CN2476253Y - Anal Hemorrhoid Stapler - Google Patents
Anal Hemorrhoid Stapler Download PDFInfo
- Publication number
- CN2476253Y CN2476253Y CN01237258U CN01237258U CN2476253Y CN 2476253 Y CN2476253 Y CN 2476253Y CN 01237258 U CN01237258 U CN 01237258U CN 01237258 U CN01237258 U CN 01237258U CN 2476253 Y CN2476253 Y CN 2476253Y
- Authority
- CN
- China
- Prior art keywords
- capsule body
- head capsule
- osculating head
- osculating
- mandrel
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 208000014617 hemorrhoid Diseases 0.000 title abstract description 23
- 239000002775 capsule Substances 0.000 claims description 64
- 210000000436 anus Anatomy 0.000 claims description 26
- 238000009958 sewing Methods 0.000 claims description 7
- 230000005284 excitation Effects 0.000 claims description 5
- 239000000203 mixture Substances 0.000 claims description 3
- 210000004877 mucosa Anatomy 0.000 abstract description 10
- 230000008859 change Effects 0.000 abstract description 3
- 210000002255 anal canal Anatomy 0.000 abstract 1
- 239000008280 blood Substances 0.000 description 6
- 210000004369 blood Anatomy 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 238000006073 displacement reaction Methods 0.000 description 4
- 230000008676 import Effects 0.000 description 4
- 230000000295 complement effect Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 210000004872 soft tissue Anatomy 0.000 description 3
- 230000003872 anastomosis Effects 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 230000004899 motility Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 240000002853 Nelumbo nucifera Species 0.000 description 1
- 235000006508 Nelumbo nucifera Nutrition 0.000 description 1
- 235000006510 Nelumbo pentapetala Nutrition 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 229920000122 acrylonitrile butadiene styrene Polymers 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 230000004323 axial length Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The utility model discloses an anal hemorrhoid anastomat, which is mainly characterized in that the osculating head component part is detachably connected with a needle pushing plate seat, groove-shaped long holes are respectively arranged on an osculating head shell and a needle pushing plate seat, a central through hole of the osculating head shell and a mandrel are mutually in key configuration, and the mandrel can be axially detached. The utility model discloses a change osculating cutter head subassembly part can "a rifle used repeatedly" to reduced the operation expense by a wide margin, and amputated haemorrhoids and the identical completion simultaneously of anal canal mucosa, and effectively reduced operation time and patient's misery, be the present anal haemorrhoids anastomat that a patient willingly accepted, the doctor is satisfied with at present.
Description
This utility model belongs to technical field of medical instruments, is specifically related to a kind of anal passage blood stasis excision and the identical one step completed surgical operation Anus piles anastomat of anal passage mucosa.
The anus hemorrhoidal diseases is a kind of frequently-occurring disease, commonly encountered diseases, and the patient is a lot of, wherein especially based on the male, and outbreak repeatedly, worsen day by day, brought serious misery to people's production, work and life.Traditional operative therapy, comparatively common with the ligation fluid injection excision and the excision of operating on, but the normal easily recurrence of postoperative, and particularly feel bad between patient's art.In recent years, people are the characteristics that occur in blood stasis multiple on the anal passage mucosa and the high resilience of anal passage mucosa and can draw displacement in the face of the anus hemorrhoid, and a kind of Anus piles anastomat has been made in research.Such as from a kind of anus hemorrhoid excision of the U.S. (Johson ﹠ Johnson) import, the one step completed Anus piles anastomat (please join and read accompanying drawing 1) that coincide, obtained gratifying effect clinically.But, because the Osculating head member of this Anus piles anastomat osculating head capsule body 18 partly, binding with the panel seat 17 of pushing pin, what taked is through roll extrusion and the non-removable technical measures of snapping by flexible aluminum pipe, this has determined fundamentally that undoubtedly this U.S. makes Anus piles anastomat, Osculating head member can't be changed partly, and disposable use can only be specialized in.And said this Anus piles anastomat, import price are competed up to 3000 yuan of RMB.This higher-priced surgical operation takes, and for the so simpler and easy and common operation of anus hemorrhoid, is to can't bear to accept by operator to this financial burden.In brief, it is not suitable for the national conditions of present China.
The purpose of this utility model is to make improvements at the Anus piles anastomat that Johnson Co. produces, and provide a kind of Osculating head member partly can change, and its push pin assembly partly, support needle stand coincide apart from accent amount assembly partly and device body assembly partly etc. all can reusable Anus piles anastomat, to overcome the deficiency of prior art, in the hope of reducing the corrective surgery cost burden greatly, adapt to the national conditions of present China.
Realize the purpose of this utility model, mainly the key problem in technology that should solve has 2 points, and the one, Osculating head member is partly realized removable binding with the panel seat of pushing pin; The 2nd, and support the fixedly connected mandrel of needle stand, can be separated with adjusting nut easily, and then can by in the endoporus of the center through hole of Osculating head member osculating head capsule body partly, needle pushing plate, needle pushing plate connection tube, ejector sleeve, ejector sleeve seat easily pull come out, in the hope of the replacing partly of realization Osculating head member, thereby realize rifle repeated use.
Based on above-mentioned technology thinking, this utility model realizes that the concrete technical scheme of its purpose is: it still pushes pin assembly partly by the excitation formula that comprises flexible handle, ejector sleeve seat, ejector sleeve, needle pushing plate connection tube, needle pushing plate and back-moving spring; With comprise that the needle stand that supports to needle stand, mandrel, collar, adjusting nut, indication bearing pin and end cap coincide apart from accent amount assembly partly; And the device body assembly that comprises fixed handle, taper connection sleeve pipe, joint sleeve, locking nut and the panel seat of pushing pin partly; And the compositions such as Osculating head member part that comprise osculating head capsule body, nail bin, the bar of pushing pin, endless knife and sewing needle, its improvement is: said Osculating head member partly, by by its included osculating head capsule body, the push pin panel seat partly included with the device body is removable binding between the two mutually; And said support needle stand coincide apart from accent amount assembly partly included support needle stand, be fixedly connected with an end of mandrel, be provided with the screw thread of certain-length at the other end of mandrel, and mandrel passes through Osculating head member partly center through hole, needle pushing plate, needle pushing plate connection tube, ejector sleeve, the ejector sleeve seat of included osculating head capsule body successively, close with the female thread of adjusting nut is stubborn mutually, and at the end face of mandrel via being threaded the indication bearing pin, and the indication bearing pin is set in adjusting nut and is in the center through hole of quiet banded end cap.And the said Osculating head member center through hole of included osculating head capsule body partly is closed and is key mutually mutually with said mandrel and disposes.Be provided with on the cylindrical sidewall of said osculating head capsule body two mutually between 180 ° slit-like through-holes.And on the outer circle wall of the said bar of pushing pin, be provided with two slit-like through-holes of tackling mutually with the said slit-like through-holes that is located on the osculating head capsule body.
The said osculating head capsule of this utility model body and panel seat one of the removable banded technical measures between the two of pushing pin: be by being located at the fastening inner groove of osculating head capsule end of body, with be located on the panel seat of pushing pin and be positioned at projection with osculating head capsule body binding end, fasten removable binding and be mutually between the two.
The said osculating head capsule of this utility model body and two of the removable between the two banded technical measures of panel seat of pushing pin, it is end inner hole thread by osculating head capsule body, with be located on the panel seat of pushing pin and be positioned at outer round thread with osculating head capsule body binding end, and be the removable binding of screw thread between the two mutually.
The said osculating head capsule of this utility model body and three of the removable between the two banded technical measures of panel seat of pushing pin, be by being located at the short groove of helical form on the osculating head capsule end of body endoporus circumferential wall, with be located on the panel seat of pushing pin and be positioned at osculating head capsule body binding end cylindrical on round shape doll, and be the removable binding of socket type between the two mutually.And the removable binding of so-called socket type, promptly as incandescent lamp bulb and lamp holder mode of connection between the two.The removable binding of this socket type is that people are familiar with very much.
This utility model is the removable binding of the said fastening of one of abovementioned technology preferably.
Consider the mandrel form and position tolerance, and with system's form and position tolerance of relevant other part of mandrel phase configuration, might influence the motility of the axial displacement of mandrel under operating mode, mandrel of the present utility model, can be 1 whole mandrel, or form through hinged institute, thereby realize repealing by implication of positive and negative of form and position tolerance by vertical and horizontal by at least 2 short mandrels, subtract the harshness that processing technique requires to guarantee under the mandrel operating mode the axially motility of displacement and to fall.
Of the present utility modelly support needle stand and Osculating head member partly especially and the mutual location between the nail bin, be the center through hole by Osculating head member osculating head capsule body partly, is key configuration realization mutually with mandrel.And said key configuration is the singly-bound configuration, and promptly said center through hole and mandrel cross section are mutually
The shape coupling; Or two key configurations, promptly said center through hole and mandrel cross section are mutually
Shape; Or the multikey configuration, promptly said center through hole and mandrel cross section are the spline coupling mutually.Preferably singly-bound configuration of this utility model.
This utility model is in the operation application process, with patient's anus wall and rectum week cornice blood stasis and whippy soft tissue mucosa draws into the Osculating head member inner chamber of the included bar of pushing pin partly, be by playing the pocket line, by be located on kiss head capsule body and the bar outer circle wall of pushing pin two mutually between 180 ° slit-like through-holes, and realize at external manual tractive.
This utility model is in the operation application process, be by the manual traction of operator lotus colo(u)r streak, with patient's anal passage band blood stasis and whippy soft tissue mucosa, traction enters the inner chamber of the included bar of pushing pin of Osculating head member, and the volume of enough containing soft tissue mucosas that the Osculating head member inner chamber is had, be under the precondition that the Osculating head member outside diameter can not increase, realize by lengthening Osculating head member axial length.
The said needle stand that supports of this utility model coincide apart from the grasp of accent amount size, be to hold neat degree level with both hands by touching indication bearing pin and adjusting nut, and observe the markings that are arranged on the adjustment nut cylindrical simultaneously, realize with the relative position of the markings that are arranged on the fixed handle end.
After technique scheme of the present utility model realized, the Osculating head member that it had partly can be changed easily, and other partly then can be reused, and realize " rifle repeated use ", reduce the operation cost, alleviate characteristics such as patient's financial burden, clearly easily see.
Below in conjunction with drawings and Examples this utility model is further described.
Fig. 1 is the Anus piles anastomat schematic diagram of Johnson Co.'s manufacturing;
Fig. 2 is overall structure cutaway view of the present utility model;
Fig. 3 is the A-A cutaway view of Fig. 1;
Fig. 4 is Osculating head member of the present utility model cutaway view partly;
Fig. 5 is for supporting the schematic diagram of needle stand and mandrel configuration;
Fig. 6 is the A-A cutaway view of Fig. 4;
Fig. 7 is the B-B cutaway view of Fig. 4;
Fig. 8 is the A-A cutaway view of Fig. 5;
Fig. 9 is the C-C cutaway view of Fig. 4;
Figure 10 is osculating head capsule body cutaway view;
Figure 11 is the A-A cutaway view of Figure 10;
Figure 12 is the right view of Figure 10;
Figure 13 is for being located at the bar schematic diagram of pushing pin of osculating head capsule body inside;
Figure 14 is the left view of Figure 13;
Figure 15 is the right view of Figure 13;
Figure 16 to Figure 22 is for this utility model clinical operation uses the step schematic diagram.
Please join and read accompanying drawing 2, this utility model is pushed pin assembly partly by excitation formula, supports needle stand and coincide apart from accent amount assembly partly, and device body assembly part and Osculating head member partly wait 4 partly to form.Push pin assembly partly at said excitation formula, by its included flexible handle 1, be hinged with fixed handle 13, and be embedding with ejector sleeve seat 2 and ride the shape configuration, and ejector sleeve seat 2 is fixedly connected with ejector sleeve 3, and ejector sleeve 3 resists cooperation mutually with the end face of needle pushing plate connection tube 4, place, other end at needle pushing plate connection tube 4, be threaded with needle pushing plate 5,2 back-moving springs 6 are nested with respectively on the cylindrical of needle pushing plate connection tube 4 and ejector sleeve 3.The said needle stand that supports coincide apart from accent amount assembly partly, by its included needle stand 7 that supports, fixedly connected with mandrel 8, the other end at mandrel 8, be provided with the external screw thread of certain distance, and mandrel 8 passes through the center through hole 19 of osculating head capsule body 18 successively, and the needle pushing plate 5 that is set in device body part assembly inner chamber, needle pushing plate connection tube 4, the endoporus of ejector sleeve 3 and ejector sleeve seat 2, and its external thread section closes with adjusting nut 10 is stubborn mutually, end face at mandrel 8, by the stubborn indication bearing pin 11 that is connected to of screw thread, and indication bearing pin 11 is set in the center through hole with the fixedly connected end cap 12 of adjusting nut 10, and 10 of adjusting nuts are set in the medium pore of collar 9, and collar 9 then fixes binding by screw and fixed handle 13.On second step of adjusting nut 10, be provided with annular groove, and this annular groove, match with the screw that is used for fixing collar 9 just, rotate thereby make adjusting nut 10 can do rotation, and can not do axial displacement.At said device body assembly partly, by its included fixed handle 13, with 14 threaded connections of taper connection pipe-in-pipe, and an end of joint sleeve 15 and 14 threaded connections of taper connection sleeve pipe, and its other end via locking nut 16 with panel seat 17 threaded connections of pushing pin.At Osculating head member partly, please join and read accompanying drawing 2 to 15, it is made up of institutes such as its included osculating head capsule body 18, nail bin 23, the bar 24 of pushing pin, endless knife 25 and sewing needles 26.Said osculating head capsule body 18 is by set axial ribs 27, be interconnected into one with the tube wall of its center through hole 19, and the cross section of said center through hole 19 is
Shape, and be with the cross section
The mandrel 8 of shape is complementary, and promptly is said singly-bound configuration between the two mutually.The said bar 24 of pushing pin is interconnected into one with needle pushing plate 28, on the face of cylinder 29 of bar 24 of pushing pin, be provided with the axial long slot bore 30 that can be complementary with the rib 27 that is located on the osculating head capsule body 18, and the said bar 24 of pushing pin is located at axial long slot bore 30 on the face of cylinder 29 by it, and with rib 27 sliding fits that are located on the osculating head capsule body 18, and make the bar 24 of pushing pin put the inner chamber that is contained in osculating head capsule body 18, and the endoporus of the bar 24 of pushing pin, then be located at osculating head capsule body 18 on the cylindrical of center through hole 19 pipes close mutually; On the interior hole end surface 31 of the said bar 24 of pushing pin, riveted joint has endless knife 25, and said endless knife 25, is matched in clearance respectively with osculating head capsule body 18, nail bin 23; And the said nail bin 23 that is provided with sewing needle 26 then is interference fit between the two with osculating head capsule body 18 to link, and is located at the end 32 of pushing pin of the needle pushing plate 28 on the bar 24 of pushing pin, and then is set in the set sewing needle slotted eye 33 of nail bin 23.At the be connected endoporus of end of osculating head capsule body 18 the push pin panel seat 17 partly included with being located at the device body, be provided with and fasten annular groove 21, and at said endoporus, be provided with 4 axial grooves 34 vertically, and said axial groove 34 closes mutually with projection 22 on being located at the panel seat 17 of pushing pin.When said projection 22, along the endoporus of axial insertion osculating head capsule body 18, and half-twist can make the osculating head capsule body 18 and the panel seat 17 of pushing pin lock mutually.Mutually tackle perforation with the slit-like through-holes 20 on bar 24 outer circle walls of pushing pin with slit-like through-holes 24-1 and be located at osculating head capsule body 18 respectively.
One of this utility model embodiment, described is that it pushes pin assembly partly by the excitation formula that comprises flexible handle 1, ejector sleeve seat 2, ejector sleeve 3, needle pushing plate connection tube 4, needle pushing plate 5 and back-moving spring 6; With comprise that the needle stand that supports to needle stand 7, mandrel 8, collar 9, adjusting nut 10, indication bearing pin 11 and end cap 12 coincide apart from accent amount assembly partly; And the device body assembly that comprises fixed handle 13, taper connection sleeve pipe 14, joint sleeve 15, locking nut 16 and the panel seat 17 of pushing pin partly; And the compositions such as Osculating head member part that comprise osculating head capsule body 18, nail bin 23, the bar 24 of pushing pin, endless knife 25 and sewing needle 26, and said Osculating head member partly, by by its included osculating head capsule body 18, the fastening inner groove 21 of end, with be located on the panel seat 17 of pushing pin and be positioned at projection 22 with osculating head capsule body 18 binding ends, fasten removable binding and be mutually between the two.Said support needle stand coincide apart from accent amount assembly partly included support needle stand 7, to be riveted fixedly connected with an end of mandrel 8, the other end at mandrel 8 is provided with long T6 * 4/2 screw thread of 5Cm, and mandrel 8 passes through Osculating head member partly center through hole 19, needle pushing plate 5, needle pushing plate connection tube 4, ejector sleeve 3, the ejector sleeve seat 2 of included osculating head capsule body 18 successively, close with the female thread of adjusting nut 10 is stubborn mutually, and indicate bearing pin 11 by stubborn having closed of screw thread at the end face of mandrel 8.The cross section of said mandrel 8 is
Shape, and the cross section of the cross section of the center through hole 19 of said osculating head capsule body 18 and mandrel 8 is complementary, thus make both be the singly-bound configuration.Be respectively equipped with on the cylindrical sidewall of the said osculating head capsule body 18 and the bar 24 of pushing pin two mutually between 180 ° flute profile slotted hole 20 and 24-1.Under operating mode, flute profile slotted hole 20 and 24-1 tackle each other, and connect with the inner chamber of the bar 24 of pushing pin.
Two of this utility model embodiment describedly is, the said osculating head capsule body 18 and the removable between the two binding of panel seat 17 of pushing pin, be by osculating head capsule body 18 end inner hole threads, with be located on the panel seat 17 of pushing pin and be positioned at and the outer round thread of osculating head capsule body 18 binding ends, and be the removable binding of screw thread between the two mutually.And the cross section of the center through hole 19 of osculating head capsule body 18 is
Shape, and close mutually in the cross section of the cross sectional shape of mandrel 8 and said center through hole 19, thus make both be two keys configurations.Other is all as one of embodiment.
Three of this utility model embodiment describedly is, the said osculating head capsule body 18 and the removable between the two binding of panel seat 17 of pushing pin, be by being located at the short groove of helical form on the osculating head capsule body 18 end endoporus circumferential wall, with be located on the panel seat 17 of pushing pin and be positioned at osculating head capsule body 18 binding end cylindricals on round shape doll, and be the removable binding of socket type between the two mutually.Promptly as incandescent socket bulb and lamp holder removable binding between the two.This removable binding be people be familiar with very much.And the cross section of the center through hole 19 of osculating head capsule body 18 and mandrel 8 is " spline " shape, and closes each other, thereby makes both be the multikey configuration.Other is all as one of embodiment.
This utility model embodiment is described, and except Osculating head member part (not comprising endless knife and sewing needle) was the ABS plastic part, basic surplus part was the rustless steel product.
When this utility model is used at clinical operation, it must be aided with anal dilator, and said anal dilator comprises adnexaes such as transparent dilator shell 35, dilator guide pin bushing 36, dilator opening guide pin bushing 37, the annular pocket pin 38 that has purse wire and hook line pin.Its clinical operation applying step sees also accompanying drawing 16 to accompanying drawing 22, wherein: Figure 16 is expressed as the state diagram of patient's anus hemorrhoid; Figure 17 is expressed as to patient's anal and imports transparent dilator shell 35 and dilator guide pin bushing 36; Figure 18 is expressed as by taking out dilator guide pin bushing 36 in the transparent dilator shell 35, and dilator opening guide pin bushing 37 is imported in the transparent dilator shell 35, and have an annular pocket pin 38 of purse wire with the pliers clamping, by importing anal in the dilator opening guide pin bushing 37, and with pocket pinhock bundle anal passage mucosa; Figure 19 is expressed as earlier this utility model is passed through transparent dilator shell 35, imports patient's anal passage, with hook line pin purse wire is caused the outside then, and by purse wire two tension ligation pocket; Figure 20 is expressed as the traction purse wire, and will draw with the anal passage mucosa of blood stasis into Osculating head member inner chamber of the present utility model; Figure 21 is expressed as with finger tension purse wire, and this utility model is advanced in anal passage, and adjustment is supported the identical distance of needle stand 7 to the requirement that coincide, and pulls flexible handle 1 rapidly, finishes blood stasis excision and anal passage mucosa anastomosis operation simultaneously; Figure 22 is expressed as the anal passage state of postoperative patient.Shown in Figure 22
The shape position is the identical state of the pin that coincide.So far, the operation of anus hemorrhoid resection and anastomosis finishes.
After formerly the anus hemorrhoids operation finishes, can be earlier with indication bearing pin 11 Panasonic from the mandrel 8, needle stand 7 is supported in turn then, and the external thread section and adjusting nut 10 disengagements of the order mandrel 8 fixedly connected with supporting needle stand 7.Then, will extract out together with mandrel 8 to needle stand 7; Again with osculating head capsule body 18, by unclamping on the panel seat 17 of pushing pin; Change new Osculating head member partly, and the reverse procedure of pressing above-mentioned disassembly procedure, the assembly cost utility model is in order to the application of next routine anus hemorrhoids operation.
This utility model through Guangzhou, Tianjin Duo Jia hospital clinical uses, the clinical operation effect is remarkable, compares with this class Anus piles anastomat that uses Johnson Co. to produce, its surgery cost can reduce by 9/10, has obtained patient's welcome and expert doctor's favorable comment.
Claims (6)
1, a kind of Anus piles anastomat, it pushes pin assembly partly by the excitation formula that comprises flexible handle (1), ejector sleeve seat (2), ejector sleeve (3), needle pushing plate connection tube (4), needle pushing plate (5) and back-moving spring (6); With comprise that the needle stand that supports to needle stand (7), mandrel (8), collar (9), adjusting nut (10), indication bearing pin (11) and end cap (12) coincide apart from accent amount assembly part; And the device body that comprises fixed handle (13), taper connection sleeve pipe (14), joint sleeve (15), locking nut (16) and the panel seat of pushing pin (17) partly; And comprise osculating head capsule body (18), nail bin (23) bar (24) of pushing pin, endless knife (25) and sewing needle (26) partly wait composition at interior Osculating head member, it is characterized in that: said Osculating head member partly, by by its included osculating head capsule body (18), the push pin panel seat (17) partly included with the device body is removable binding between the two mutually, and said support needle stand coincide apart from accent amount assembly partly included support needle stand (7), be fixedly connected with an end of mandrel (8), be provided with the screw thread of certain-length at the other end of mandrel (8), and mandrel (8) passes through the center through hole (19) of osculating head capsule body (18) successively, needle pushing plate (5), needle pushing plate connection tube (4), ejector sleeve (3), ejector sleeve seat (2) is twisted mutually with the female thread of adjusting nut (10) and is closed, and at the end face of mandrel (8) via being threaded indication bearing pin (11), and indication bearing pin (11), be set in adjusting nut 10 and be in the center through hole of quiet banded end cap (12), and said osculating head capsule is stopped the center through hole (19) of (18), both close mutually and are the key configuration mutually with said mandrel (8), be provided with on the cylindrical sidewall of said osculating head capsule body (18) two mutually between 180 ° slit-like through-holes (20), and on the cylindrical sidewall of the said bar of pushing pin (24), be provided with two slit-like through-holes of tackling mutually with said slit-like through-holes (20) (24-1).
2, Anus piles anastomat according to claim 1, it is characterized in that, the said osculating head capsule body (18) and panel seat (17) the removable binding between the two of pushing pin, be by being located at the fastening inner groove (21) of osculating head capsule body (18) end, go up and be positioned at projection (22) with osculating head capsule body (18) binding end with being located at the panel seat of pushing pin (17), fasten removable binding between the two and be mutually.
3, Anus piles anastomat according to claim 1, it is characterized in that, the said osculating head capsule body (18) and panel seat (17) the removable binding between the two of pushing pin, it is inner hole thread by osculating head capsule body (18) end, go up and be positioned at outer round thread with osculating head capsule body (18) binding end with being located at the panel seat of pushing pin (17), and be the removable binding of screw thread between the two mutually.
4, Anus piles anastomat according to claim 1, it is characterized in that, the said osculating head capsule body (18) and panel seat (17) the removable binding between the two of pushing pin, be by being located at the short groove of helical form on the endoporus circumferential wall of osculating head capsule body (18) end, with be located at the panel seat of pushing pin (17) go up and be positioned at osculating head capsule body (18) binding end cylindrical on round shape doll, and be the removable binding of socket type between the two mutually.
5, Anus piles anastomat according to claim 1 is characterized in that, said mandrel (8) is 1 whole mandrel, or is made up of through hinged institute at least 2 short mandrels.
6, Anus piles anastomat according to claim 1 is characterized in that, the center through hole (19) of said osculating head capsule body (18), and the key configuration that both are mutually with said mandrel (8) is the singly-bound configuration, or the configuration of two key, or the multikey configuration.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN01237258U CN2476253Y (en) | 2001-04-07 | 2001-04-07 | Anal Hemorrhoid Stapler |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN01237258U CN2476253Y (en) | 2001-04-07 | 2001-04-07 | Anal Hemorrhoid Stapler |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN2476253Y true CN2476253Y (en) | 2002-02-13 |
Family
ID=33650089
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN01237258U Expired - Fee Related CN2476253Y (en) | 2001-04-07 | 2001-04-07 | Anal Hemorrhoid Stapler |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN2476253Y (en) |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN100398072C (en) * | 2006-03-15 | 2008-07-02 | 鞠应东 | Osculating head member for rectum external prolapse excision |
| CN100525720C (en) * | 2007-10-31 | 2009-08-12 | 魏文聪 | Gun type hemorrhoid operation anastomat |
| CN101292886B (en) * | 2008-06-17 | 2010-04-14 | 常州市三联星海医疗器械制造有限公司 | Disposal tube type anastomosis device anastomosis cut component and body connecting mechanism |
| WO2011050705A1 (en) * | 2009-10-26 | 2011-05-05 | 北京中法派尔特医疗设备有限公司 | Anorectal surgical instrument and anal dilator |
| CN102551833A (en) * | 2012-02-22 | 2012-07-11 | 吴伟敏 | Anastomat for procedure for prolapse and hemorrhoids |
| CN103126737A (en) * | 2013-03-22 | 2013-06-05 | 常州华森医疗器械有限公司 | Split type anorectal gastrointestinal anastomat provided with needles and capable of absorbing biological nails |
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| WO2014139327A1 (en) * | 2013-03-15 | 2014-09-18 | Covidien Lp | Surgical stapling apparatus |
| WO2014139419A1 (en) * | 2013-03-15 | 2014-09-18 | Covidien Lp | Surgical stapling apparatus |
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| CN100398072C (en) * | 2006-03-15 | 2008-07-02 | 鞠应东 | Osculating head member for rectum external prolapse excision |
| CN100525720C (en) * | 2007-10-31 | 2009-08-12 | 魏文聪 | Gun type hemorrhoid operation anastomat |
| CN101292886B (en) * | 2008-06-17 | 2010-04-14 | 常州市三联星海医疗器械制造有限公司 | Disposal tube type anastomosis device anastomosis cut component and body connecting mechanism |
| WO2011050705A1 (en) * | 2009-10-26 | 2011-05-05 | 北京中法派尔特医疗设备有限公司 | Anorectal surgical instrument and anal dilator |
| EP2494913A4 (en) * | 2009-10-26 | 2016-12-28 | B J Zh F Panther Medical Equipment Co Ltd | ANO-RECTAL SURGICAL INSTRUMENT AND ANAL DILATOR |
| CN102551833B (en) * | 2012-02-22 | 2013-07-31 | 吴伟敏 | Anastomat for procedure for prolapse and hemorrhoids |
| CN102551833A (en) * | 2012-02-22 | 2012-07-11 | 吴伟敏 | Anastomat for procedure for prolapse and hemorrhoids |
| WO2014139327A1 (en) * | 2013-03-15 | 2014-09-18 | Covidien Lp | Surgical stapling apparatus |
| WO2014139419A1 (en) * | 2013-03-15 | 2014-09-18 | Covidien Lp | Surgical stapling apparatus |
| CN103126737A (en) * | 2013-03-22 | 2013-06-05 | 常州华森医疗器械有限公司 | Split type anorectal gastrointestinal anastomat provided with needles and capable of absorbing biological nails |
| CN103126737B (en) * | 2013-03-22 | 2015-12-02 | 常州华森医疗器械有限公司 | Split type absorbable biological nail band pin anorectal, gastrointestinal anastomosis device |
| CN103462661A (en) * | 2013-09-29 | 2013-12-25 | 无锡市神康医疗器械设备有限公司 | Reset device for disposable guide type anorectal hemorrhoid anastomat |
| CN104546044A (en) * | 2014-04-18 | 2015-04-29 | 北京中法派尔特医疗设备有限公司 | Pocket forming device |
| RU2726010C2 (en) * | 2015-07-31 | 2020-07-09 | Грина Лимитэд | Disposable connection unit for a surgical circular stapler and a surgical circular stapler |
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