Hemostasis by compression pinning device and the anastomat for circumcision for using the deviceTechnical field
The utility model belongs to the field of medical instrument technology, more particularly to a kind of hemostasis by compression pinning device and use the dressThe anastomat for circumcision set.
Background technology
With the increasingly raising of living standard, because of phimosis caused by redundant prepuce, urinary tract infection, the diseases such as carcinoma of penis are got overIt is more concerned by people, with the development and research and development of products of medicine, more and more multi-functional medical instrument faces applied to Urology SurgeryBed operation, anastomat for circumcision are exactly one such, and the application of anastomat for circumcision has that hand intraoperative hemorrhage is less, handThe art time is shorter, can reduce error hand-manipulated, avoid infection, postoperative function restores many advantages, such as fast.
Common anastomat for circumcision is sewed up the incision using staple mode currently on the market, but due to existing staple pressureIt when contracting tissue, is easy by tissue encapsulation, causes not easy to fall off, when manual demolition causes tissue secondary damage bleeding.To understandThe certainly problem, reports a kind of staple for anastomat for circumcision in the prior art, which is clasp nail, concrete structure packetNail leg and crossbeam are included, and the width of crossbeam is more than nail leg width, which makes staple be not easy to be lived by tissue encapsulation, and intensity is moreGreatly, hemostasis area is big, but can only play unilateral the problem of stopping blooding, and when staple formation, since nail tip is easily pricked into tissue, soStill there is the risk of bleeding；And anastomosis staple cannot continue urging tissue hemostasis, further, since nail leg width is slightly narrow, inner panel alsoThe phenomenon that having tissue encapsulation anastomosis staple is unable to Automatic-falling so as to cause postoperative anastomosis staple, and manual demolition, doctor is needed to operate bandIt is inconvenient to come, and increases the pain of patient.
Utility model content
The utility model provides a kind of hemostasis by compression pinning device and the anastomat for circumcision using the device, so thatExisting clasp nail is solved the problems, such as less in use, existing bleeding problems and being difficult to Automatic-falling.
First purpose of the utility model is to provide a kind of hemostasis by compression pinning device, described device include spill seat andThe matched nail bin groupware used is equipped on the spill seat with the annular resist-nailed seat for supporting nail slot；The nail bin groupwareIncluding nail storehouse sleeve and the nail bin being installed in the nail storehouse sleeve, anastomosis staple is installed in the nail bin；The anastomosis staple includesTie-beam and the nail leg upwardly extended for being connected to the tie-beam both sides, side extends shape in the width direction on the tie-beamAt reinforcing beam；The first elastomer of the covering annular for supporting nail slot is provided on the annular resist-nailed seat and/or describedThe position that nail bin surface, face anastomosis staple go out nail is provided with the second annular elastomer.
Preferably, when being provided with the first elastomer for supporting nail slot described in covering on the annular resist-nailed seat；The kissAfter dowel percussion, tissue to be anastomosed and the first elastomer aftershaping are penetrated successively, and first elastomer is detached from the ringShape resist-nailed seat is followed closely organizationally together together with anastomosis staple.
It is highly preferred that first elastomer includes being covered in the first annular part for supporting nail rooved face, Yi JitaoSet on the second annular section of spill seat head lateral wall, first annular part and the second annular section are integrated connection.
Preferably, described when the position for going out nail in the nail bin surface and face anastomosis staple is provided with the second elastomerNail bin marginal surface offers several limiting slots, and the bottom of second elastomer is equipped with several and limiting slot and correspondsProtrusion, second elastomer is mounted at nail bin table by the cooperation grafting of the protrusion and the limiting slotFace；After the anastomosis staple percussion, the second elastomer and tissue aftershaping to be anastomosed are penetrated successively, and second elastomer is detached from instituteNail bin is stated to follow closely together organizationally together with anastomosis staple.
Preferably, described on the annular resist-nailed seat and when the nail bin is provided with annular elastomeric simultaneously on the surfaceAnastomosis staple percussion after, penetrate successively the second elastomer, it is to be anastomosed tissue and the first elastomer aftershaping, first elastomer andThe second elastomer release unit is followed closely together with anastomosis staple together in tissue both sides.
Preferably, first elastomer and second elastomer be medical grade silicone or medical grade PVC make andAt.
It is highly preferred that the thickness of first elastomer and second elastomer is between 0.1~1mm.
Preferably, the nail leg includes nail tip, and there is sword in the side of the nail tip.
Second purpose of the utility model is to provide a kind of anastomat for circumcision, and the anastomat for circumcision includesAny of the above-described hemostasis by compression pinning device.
Compared with prior art, the beneficial effects of the utility model are：
(1) anastomosis staple of hemostasis by compression pinning device provided by the utility model uses clasp nail, the tie-beam of clasp nailWidth is more than nail leg width, and has bending, it is not easy to lived by tissue encapsulation, and the intensity bigger of anastomosis staple, can effectively oppress intoFollow closely side tissue bleeding；After the first elastomer of the annular nail percussion to be anastomosed being arranged on annular resist-nailed seat, connection anastomosis staple is followed closely togetherOrganizationally, it due to the presence of the first elastomer, avoids nail tip from being pricked again into tissue, further effectively reduces bleeding.
(2) the first elastomer installed on spill seat, after anastomosis staple percussion, connection anastomosis staple is followed closely organizationally together,It is capable of the elastic potential energy of duration release, anastomosis staple effectively conducts the compressing of tissue, increases preputialBetween bearing area, by can preferably to the thin vessels of foreskin incisxal edge carry out hemostasis by compression, realize that lasting compressing stopsBlood reduces the probability of postoperative hemorrhage and hemotoncus.
(3) it since existing clasp nail spike width is less than the width of header portion, is organized so as to cause nail tip portionPackage has the risk not fallen off, and the utility model is coordinated by the first elastomer installed on spill seat with clasp nail, in anastomosis stapleAfter percussion, make spike not by tissue encapsulation, and the first elastomer can continue hemostasis by compression, in the same of lasting hemostasis by compressionWhen, so that clasp nail is realized automatic, completely de- nail within the shorter period.By lot of experiment validation, do not taken off using the deviceThe possibility of nail, be not in it is postoperative manually tear nail phenomenon open, to truly it is automatic it is de- follow closely, greatly alleviate the pain of patientIt is bitter.
(4) coordinated by the first elastomer and clasp nail installed on spill seat, realize the uniform compressing to foreskin edge, makeIt is uniform to obtain preputial pairing, it is smooth, postoperative scar is reduced, wound healing is more beautiful.
(5) further, the second elastomer is arranged in the position that nail can also be gone out in nail bin surface, face anastomosis staple, coincideNail will not be embedded into tissue, comfort level higher, and effect is more preferable.
Description of the drawings
In order to illustrate the embodiment of the utility model or the technical proposal in the existing technology more clearly, below will be to embodimentOr attached drawing needed to be used in the description of the prior art is briefly described, it should be apparent that, the accompanying drawings in the following description is thisSome embodiments of utility model, for those of ordinary skill in the art, without creative efforts, alsoIt can be obtain other attached drawings according to these attached drawings.
Fig. 1 is the structural schematic diagram for the hemostasis by compression pinning device that the utility model embodiment 1 provides；
Fig. 2 is the sectional view for the spill seat for being equipped with the first elastomer that the utility model embodiment 1 provides；
Fig. 3 is the sectional view at A-A in Fig. 2；
Fig. 4 is the structural schematic diagram for the first elastomer that the utility model embodiment 1 provides；
Fig. 5 is the sectional view of Fig. 4；
Fig. 6 is the structural schematic diagram for the anastomosis staple that the utility model embodiment provides；
Fig. 7 is the structural schematic diagram for the hemostasis by compression pinning device that the utility model embodiment 2 provides；
Fig. 8 is the installation diagram of the second elastomer and nail bin that the utility model embodiment 2 provides；
Fig. 9 is the diagrammatic cross-section for the nail bin for being equipped with the second elastomer that the utility model embodiment 2 provides；
Figure 10 is to complete the first elastomer and the second elastomer after performing the operation in the utility model embodiment 3 and tissue is clampedStructural schematic diagram；
Figure 11 is a kind of structural schematic diagram for anastomat for circumcision that the utility model embodiment provides.
Specific implementation mode
It can be practiced in order to enable those skilled in the art to better understand the technical solutions of the present invention, with reference toThe utility model is described in further detail for specific embodiment, but illustrated embodiment is not as the restriction to the utility model.
Embodiment 1
Specifically as shown in figures 1 to 6, a kind of hemostasis by compression pinning device of the utility model embodiment, including spill seat 1 and withThe nail bin groupware being used cooperatively, be equipped on spill seat 1 with the annular resist-nailed seat 102 for supporting nail slot 101；Nail bin groupware includesNail storehouse sleeve and the nail bin 202 being installed in nail storehouse sleeve are equipped with anastomosis staple 3 in nail bin 202.
The structure of anastomosis staple 3 is specific as shown in fig. 6, prolonging with the upward of 301 both sides of tie-beam is connected to including tie-beam 301The nail leg 302 stretched, side extends to form reinforcing beam 303 in the width direction on tie-beam 301, and there is bending on 303 surface of reinforcing beam,By adding for reinforcing beam 303, the width of the tie-beam 301 of clasp nail is more than 302 width of nail leg, and has bending, anastomosis staple it is strongBigger is spent, can effectively be oppressed into nail side tissue bleeding.
The annular elastomeric that nail slot 101 is supported in covering, specifically as illustrated in figures 4-5, the ring are provided on annular resist-nailed seat 102Shape elastomer is the first elastomer 103；Anastomosis staple 3 fire after, penetrate successively it is to be anastomosed tissue and the first elastomer 103 after atType, the first elastomer 103 is detached from annular resist-nailed seat 102 and is followed closely together organizationally together with anastomosis staple 3, due to the first elastomer 103Presence, avoid nail tip from being pricked again into tissue, further effectively reduce bleeding, and installed on spill seat 1 first elasticityBody 103 can also duration release elastic potential energy, anastomosis staple effectively conducts the compressing of tissue, increases foreskinBearing area between inner and outer plates, by that preferably can carry out uniform hemostasis by compression to the thin vessels of foreskin incisxal edge, realization is heldContinuous hemostasis by compression increases haemostatic effect, reduces the probability of postoperative hemorrhage and hemotoncus, and the first elastomer 103 is matched with anastomosis staple 3It closes, so that anastomosis staple 3 is realized automatic de- nail within the shorter period, by multiple experimental verification, do not taken off using the deviceThe possibility of nail is not in manually to tear nail phenomenon open, to automatic de- nail truly, greatly alleviates the pain of patient.As an improvement specific implementation mode, above-mentioned first elastomer 103 includes being covered in following closely the first annular of slot 101 surfacePart 104, and it is sheathed on the second annular section 105 of 1 head lateral wall of spill seat, it is specifically as illustrated in figures 4-5, first annularPart 104 and the second annular section 105 are integrated connection, and first annular part 104 can be nailed together with anastomosis staple 3, playThe effect of hemostasis and de- nail, and the second annular section 105 is set on 1 head lateral wall of spill seat, for fixing the first elasticityBody 103.
It should be noted that 103 and second elastomer 4 of above-mentioned first elastomer is medical grade silicone or medical grade PVCIt is made, avoids metal material anastomosis staple and be in direct contact both sides skin, safety and comfort, it is highly preferred that Shao of above-mentioned materialFamily name's hardness A is 30, which had both been easy to anastomosis staple insertion, did not influenced match result, and be avoided that nail tip is pricked again into tissue.
As an improvement specific implementation mode, above-mentioned nail leg 302 include nail tip, there is sword in the side of above-mentioned nail tip, hasIt is oriented to and is molded conducive to staple anastomosis staple, cutting edge can not also be sharp, specific as shown in Figure 6.
Embodiment 2
A kind of hemostasis by compression pinning device of the utility model embodiment, specific as Figure 6-9, concrete structure and embodiment1 is identical, the difference is that, covering is not provided on annular resist-nailed seat 102 to the first elastomer 103 for following closely slot 101, butThe position that above-mentioned nail bin surface and face anastomosis staple 3 go out nail is provided with the second annular elastomer 4, the bottom of the second elastomer 4Equipped with several protrusions, the second elastomer 4 is detachably connected by the protrusion and the nail bin.
The concrete structure and connection relation of nail bin 202 and the second elastomer 4 are as Figure 8-9, specifically, 202 table of nail binSeveral limiting slots corresponding with projection position and quantity, the cooperation that the second elastomer 4 passes through protrusion and limiting slot are equipped on the outside of facePlugged and fixed is in nail bin surface.After anastomosis staple 3 fires, the second elastomer 4 and tissue aftershaping to be anastomosed are penetrated successively, secondElastomer 4 is detached from nail bin and is followed closely together organizationally together with anastomosis staple 3, realizes effective hemostasis to tissue and quick de- nail.
Embodiment 3
A kind of hemostasis by compression pinning device of the utility model embodiment, concrete structure and embodiment 1 are identical, and difference existsIn on the basis of example structure, also adding the use of the second elastomer, i.e., coincide in above-mentioned nail bin surface and faceThe position that nail 3 goes out nail is additionally provided with the second elastomer 4 of annular, and the bottom of the second elastomer 4 is equipped with several protrusions, the second elasticityBody 4 is detachably connected by the protrusion and the nail bin, and the concrete structure of nail bin 202 and the second elastomer 4 is described referring to upperState embodiment 2.
After anastomosis staple 3 fires, the second elastomer 4, tissue to be anastomosed and 103 aftershaping of the first elastomer are penetrated successively,First elastomer 103 and 4 release unit of the second elastomer are followed closely in tissue both sides, specifically as shown in Figure 10 together together with anastomosis staple 3.Both sides setting elastomer anastomosis staple will not be embedded into tissue completely, not only stop blooding and de- nail effect is good, comfort level higher, effectMore preferably.
Embodiment 4
A kind of anastomat for circumcision of the utility model embodiment, specific as shown in figure 11, anastomat for circumcision toolThere are any the provided hemostasis by compression pinning devices of above-described embodiment 1-3,5 front end of device body of stapler is nail storehouse sleeve 201, compressingHemostasis pinning device is set to the front end of stapler device body 5.When surgical procedure, spill seat 1 is separated with stapler device body first,After spill seat 1 has covered glans penis, by 1 location and installation of spill seat in the nail storehouse sleeve 201 on stapler device body head, specifically, due toSpill seat 1 is fixedly connected with the pull rod in nail storehouse sleeve 201, and by the adjusting nut of adjuster body tail portion, to be cut coincide is clampedCertain interval is organized, firing handle is held, fires anastomosis staple and endless knife, hemostasis by compression pinning device completes the cutting of tissueAnd suture, the tissue unilateral or bilateral after having handled retain elastomer, to effectively avoid bleeding and completely de- nail.
Obviously, those skilled in the art can carry out the utility model various modification and variations without departing from this practicalityNovel spirit and scope.If in this way, these modifications and variations of the present invention belong to the utility model claims andWithin the scope of its equivalent technologies, then the utility model is also intended to include these modifications and variations.Embodiment described aboveOnly it is the preferred embodiment lifted to absolutely prove the utility model, protection domain is without being limited thereto.The artTechnical staff on the basis of the utility model made by equivalent substitute or transformation, both be within the protection scope of the present invention,The scope of protection of the utility model is subject to claims.