CN201127630Y - Medical straight-line electrocoagulation cutting and stitching instrument - Google Patents

Abstract

The utility model relates to a medical linear electric coagulation suturing machine which is composed of a left and a right handles, wherein, a nail tank is arranged at the front end of the left handle, the middle part of the nail tank is provided with a cutter groove, both sides of which are provided with cutter wing chutes, a cutter knife is arranged in the cutter groove, both sides of the cutter knife are provided with cutter wings, both sides of the cutter groove are respectively provided with two rows of nail holes, and suturing nails are arranged in the nail holes. A trough type steel frame is arranged at the inner side of a locking rod, two suturing nail percussion sheets are arranged in the trough of the trough type steel frame, a connecting rod is arranged at the middle part of the suturing nail percussion sheets, and the connecting rod is connected with the cutter knife. A holding nail seat is arranged at the front end of the right handle, a cutter groove is arranged at the middle part of the holding nail seat, and both sides of the cutter groove are provided with cutter wing chutes and two rows of grooves. A trough type steel frame is arranged at the middle part of the right handle, the front part of the trough type steel frame is provided with a shaft block, and the holding nail seat is fixed with the trough type steel frame via rivets. An electric coagulation component is arranged at the rear end of the trough type steel frame of the left handle, an electric coagulation switch is arranged on the electric coagulation component which is connected with the connecting rod by a helical lead.

Description

The medical linear electricity coagulates stapler

Technical field

This utility model relates to a kind of medical linear electricity and coagulates stapler, cuts, sews up special-purpose disposable operation tool when relating to a kind of surgical operation specifically, belongs to medical instruments field.

Background technology

Now a lot of medical institutions are after excision that the lesions position of suffering from gi system disease (as: esophagus, stomach, large intestine, small intestinal) is undergone surgery, must sew up the stump or the anastomotic stoma broken ends of fractured bone after the excision, the comparatively general straight cuts stiching instrument of present existing use in use, in order to guarantee anastomotic stoma or to organize the blood supply of the broken ends of fractured bone, generally use the ∪ staple to sew up, sew up back ∪ staple and be the word shape of falling B.After the stitching, when the suture site has bigger blood vessel or capillary arteries to pass through interlaced B font suturing nail, can cause anastomotic stoma or organize the hemorrhage of the broken ends of fractured bone, after this type of situation occurring, usually need make electricity consumption coagulate method in addition or seam bundle method is stopped blooding, even some capillary arteries wouldn't be hemorrhage under the pressure of stiching instrument, after the blood pressure for the treatment of the postoperative human body gos up, bleeding (thereby cause perform the operation failure) also can take place once more, needs operation for the second time to stop blooding.When especially small intestinal being coincide, because the broken ends of fractured bone of anastomotic stoma is positioned at enteric cavity, hemorrhage back is difficult in time being found, even found also to be difficult to determine hemorrhage accurate position, therefore, only in the outside of enteric cavity the anastomotic stoma holostrome being carried out a week in order to stop blooding sews up.Because existing straight cuts stiching instrument exists described drawback and defective when the suture tissue broken ends of fractured bone, when above situation occurring, entail dangers to patient life has not only also increased patient's surgery cost, has caused unnecessary financial burden to the patient.

The utility model content

The purpose of this utility model is in order to address the above problem, provide a kind of novel medical linear electricity to coagulate stapler, this stiching instrument has been carried out organic the combination with high frequency electric knife with the straight cuts stiching instrument, when operation, both can cut, the program of hemostasis, stitching, sterilization can be finished again simultaneously, and the risk of tumor cell plantation anastomotic stoma can be reduced.This utility model has remedied the drawback and the defective of existing straight cuts stiching instrument, can save operating time, has reduced patient's surgery cost, has improved the success rate of operation greatly, can avoid the generation of contingency.

In order to achieve the above object, this utility model is realized by following technological means.

A kind of medical linear electricity coagulates stapler (seeing accompanying drawing), it is by left handle, right handle two large divisions combines, include nail bin (1) on the handle of a left side, sew up ailing hole (2), cutter groove (3), cabinet (7), securing rod (8), grooved steelframe (9), suturing nail percussion sheet (10), connecting rod (11), plastic slide block (12), rotating shaft (13), helical form lead (15), electricity coagulates assembly (16), firing handle (20), cutter (23), switch (38), locked groove (39) critical piece, include nail supporting base (25) on the right handle, cutter groove (28), axis (29), cabinet (31), grooved steelframe (32), locating shaft (33) critical piece, wherein: the front end [seeing Fig. 1] at left handle is provided with nail bin (1), be provided with a cutter groove (3) at the middle part of nail bin (1), be provided with wing slideway (4) in the both sides of cutter groove (3), wing slideway (24), cutter (23) are installed in cutter groove (3), be respectively arranged with wing (41) in the both sides of cutter (23), afterbody at cutter (23) is provided with a trip (42), be provided with plastics draw runner (43) in the lower end of cutter (23), the wing (41) of cutter (23) both sides is bumped in wing slideway (4) and the wing slideway (24), cutter (23) are stuck in the cutter groove (3) by the plastics draw runner (43) of its lower end, and the wing (41) of cutter (23) and its both sides can be in cutter groove (3), wing slideway (4), slide before and after in the wing slideway (24); On nail bin (1), the both sides of cutter groove (3) are respectively arranged with two rows and sew up ailing hole (2), in sewing up ailing hole (2), " ∪ " shape suturing nail is installed, afterbody at nail bin (1) is connected with nail bin rear end (5), nail bin rear end (22), nail bin rear end (5), nail bin rear end (22) is placed on the projection of insurance briquetting (6); In cabinet (7), be provided with and securing rod (8) is installed [sees Fig. 1, Fig. 3], front end at securing rod (8) is provided with trip (40), be provided with locked groove (39) in the rear end of securing rod (8), in the setting of the rear end of cabinet (7) switch (38) is installed, the contravention of switch (38) links to each other with locked groove (39), Fig. 3 [is seen in inboard at securing rod (8), Fig. 1] be provided with grooved steelframe (9), be provided with a circular hole in the rear end of grooved steelframe (9), be used for coagulating firing button on the switch (17) by electricity, also be provided with a latch hook (37) in the rear end of grooved steelframe (9), latch hook (37) can be locked in the locked groove (39), setting is equipped with suturing nail percussion sheet (10) [to see Fig. 1] in the groove of grooved steelframe (9), suturing nail percussion sheet (21) is at suturing nail percussion sheet (10), the middle part of suturing nail percussion sheet (21) is provided with a connecting rod (11); In grooved steelframe (9), be provided with a plastic slide block (12) is installed, the rear end and the plastic slide block (12) of suturing nail percussion sheet (10), suturing nail percussion sheet (21), connecting rod (11) are fixed together, and are respectively arranged with draw-in groove (14), draw-in groove (19) in the two sides of tail of grooved steelframe (9); Front portion at connecting rod (11) is provided with grab, and connecting rod (11) is connected by the trip (42) of its forward trip with cutter (23) afterbody, and the front end of suturing nail percussion sheet (10), suturing nail percussion sheet (21) passes from the lower end of insurance briquetting (6); Front end [seeing Fig. 2] at right handle is provided with nail supporting base (25), be provided with a cutter groove (28) at the middle part of nail supporting base (25), be provided with wing slideway (27), wing slideway (36) in the both sides of cutter groove (28), on nail supporting base (25), the both sides of cutter groove (28) are respectively arranged with two row's grooves (26); Be provided with at the middle part of the cabinet (31) of right handle grooved steelframe (32) is installed, afterbody at grooved steelframe (32) is provided with locating shaft (33), be provided with axis (29), axis (35) in the front portion of grooved steelframe (32), in the rear end insertion groove shaped steel frame (32) with nail supporting base (25), fix with grooved steelframe (32) by rivet (30), rivet (34).

Be provided with the installation electricity in the rear end [seeing Fig. 1] of above-mentioned grooved steelframe (9) and coagulate assembly (16), on electricity coagulates assembly (16), be provided with an electricity and coagulate switch (17), lead (18) coagulates assembly (16) with electricity and is connected, and electricity coagulates between assembly (16) and the connecting rod (11) and is connected by helical form lead (15).

Be provided with a rotating shaft (13) [seeing Fig. 1] at the middle part of above-mentioned plastic slide block (12), firing handle (20) is fixed on the plastic slide block (12) by rotating shaft (13).

[see Fig. 1, Fig. 3] during use; at first open the securing rod (8) on the stiching instrument; the left shank portion and the right shank portion of stiching instrument are separated; take off the over cap [insure briquetting (6) and be in closed condition this moment] on the nail bin (1); right shank portion (supporting the nail part) with stiching instrument is attached to and drafts the position of wanting surgical cut then; under the situation that securing rod (8) is opened fully, then the left shank portion of stiching instrument (cutting, seam and, electricity coagulate part) is closed up with right shank portion (supporting the nail part).Its step is [seeing Fig. 3] when closing up: earlier the draw-in groove (19) of handle rear end, a stiching instrument left side and the locating shaft (33) of the right handle of stiching instrument are carried out interlock, again the axis (29) on the right handle of stiching instrument is snapped in the trip (40) on the handle of a stiching instrument left side, confirming that surgical cut position and line of cut are accurately under the situation, again securing rod (8) is closed up fully and by latch hook (37), locked groove (39) locks, at this moment nail bin rear end (5), the projection in the place ahead is depressed in nail bin rear end (22), at this moment, insurance briquetting (6) is opened, the electric simultaneously button that coagulates switch (17) is pressed, electricity coagulates assembly (16) and starts, and the latch terminal by lead (18) is connected with the high frequency electric knife generator.Behind the securing rod that closes (8), to confirm at first whether line of cut is suitable, if it is improper, can press switch (38) breaks away from latch hook (37) and locked groove (39), after securing rod this moment (8) is upspring, redefine line of cut again, after line justification to be cut is errorless, promote firing handle (20) toward the place ahead, at this moment, the suturing nail of sewing up in the ailing hole (2) promptly is sewn nail percussion sheet (10), suturing nail percussion sheet (21) is squeezed in the tissue, the tissue apposition of both sides is lived, at this moment, cutter (23) cut off tissue to front slide, meanwhile, coagulate assembly (16) by helical form lead (15) by electricity, connecting rod (11), wing (41) conducts to the broken ends of fractured bone of organizing of incision with high frequency electric, can reach the effect of electric coagulation hemostasis like this.After finishing, firing handle (20) is retracted initial position, pressing switch (38), securing rod this moment (8) is upspring to be opened, and insurance briquetting (6) cuts out, and at this moment stiching instrument is in the lock state, after the left shank portion of stiching instrument separates with right shank portion, stiching instrument can be withdrawed from from tissue, like this, the operation process of whole cutting, stitching, electric coagulation hemostasis can disposablely all be finished.Owing to coagulate in the process at electricity, cutter (23) and wing (41) can produce high temperature, can play kill tissue on every side tumor cell or the effect of antibacterial.

This utility model mainly has following good effect and technical characterictic:

1, this utility model has carried out organic the combination with high frequency electric knife with the straight cuts stiching instrument, both can cut, and can finish the program of stitching, hemostasis, sterilization again simultaneously, and can reduce the risk of tumor cell plantation anastomotic stoma;

2, this utility model structural design is simple, and easy operating uses, and can save operating time, has reduced patient's surgery cost, has improved the success rate of operation greatly, can avoid the generation of contingency.

Description of drawings

Fig. 1 is the plane structure chart that a kind of medical linear electricity of this utility model coagulates stapler left side shank portion;

Fig. 2 is the plane structure chart that a kind of medical linear electricity of this utility model coagulates the right shank portion of stapler;

Fig. 3 is that a kind of medical linear electricity of this utility model coagulates the left shank portion of stapler and the side-looking structure chart of right shank portion;

Fig. 4 is the schematic rear view that a kind of medical linear electricity of this utility model coagulates the left shank portion grooved steelframe (9) of stapler;

Fig. 5 is the plane structure chart that a kind of medical linear electricity of this utility model coagulates the cutter (23) of stapler.

As Fig. 1, Fig. 2, Fig. 3, Fig. 4, shown in Figure 5, the Arabic numerals among the figure are expressed as follows:

Nail bin (1), sew up ailing hole (2), cutter groove (3), wing slideway (4), nail bin rear end (5), insurance briquetting (6), cabinet (7), securing rod (8), grooved steelframe (9), suturing nail percussion sheet (10), connecting rod (11), plastic slide block (12), rotating shaft (13), draw-in groove (14), helical form lead (15), electricity coagulates assembly (16), electricity coagulates switch (17), lead (18), draw-in groove (19), firing handle (20), suturing nail percussion sheet (21), nail bin rear end (22), cutter (23), wing slideway (24), nail supporting base (25), groove (26), wing slideway (27), cutter groove (28), axis (29), rivet (30), cabinet (31), grooved steelframe (32), locating shaft (33), rivet (34), axis (35), wing slideway (36), latch hook (37), switch (38), locked groove (39), trip (40), wing (41), trip (42), plastics draw runner (43).

The utility model is described in further detail below in conjunction with embodiment and accompanying drawing for embodiment:

The specific embodiment

Shown in Figure 3, the medical linear electricity coagulates stapler, is combined by left handle, right handle two large divisions.

Fig. 1, shown in Figure 3 includes nail bin (1), stitching ailing hole (2), cutter groove (3), cabinet (7), securing rod (8), grooved steelframe (9), suturing nail percussion sheet (10), connecting rod (11), plastic slide block (12), rotating shaft (13), helical form lead (15), electricity assembly (16), firing handle (20), cutter (23), switch (38), locked groove (39) critical piece with fixed attention on the left handle.

Fig. 2, shown in Figure 2 includes nail supporting base (25), cutter groove (28), axis (29), cabinet (31), grooved steelframe (32), locating shaft (33) critical piece on the right handle.

Fig. 1, shown in Figure 3, front end at left handle is provided with nail bin (1), be provided with a cutter groove (3) at the middle part of nail bin (1), be provided with wing slideway (4) in the both sides of cutter groove (3), wing slideway (24), cutter (23) are installed in cutter groove (3), the both sides of cutter (23) are respectively arranged with wing (41), afterbody at cutter (23) is provided with a trip (42), be provided with plastics draw runner (43) in the lower end of cutter (23), the wing (41) of cutter (23) both sides is bumped in wing slideway (4) and the wing slideway (24), cutter (23) are stuck in the cutter groove (3) by the plastics draw runner (43) of its lower end, and the wing (41) of cutter (23) and its both sides can be in cutter groove (3), wing slideway (4), slide before and after in the wing slideway (24); On nail bin (1), the both sides of cutter groove (3) are respectively arranged with two rows and sew up ailing hole (2), in sewing up ailing hole (2), " ∪ " shape suturing nail is installed, afterbody at nail bin (1) is connected with nail bin rear end (5), nail bin rear end (22), nail bin rear end (5), nail bin rear end (22) is placed on the projection of insurance briquetting (6); In cabinet (7), be provided with securing rod (8) is installed, front end at securing rod (8) is provided with trip (40), be provided with locked groove (39) in the rear end of securing rod (8), in the setting of the rear end of cabinet (7) switch (38) is installed, the contravention of switch (38) links to each other with locked groove (39), be provided with grooved steelframe (9) in the inboard of securing rod (8), be provided with a circular hole in the rear end of grooved steelframe (9), be used for coagulating firing button on the switch (17) by electricity, also be provided with a latch hook (37) in the rear end of grooved steelframe (9), latch hook (37) can be locked in the locked groove (39), in the groove of grooved steelframe (9), be provided with suturing nail percussion sheet (10) is installed, suturing nail percussion sheet (21) is at suturing nail percussion sheet (10), the middle part of suturing nail percussion sheet (21) is provided with a connecting rod (11); In grooved steelframe (9), be provided with a plastic slide block (12) is installed, the rear end and the plastic slide block (12) of suturing nail percussion sheet (10), suturing nail percussion sheet (21), connecting rod (11) are fixed together, and are respectively arranged with draw-in groove (14), draw-in groove (19) in the two sides of tail of grooved steelframe (9); Front portion at connecting rod (11) is provided with grab, and connecting rod (11) is connected by the trip (42) of its forward trip with cutter (23) afterbody, and the front end of suturing nail percussion sheet (10), suturing nail percussion sheet (21) passes from the lower end of insurance briquetting (6).

Shown in Figure 2, front end at right handle is provided with nail supporting base (25), be provided with a cutter groove (28) at the middle part of nail supporting base (25), be provided with wing slideway (27), wing slideway (36) in the both sides of cutter groove (28), on nail supporting base (25), the both sides of cutter groove (28) are respectively arranged with two row's grooves (26); Be provided with at the middle part of the cabinet (31) of right handle grooved steelframe (32) is installed, afterbody at grooved steelframe (32) is provided with locating shaft (33), be provided with axis (29), axis (35) in the front portion of grooved steelframe (32), in the rear end insertion groove shaped steel frame (32) with nail supporting base (25), fix with grooved steelframe (32) by rivet (30), rivet (34).

Shown in Figure 1, be provided with the installation electricity in the rear end of above-mentioned grooved steelframe (9) and coagulate assembly (16), on electricity coagulates assembly (16), be provided with an electricity and coagulate switch (17), lead (18) coagulates assembly (16) with electricity and is connected, and electricity coagulates between assembly (16) and the connecting rod (11) and is connected by helical form lead (15).

Shown in Figure 1, be provided with a rotating shaft (13) at the middle part of above-mentioned plastic slide block (12), firing handle (20) is fixed on the plastic slide block (12) by rotating shaft (13).

Claims (2)

1, a kind of medical linear electricity coagulates stapler, it is by left handle, right handle two large divisions combines, include nail bin (1) on the handle of a left side, sew up ailing hole (2), cutter groove (3), cabinet (7), securing rod (8), grooved steelframe (9), suturing nail percussion sheet (10), connecting rod (11), plastic slide block (12), rotating shaft (13), helical form lead (15), electricity coagulates assembly (16), firing handle (20), cutter (23), switch (38), locked groove (39) critical piece, include nail supporting base (25) on the right handle, cutter groove (28), axis (29), cabinet (31), grooved steelframe (32), locating shaft (33) critical piece, it is characterized in that: the front end at left handle is provided with nail bin (1), be provided with a cutter groove (3) at the middle part of nail bin (1), be provided with wing slideway (4) in the both sides of cutter groove (3), wing slideway (24), cutter (23) are installed in cutter groove (3), be respectively arranged with wing (41) in the both sides of cutter (23), afterbody at cutter (23) is provided with a trip (42), be provided with plastics draw runner (43) in the lower end of cutter (23), the wing (41) of cutter (23) both sides is bumped in wing slideway (4) and the wing slideway (24), cutter (23) are stuck in the cutter groove (3) by the plastics draw runner (43) of its lower end, and the wing (41) of cutter (23) and its both sides can be in cutter groove (3), wing slideway (4), slide before and after in the wing slideway (24); On nail bin (1), the both sides of cutter groove (3) are respectively arranged with two rows and sew up ailing hole (2), in sewing up ailing hole (2), " ∪ " shape suturing nail is installed, afterbody at nail bin (1) is connected with nail bin rear end (5), nail bin rear end (22), nail bin rear end (5), nail bin rear end (22) is placed on the projection of insurance briquetting (6); In cabinet (7), be provided with securing rod (8) is installed, front end at securing rod (8) is provided with trip (40), be provided with locked groove (39) in the rear end of securing rod (8), in the setting of the rear end of cabinet (7) switch (38) is installed, the contravention of switch (38) links to each other with locked groove (39), be provided with grooved steelframe (9) in the inboard of securing rod (8), be provided with a circular hole in the rear end of grooved steelframe (9), be used for coagulating firing button on the switch (17) by electricity, also be provided with a latch hook (37) in the rear end of grooved steelframe (9), latch hook (37) can be locked in the locked groove (39), in the groove of grooved steelframe (9), be provided with suturing nail percussion sheet (10) is installed, suturing nail percussion sheet (21) is at suturing nail percussion sheet (10), the middle part of suturing nail percussion sheet (21) is provided with a connecting rod (11); In grooved steelframe (9), be provided with a plastic slide block (12) is installed, the rear end and the plastic slide block (12) of suturing nail percussion sheet (10), suturing nail percussion sheet (21), connecting rod (11) are fixed together, and are respectively arranged with draw-in groove (14), draw-in groove (19) in the two sides of tail of grooved steelframe (9); Front portion at connecting rod (11) is provided with grab, and connecting rod (11) is connected by the trip (42) of its forward trip with cutter (23) afterbody, and the front end of suturing nail percussion sheet (10), suturing nail percussion sheet (21) passes from the lower end of insurance briquetting (6); Front end at right handle is provided with nail supporting base (25), be provided with a cutter groove (28) at the middle part of nail supporting base (25), be provided with wing slideway (27), wing slideway (36) in the both sides of cutter groove (28), on nail supporting base (25), the both sides of cutter groove (28) are respectively arranged with two row's grooves (26); Be provided with at the middle part of the cabinet (31) of right handle grooved steelframe (32) is installed, afterbody at grooved steelframe (32) is provided with locating shaft (33), be provided with axis (29), axis (35) in the front portion of grooved steelframe (32), in the rear end insertion groove shaped steel frame (32) with nail supporting base (25), fix with grooved steelframe (32) by rivet (30), rivet (34).

2, a kind of medical linear electricity according to claim 1 coagulates stapler, it is characterized in that: the rear end of grooved steelframe (9) is provided with installs electricity assembly (16) with fixed attention, on electricity coagulates assembly (16), be provided with an electricity and coagulate switch (17), lead (18) coagulates assembly (16) with electricity and is connected, and electricity coagulates between assembly (16) and the connecting rod (11) and is connected by helical form lead (15).

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