与所述背衬100为折叠状态。Specifically, the end cap 103 and the backing 100 have an unfolded state and a folded state. As shown in Figures 1 and 2, when the suture line 310 does not sew the end cap 103 and the backing 100, The end cap 103 and the backing 100 are in an unfolded state. At this time, the end of the end cap 103 is connected to the first section of the backing 100, and the end cap 103 and the backing 100 are complementary; when the When the suture line 310 sews the end cap 103 to the backing 100, the end cap 103 overlaps with the first end 101 of the backing 100. At this time, the end cap 103 and the backing 100 are in a folded state. .

所述端帽103至少具有朝向第二端102方向的单侧开口,所述端帽103用于容纳弧形吻合器的端部,以使弧形吻合器的端部与所述端帽103抵接并包裹在所述端帽103内,避免弧形吻合器端部直接接触人体组织;同时避免在弧形吻合器在狭窄空间内工作时,因碰触体内腔壁而导致的修补片200发生翻卷。The end cap 103 has at least one unilateral opening toward the second end 102. The end cap 103 is used to accommodate the end of the arc-shaped stapler, so that the end of the arc-shaped stapler abuts against the end cap 103. Connected and wrapped in the end cap 103 to prevent the end of the arc-shaped stapler from directly contacting human tissue; at the same time, it avoids the occurrence of the patch 200 caused by touching the wall of the body cavity when the arc-shaped stapler is working in a narrow space. Roll over.

需要注意的是,使用带有端帽103的吻合口加固修补片,有助于准确固定修补片200的位置,并避免修补片200发生翻卷。而对于操作空间更为充足的开放手术用的吻合器,也可以使用不带有端帽103的吻合口加固修补片。这是因为对于开放式手术,操作空间大,可以使用带端帽103或不带端帽103的吻合口加固修补片。It should be noted that using an anastomotic reinforcement patch with an end cap 103 helps to accurately fix the position of the patch 200 and prevent the patch 200 from rolling over. For staplers for open surgery that have more ample operating space, an anastomotic reinforcing patch without an end cap 103 can also be used. This is because for open surgery, the operating space is large, and an anastomotic reinforcing patch with or without the end cap 103 can be used.

在一些实施例中,所述修补片200沿所述背衬100的弯曲方向延伸,且所述修补片200的至少部分收容至所述端帽103内部。In some embodiments, the patch 200 extends along the bending direction of the backing 100 , and at least part of the patch 200 is received inside the end cap 103 .

具体地,所述背衬100的第一面上设置修补片200,所述缝合线310用于将所述修补片200与所述背衬100缝合,使所述修补片200与所述背衬100为可拆卸连接。所述背衬100的第一端101设置有端帽103,用于收容至少一部分所述修补片200。Specifically, a patch patch 200 is provided on the first surface of the backing 100, and the suture line 310 is used to sew the patch patch 200 and the backing 100, so that the patch patch 200 and the backing 100 are 100 for detachable connection. The first end 101 of the backing 100 is provided with an end cap 103 for receiving at least a portion of the patch 200 .

在一些实施例中,缝合线310的一端以不可拆卸的方式与背衬缝合,用于在缝合线310被拆卸后,仍与背衬100相连,从而将背衬100从体腔内牵拉至体外。若缝合线310完全与背衬100分离,可通过其它医疗器械,例如:医用钳或夹子,将背衬100取出体外。In some embodiments, one end of the suture 310 is non-detachably sewn to the backing, and is used to remain connected to the backing 100 after the suture 310 is detached, thereby pulling the backing 100 from the body cavity to the outside of the body. . If the suture 310 is completely separated from the backing 100, the backing 100 can be taken out of the body using other medical instruments, such as medical forceps or clamps.

在一些实施例中,所述缝合线310的至少部分与所述端帽103连接,所述修补片200的至少部分延伸至所述端帽103内部,用于导引弧形吻合器进入端帽103。其中,所述缝合线310使端帽103以可拆卸地方式设置于背衬100上。当拆卸缝合线310时,端帽103与背衬100的缝线连接能够被松解开,从而释放被套接的弧形吻合器端部。In some embodiments, at least part of the suture 310 is connected to the end cap 103, and at least part of the patch 200 extends into the end cap 103 for guiding an arc-shaped stapler into the end cap. 103. Wherein, the suture 310 enables the end cap 103 to be detachably disposed on the backing 100 . When the suture 310 is removed, the suture connection of the end cap 103 to the backing 100 can be loosened, thereby releasing the encased arcuate stapler end.

在一些实施例中,所述吻合口加固修补片200还包括牵引线320,所述牵引线320套设于临近所述第二端102的所述缝合线310上,在外力作用下拖拽所述牵引线320,可以带动所述缝合线310与所述背衬100分离。In some embodiments, the anastomosis reinforcement patch 200 further includes a traction wire 320, which is set on the suture 310 adjacent to the second end 102 and drags the suture 310 under the action of external force. The pulling line 320 can drive the suture line 310 to separate from the backing 100 .

具体地,在外力作用下拉动所述牵引线320,可以使所述缝合线310脱离所述背衬100,进一步地,使端帽103由折叠状态转换至展开状态,所述修补片200与所述背衬100分离。此时,所述修补片200与所述端帽103处于展开状态,所述修补片200与所述背衬100相对独立,吻合口加固修补片200修补至病人患处,背衬100和弧形吻合器可以抽出病人体外。Specifically, by pulling the traction line 320 under the action of external force, the suture line 310 can be separated from the backing 100, and further, the end cap 103 can be converted from the folded state to the unfolded state, and the repair piece 200 can be connected with the backing 100. The backing 100 separates. At this time, the patch 200 and the end cap 103 are in an unfolded state, the patch 200 is relatively independent of the backing 100, the anastomotic reinforcement patch 200 is repaired to the patient's affected area, and the backing 100 is consistent with the arc. The device can be withdrawn from the patient's body.

在一些实施例中,如图3所示,弧形的修补片200弯曲延伸方向的两侧边具有相同的圆心和圆心角角度,在实际应用中,为使得修补片200与弧形吻合器具有更高的匹配度,现对修补片200的参数加以限定。In some embodiments, as shown in FIG. 3 , both sides of the curved extension direction of the arc-shaped patch 200 have the same center and center angle. In practical applications, in order to make the patch 200 and the arc-shaped stapler have the same For a higher degree of matching, the parameters of the patch 200 are now limited.

具体地,将所述修补片200上两圆弧的圆心在空间上命名为(a,b),以圆心为基准,所述修补片200的内圆弧的半径长度为r,r=15mm-40mm;所述修补片200的宽度为w,w=5mm-20mm;所述弧形结构的圆心角角度为θ,θ=80°-180°;例如,圆心角角度θ可以为90°、100°、110°、120°、130°、140°、150°、160°或170°。所述修补片200在此限定下,可以满足多使用场景下与弧形吻合器的配合精度标准,便于临床实践中医生对吻合口加固修补片200的控制,提高手术精确性和时效性。Specifically, the centers of the two arcs on the patch 200 are spatially named (a, b). Based on the center of the circle, the radius length of the inner arc of the patch 200 is r, r=15mm- 40mm; the width of the patch 200 is w, w=5mm-20mm; the central angle of the arc-shaped structure is θ, θ=80°-180°; for example, the central angle θ can be 90°, 100 °, 110°, 120°, 130°, 140°, 150°, 160° or 170°. Under this limitation, the patch 200 can meet the matching accuracy standard with the arc-shaped stapler in multiple usage scenarios, which facilitates doctors' control of the anastomotic reinforcement patch 200 in clinical practice and improves surgical accuracy and timeliness.

在一些实施例中,所述缝合线310包括:第一缝合线311以及第二缝合线312。In some embodiments, the suture line 310 includes: a first suture line 311 and a second suture line 312 .

所述第一缝合线311多次穿设于所述修补片200与所述背衬100上,如图4所示,第一缝合线311在所述背衬100的第一面和所述修补片200上露出多段双股线套,所述双股线套之间形成套索结构,在所述背衬100的第二面上露出多段单股线,所述第二缝合线312多次穿设于所述套索结构,拉动所述第二缝合线312时可以解开所述套索结构,锁套结构解开后,第一缝合线311与第二缝合线312分离。The first suture line 311 is passed through the repair patch 200 and the backing 100 multiple times. As shown in FIG. 4 , the first suture line 311 is inserted between the first side of the backing 100 and the repair patch 200 . Multiple sections of double-stranded wire sleeves are exposed on the sheet 200, and a lasso structure is formed between the double-stranded wire sleeves. Multiple sections of single-stranded wires are exposed on the second side of the backing 100, and the second suture line 312 is threaded multiple times. Provided in the noose structure, the noose structure can be untied when the second suture line 312 is pulled. After the locking structure is untied, the first suture line 311 and the second suture line 312 are separated.

具体地,当所述修补片200与所述背衬100处于第一状态时,外力作用拉动所述第二缝合线312的牵引段自由端时,所述第二缝合线312由所述套索结构中脱出,同时,所述第一缝合线311的套索结构解散。所述修补片200与所述背衬100的连接状态由第一状态转换至第二状态,即,使背衬100与修补片200分离。Specifically, when the patch 200 and the backing 100 are in the first state and an external force pulls the free end of the traction section of the second suture 312, the second suture 312 is pulled by the lasso. At the same time, the lasso structure of the first suture line 311 is disbanded. The connection state of the repair patch 200 and the backing 100 is converted from the first state to the second state, that is, the backing 100 and the repair patch 200 are separated.

在一些实施例中,所述牵引线320与所述第二缝合线312连接,在外力作用下拖拽所述牵引线320可以将所述第二缝合线312与所述第一缝合线311分离。如图1所示,所述牵引线320与所述缝合线310连接的至少部分构造为牵引环321,所述牵引环321套设所述第二缝合线312。In some embodiments, the traction line 320 is connected to the second suture line 312, and dragging the traction line 320 under the action of external force can separate the second suture line 312 from the first suture line 311. . As shown in FIG. 1 , at least part of the connection between the traction line 320 and the suture 310 is configured as a traction ring 321 , and the traction ring 321 covers the second suture 312 .

在一些实施例中,所述修补片200与所述背衬100具有至少一部分连接的第一状态,以及所述修补片200与所述背衬100相对独立的第二状态,外力作用拖拽所述牵引线320以将所述修补片200与所述背衬100由第一状态转换至第二状态。In some embodiments, the patch 200 and the backing 100 have a first state in which they are at least partially connected, and a second state in which the patch 200 and the backing 100 are relatively independent. The pulling wire 320 is used to convert the repair patch 200 and the backing 100 from the first state to the second state.

具体地,当所述修补片200与所述背衬100处于第一状态时,所述修补片200与所述背衬100的至少一部分连接,此时吻合口加固修补片200套设于弧形吻合器或至少一部分包裹所述弧形吻合器。Specifically, when the patch 200 and the backing 100 are in the first state, the patch 200 is connected to at least a part of the backing 100. At this time, the anastomosis reinforcing patch 200 is sleeved on the arc. The stapler or at least part of it wraps the arc-shaped stapler.

当所述修补片200与所述背衬100处于第二状态时,所述修补片200与所述背衬100相对独立,吻合口加固修补片200修补至病人患处,背衬100和弧形吻合器可以抽出病人体外。When the patch 200 and the backing 100 are in the second state, the patch 200 and the backing 100 are relatively independent, the anastomotic reinforcement patch 200 is repaired to the patient's affected area, and the backing 100 is consistent with the arc. The device can be withdrawn from the patient's body.

当所述修补片200与所述背衬100处于第一状态时,外力作用下拉动所述牵引线320,可以将所述修补片200与所述背衬100的连接状态由第一状态转换至第二状态。When the patch 200 and the backing 100 are in the first state, the pulling wire 320 is pulled under the action of external force, and the connection state of the patch 200 and the backing 100 can be converted from the first state to the first state. Second state.

在一些实施例中,所述背衬100包括:第一弧形结构110以及第二弧形结构120。In some embodiments, the backing 100 includes a first arc-shaped structure 110 and a second arc-shaped structure 120 .

如图5所示,所述第一弧形结构110在所述背衬100的第一面上朝逆时针方向弯曲;所述第二弧形结构120在所述背衬100的第一面上朝顺时针方向弯曲,其中,所述第一弧形结构110和所述第二弧形结构120在所述背衬100的第一面上配置为对称结构。As shown in FIG. 5 , the first arc-shaped structure 110 is curved in the counterclockwise direction on the first surface of the backing 100 ; the second arc-shaped structure 120 is on the first surface of the backing 100 Bend in the clockwise direction, wherein the first arc-shaped structure 110 and the second arc-shaped structure 120 are configured as a symmetrical structure on the first surface of the backing 100 .

所述第一弧形结构110和所述第二弧形结构120上分别设置有第一修补片210和第二修补片200,所述第一修补片210在所述背衬100的第一面上朝逆时针方向弯曲;所述第二修补片200在所述背衬100的第一面上朝顺时针方向弯曲。所述第一修补片210和所述第二修补片200在所述背衬100的第一面上配置为对称结构。A first patch 210 and a second patch 200 are respectively provided on the first arc-shaped structure 110 and the second arc-shaped structure 120. The first patch 210 is on the first side of the backing 100. The second patch 200 is bent in a clockwise direction on the first surface of the backing 100 . The first patch 210 and the second patch 200 are arranged in a symmetrical structure on the first surface of the backing 100 .

在临床实践中,第一弧形结构110以及第二弧形结构120分别套设于弧形吻合器的两个吻合钳上,当两个吻合钳啮合时,具有第一弧形结构110以及第二弧形结构120的背衬100沿对称轴对折,实现在狭长空间内的弧形吻合口修补作业。In clinical practice, the first arc-shaped structure 110 and the second arc-shaped structure 120 are respectively sleeved on the two stapling forceps of the arc-shaped stapler. When the two stapling forceps are engaged, the first arc-shaped structure 110 and the second arc-shaped structure 120 are formed. The backing 100 of the two arc-shaped structures 120 is folded in half along the symmetry axis to realize the arc-shaped anastomosis repair operation in a narrow space.

在一些实施例中,所述缝合线310为封闭环形,沿着所述第一弧形结构110和所述第二弧形结构120的边缘延伸,所述第一弧形结构110和所述第二弧形结构120的对称轴上横穿两条所述缝合线310。所述牵引线320套设对称轴上的两条所述缝合线310,在外力作用下拖拽所述牵引线320,以使两根所述缝合线310同时与所述背衬100分离。In some embodiments, the suture line 310 is in a closed ring shape and extends along the edges of the first arc-shaped structure 110 and the second arc-shaped structure 120 . The two arc-shaped structures 120 cross the two suture lines 310 on their symmetry axes. The traction line 320 is sleeved on the two suture lines 310 on the axis of symmetry, and the traction line 320 is dragged under the action of external force, so that the two suture lines 310 are separated from the backing 100 at the same time.

在一些实施例中,所述缝合线310可以设置有两组,如图6、图7所示,两组缝合线310分别沿着第一弧形结构110以及第二弧形结构120的边缘延伸,形成两个封闭环形结构。牵引线320套设对称轴两侧的两条所述缝合线310远离所述端帽103的一端,在外力作用下拖拽所述牵引线320,以使两根所述缝合线310同时与所述背衬100分离。In some embodiments, the suture lines 310 may be provided in two groups. As shown in FIGS. 6 and 7 , the two groups of suture lines 310 extend along the edges of the first arc-shaped structure 110 and the second arc-shaped structure 120 respectively. , forming two closed ring structures. The traction line 320 is sleeved on one end of the two suture lines 310 on both sides of the symmetry axis away from the end cap 103, and the traction line 320 is dragged under the action of external force, so that the two suture lines 310 are connected to the end cap 103 at the same time. The backing 100 separates.

由于所述缝合线310为封闭环形,故此,当外力作用下拖拽牵引线320时,两组封闭环形的缝合线310具有相同的力趋性,拉动牵引段即可使背衬100与修补片200由第一状态转换至第二状态。Since the suture line 310 is a closed ring, when the traction line 320 is dragged under the action of external force, the two groups of closed ring suture lines 310 have the same force tendency, and the backing 100 and the repair patch can be separated by pulling the traction section. 200 transitions from the first state to the second state.

需要单独说明的是,拉动牵引线320时,由于牵引环321的设置,两根缝合线310的受到的拉力基本相同。这是因为对于通常在拉动牵引线320时,位于两侧的牵引线320虽然同时被拉动但是各自单独受力,由于位于内外圆弧的牵引线320的长度不同,因而拆解速度也不同,容易造成修补片两侧受力不均。而通过牵引环321的设置,能够使得两侧的牵引线320同时受力,并且修补片200两侧的牵引线320虽然拆解速度不同,但是牵引线320与牵引环321之间是套接,使得拆解快一侧的牵引线320可以补偿给拆解慢的一侧的牵引线320,从而实现牵引线320被同时拉动,且受力均匀。故此,拉动牵引线320带动缝合线310与背衬100分离时,可以保证修补片200与吻合口连接的稳定性,避免由于拆线受力不均而影响修补片200在吻合器上的准确定位。It should be noted separately that when pulling the traction wire 320, due to the arrangement of the traction ring 321, the two suture wires 310 receive substantially the same pulling force. This is because when pulling the traction wire 320, the traction wires 320 on both sides are pulled at the same time but are stressed separately. Since the lengths of the traction wires 320 located in the inner and outer arcs are different, the disassembly speeds are also different, making it easier to This results in uneven stress on both sides of the patch. Through the arrangement of the traction ring 321, the traction wires 320 on both sides can be stressed at the same time, and although the traction wires 320 on both sides of the repair patch 200 are disassembled at different speeds, the traction wires 320 and the traction ring 321 are connected. This allows the traction wire 320 on the faster side to be disassembled to compensate for the traction wire 320 on the slower side, so that the traction wires 320 can be pulled simultaneously and receive even force. Therefore, when pulling the traction wire 320 to separate the suture 310 from the backing 100, the stability of the connection between the patch 200 and the anastomosis can be ensured, and the uneven force on the removal of the sutures from affecting the accurate positioning of the patch 200 on the stapler can be avoided. .

在一些实施例中,所述修补片200上设置有引刀槽。所述引刀槽沿着所述修补片200的长度方向延伸,所述引刀槽大致呈条状,在与水平面平行的平面上的正投影大致呈矩形形状,但是不限于此,在其他示例中,上述正投影还可以为倒角矩形或其他多边形形状。上述仅作为可选示例进行说明,不能理解成对本发明的限制。In some embodiments, the repair piece 200 is provided with a guide groove. The guide groove extends along the length direction of the repair piece 200 . The guide groove is generally in the shape of a strip, and the orthographic projection on a plane parallel to the horizontal plane is generally in a rectangular shape. However, it is not limited to this. In other examples, , the above-mentioned orthographic projection can also be a chamfered rectangle or other polygonal shape. The above are only described as optional examples and should not be construed as limitations of the present invention.

所述引刀槽用于与吻合器的切割组件配合使用,通过所述引刀槽限制所述切割组件在对待处理组织等切割处理时的切割位置。The knife guide groove is used in conjunction with the cutting component of the stapler, and the cutting position of the cutting component during cutting of tissue to be treated is limited by the knife guide groove.

具体地,当所述修补片200与吻合口接触后,所述吻合器内部的切割组件可以沿着所述引刀槽的延伸方向将所述修补片200切割成两部分,引刀槽的设置能够保证切割组件完全切断修补片200,同时能够保证修补片200与吻合口完全吻合,而无需使用额外的切割工具,进而能够实现了实际应用中的操作便利性。Specifically, when the patch 200 comes into contact with the anastomosis, the cutting assembly inside the stapler can cut the patch 200 into two parts along the extending direction of the knife groove. The arrangement of the knife groove It can ensure that the cutting assembly completely cuts off the patch 200 and at the same time ensures that the patch 200 completely matches the anastomosis without using additional cutting tools, thereby achieving operational convenience in practical applications.

本申请中吻合口加固修补片产品所用的修补片200所用的生物材料选自可降解高分子材料或可降解的动物源生物材料。优选地,可降解的动物源生物材料包括经免疫原去除处理的真皮基质、心包膜、腹膜、膀胱粘膜下层或小肠粘膜下层,或者是这些材料的组合物,例如通过层叠、编织、镶嵌等方法获得的组合物。优选包括脱细胞小肠粘膜下层基质材料。可降解高分子材料可以选自PGA、PLA或PLGA,或者是这些材料的组合物,例如通过层叠、编织、镶嵌等方法获得的组合物。The biological material used in the patch 200 used in the anastomotic reinforcement patch product in this application is selected from degradable polymer materials or degradable animal-derived biological materials. Preferably, the degradable animal-derived biological material includes immunogen-removing treated dermal matrix, pericardium, peritoneum, bladder submucosa or small intestinal submucosa, or a combination of these materials, such as by lamination, weaving, inlaying, etc. The composition obtained by the method. Preferably, acellular intestinal submucosa matrix material is included. The degradable polymer material can be selected from PGA, PLA or PLGA, or a combination of these materials, such as a combination obtained by lamination, weaving, inlaying, etc.

本公开实施例提供的吻合口加固修补片200的具体结构、工作原理、有益效果可以参考上述任一实施例所述的吻合口加固修补片200,在此不做赘述。For the specific structure, working principle, and beneficial effects of the anastomotic reinforcement patch 200 provided by the embodiments of the present disclosure, reference can be made to the anastomosis reinforcement patch 200 described in any of the above embodiments, and will not be described again here.

最后应说明的是:本说明书中各个实施例采用递进的方式描述,每个实施例重点说明的都是与其他实施例的不同之处,各个实施例之间相同相似部分互相参见即可。对于实施例公开的系统或装置而言,由于其与实施例公开的方法相对应,所以描述比较简单,相关之处参见方法部分说明即可。Finally, it should be noted that each embodiment in this specification is described in a progressive manner. Each embodiment focuses on its differences from other embodiments. The same and similar parts between various embodiments can be referred to each other. As for the system or device disclosed in the embodiment, since it corresponds to the method disclosed in the embodiment, the description is relatively simple. For relevant details, please refer to the description in the method section.

以上实施例仅用以说明本公开的技术方案,而非对其限制;尽管参照前述实施例对本公开进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本公开各实施例技术方案的精神和范围。The above embodiments are only used to illustrate the technical solutions of the present disclosure, but not to limit them; although the present disclosure has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that they can still make changes to the foregoing embodiments. The recorded technical solutions may be modified, or some of the technical features thereof may be equivalently replaced; however, these modifications or substitutions shall not cause the essence of the corresponding technical solutions to deviate from the spirit and scope of the technical solutions of each embodiment of the present disclosure.

Claims (10)

Translated fromChinese
1.一种吻合口加固修补片,其特征在于,包括:1. An anastomotic reinforcement patch, characterized in that it includes:背衬,具有在厚度方向上相互背离的第一面和第二面,所述背衬配置为弧形结构,在所述弧形结构延伸方向上设置有方向相反的第一端和第二端,所述背衬用于装配弧形吻合器的吻合机构;The backing has a first surface and a second surface that are away from each other in the thickness direction, the backing is configured as an arc-shaped structure, and a first end and a second end with opposite directions are provided in the extending direction of the arc-shaped structure. , the backing is used to assemble the stapling mechanism of the arc-shaped stapler;修补片,设置于所述第一面上,且与所述背衬为可拆卸连接,具有与所述背衬匹配的弧形结构;A repair piece is provided on the first surface and is detachably connected to the backing, and has an arc-shaped structure matching the backing;端帽,设置于所述背衬的所述第一面,所述端帽的圆弧端与所述第一端连接,所述端帽用于限制所述吻合口加固修补片与所述弧形吻合器连接;An end cap is provided on the first surface of the backing. The arc end of the end cap is connected to the first end. The end cap is used to limit the anastomosis reinforcement patch from the arc. shaped stapler connection;缝合线,所述缝合线设置于所述背衬上,用于将所述背衬与所述修补片和所述端帽连接,所述缝合线在所述背衬上设置为封闭环形;以及Sutures, the sutures are arranged on the backing for connecting the backing to the patch and the end cap, the sutures are arranged in a closed ring shape on the backing; and牵引线,所述牵引线套设于临近所述第二端的所述缝合线上,在外力作用下拖拽所述牵引线,以带动所述缝合线与所述背衬分离。A traction line is set on the suture line adjacent to the second end, and the traction line is dragged under the action of external force to drive the suture line to separate from the backing.2.根据权利要求1所述的吻合口加固修补片,其特征在于,2. The anastomotic reinforcement patch according to claim 1, characterized in that,所述修补片的内圆弧的半径长度为r,r的取值范围为15mm-40mm;The radius length of the inner arc of the patch is r, and the value range of r is 15mm-40mm;所述修补片的宽度为w,w的取值范围为5mm-20mm;The width of the patch is w, and the value range of w is 5mm-20mm;所述弧形结构的圆心角角度为θ,θ的取值范围为80°-180°。The central angle of the arc-shaped structure is θ, and the value range of θ is 80°-180°.3.根据权利要求1所述的吻合口加固修补片,其特征在于,3. The anastomotic reinforcement patch according to claim 1, characterized in that,所述缝合线包括:The sutures include:第一缝合线,所述第一缝合线多次穿设所述修补片与所述背衬,在所述背衬的第一面和所述修补片上露出双股线套,所述双股线套形成套索结构,在所述背衬的第二面上露出单股线;以及The first suture line passes through the repair patch and the backing multiple times, and a double-strand thread sleeve is exposed on the first side of the backing and the repair patch. The double-strand thread The sleeve forms a lariat structure with single strands exposed on the second side of the backing; and第二缝合线,所述第二缝合线多次穿设于所述套索结构,所述第二缝合线受到外力作用后与所述第一缝合线分离。The second suture line is passed through the lasso structure multiple times, and the second suture line is separated from the first suture line after being acted upon by an external force.4.根据权利要求2所述的吻合口加固修补片,其特征在于,4. The anastomotic reinforcement patch according to claim 2, characterized in that,所述牵引线与所述第二缝合线连接,在外力作用下拖拽所述牵引线将所述第二缝合线与所述第一缝合线分离。The traction line is connected to the second suture line, and the traction line is dragged under the action of external force to separate the second suture line from the first suture line.5.根据权利要求4所述的吻合口加固修补片,其特征在于,5. The anastomotic reinforcement patch according to claim 4, characterized in that,所述牵引线与所述缝合线连接的至少部分构造为牵引环,所述牵引环套设所述第二缝合线。At least part of the connection between the traction line and the suture line is configured as a traction ring, and the traction ring covers the second suture line.6.根据权利要求1所述的吻合口加固修补片,其特征在于,6. The anastomotic reinforcement patch according to claim 1, characterized in that,所述修补片与所述背衬具有至少一部分连接的第一状态,以及所述修补片与所述背衬相对独立的第二状态,外力作用拖拽所述牵引线以将所述修补片与所述背衬由第一状态转换至第二状态。The patch and the backing have a first state in which they are at least partially connected, and a second state in which the patch and the backing are relatively independent, and an external force drags the pulling line to connect the patch and the backing. The backing is converted from a first state to a second state.7.根据权利要求1所述的吻合口加固修补片,其特征在于,7. The anastomotic reinforcement patch according to claim 1, characterized in that,所述修补片沿所述背衬的弯曲方向延伸,且所述修补片的至少部分收容至所述端帽内部。The patch extends along the bending direction of the backing, and at least part of the patch is received inside the end cap.8.根据权利要求1所述的吻合口加固修补片,其特征在于,所述背衬包括:8. The anastomotic reinforcement patch according to claim 1, wherein the backing includes:第一弧形结构,所述第一弧形结构在所述背衬的第一面上朝逆时针方向弯曲;以及a first arcuate structure curving in a counterclockwise direction on the first side of the backing; and第二弧形结构,所述第二弧形结构在所述背衬的第一面上朝顺时针方向弯曲,a second arcuate structure curved in a clockwise direction on the first side of the backing,其中,所述第一弧形结构和所述第二弧形结构在所述背衬的第一面上配置为对称结构。Wherein, the first arc-shaped structure and the second arc-shaped structure are configured as symmetrical structures on the first surface of the backing.9.根据权利要求8所述的吻合口加固修补片,其特征在于,9. The anastomotic reinforcement patch according to claim 8, characterized in that,所述缝合线为封闭环形,沿着所述第一弧形结构和所述第二弧形结构的边缘延伸,所述第一弧形结构和所述第二弧形结构的对称轴上横穿两条所述缝合线。The suture line is a closed ring, extending along the edges of the first arc-shaped structure and the second arc-shaped structure, and crossing the symmetry axis of the first arc-shaped structure and the second arc-shaped structure. Two of said sutures.10.根据权利要求9所述的吻合口加固修补片,其特征在于,10. The anastomotic reinforcement patch according to claim 9, characterized in that,所述牵引线套设两条所述缝合线,在外力作用下拖拽所述牵引线,以使两根所述缝合线同时与所述背衬分离。The two suture lines are sleeved on the pulling line, and the pulling line is dragged under the action of external force, so that the two suture lines are separated from the backing at the same time.
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CN221450689U (en)*2023-08-282024-08-02北京博辉瑞进生物科技有限公司Repairing sheet for reinforcing anastomotic stoma

Cited By (3)

* Cited by examiner, † Cited by third party
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CN118614974A (en)*2024-08-092024-09-10北京博辉瑞进生物科技有限公司 A reinforced patch and anastomosis device
CN118845117A (en)*2024-09-292024-10-29北京博辉瑞进生物科技有限公司 A reinforced patch and anastomosis device
CN119344799A (en)*2024-12-242025-01-24北京博辉瑞进生物科技有限公司 Anastomotic reinforcement patch and stapler

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