A kind of band cutter stiching instrument with indicating device
Technical field
The present invention relates to medical instruments field, particularly a kind of band cutter stiching instrument with indicating device.
Background technology
In medical science applied surgical operation, since the first staple series products of the sixties in 20th century, medical suturing instrument has become the requisite a kind of medical apparatus and instruments that aids in the edge of a knife sewing process.Various surgeries just are being widely used in sewing up human body alimentary canal tissue, respiratory tissues and vascular tissue with medical suturing instrument in surgical operation, can reduce operating time, improve the operation quality.They are normally used for the ends such as esophagus in the digestive tract, Stomach duodenum, small intestinal, coton and rectal end, distolateral and side-to-side neurorrhaphy operation or hemorrhoid excision stomach function regulating pylorus and the operation that forms passage or close incisions such as make mouthful, also be used to the suture operation of the suture operation such as lung and trachea and vascular tissue in the respiratory tract, be specially adapted to appear the suture operation with the Organ and tissue of operating difficulties.
When using the stiching instrument suture tissue, at first, when stiching instrument was in original state, nail supporting base separated with nail bin groupware, and tissue to be sewed up is placed between nail bin groupware and the nail supporting base; Then, hold firing handle, so that nail bin groupware draws close to the nail supporting base direction, and release staple in the nail bin groupware by the effect of propulsion plant, thereby finish sew application; At last, decontrol firing handle and press SR, propulsion plant returns to original state with nail bin.
On the present market, such as the surgical operating instrument of stiching instrument class, state-indicating function is arranged seldom, the rare indicator that is used to indicate state also only has the linear state deictic function.When surgical operating instrument has the state of repeatedly pulling the trigger such as band cutter stiching instrument, sign traveling priority on this indicator is when indicating different repeatedly percussion states, need to reserve sufficiently long distance comes for this sign traveling priority, like this so that the structure complicated of indicator, and it is very large to take up space.
Summary of the invention
The invention provides a kind of band cutter stiching instrument with indicating device, to solve at least in the prior art because the baroque technical problem of indicating device that the straight line indication is caused.
The invention provides a kind of band cutter stiching instrument with indicating device, comprise nail pushing plate, jaw clamping plate, also comprise indicating device, indicating device is fixed on the jaw clamping plate, and described indicating device comprises: holder, holder are fixed on the jaw clamping plate; Gear, gear is installed on the holder by the axle of gear in a rotatable manner; Driven unit, driven unit is fixed on the nail pushing plate and with nail pushing plate and moves; The non-return assembly, the non-return assembly is installed on the holder in a rotatable manner; Indicator wheel, indicator wheel are fixed on the end of the axle of gear, and rotate with gear; Wherein, before band cutter stiching instrument was used, the non-return assembly did not contact with gear; After band cutter stiching instrument closure, driven unit advances with nail pushing plate and triggers the non-return assembly, makes non-return assembly and Gear Contact to stop gear to rotate along the rightabout that rotates with driven Component driver; In band cutter stiching instrument percussion process, the driven unit driven wheel rotates; After shot is finished, driven unit with the nail pushing plate rollback to make position; When again pulling the trigger, driven unit again advances with nail pushing plate and driven wheel rotates.
Preferably, driven unit comprises tooth bar, base, spring and pin, and tooth bar has bar hole (221), and tooth bar is connected with base by bar hole and pin, and spring is arranged between tooth bar and the base.
Preferably, the non-return assembly comprises check pawl, shell fragment and the first torsion spring; Check pawl is installed on the holder in a rotatable manner; Shell fragment is installed on the check pawl and is subject to the compressing of holder and check pawl is not contacted with gear before using with the cutter stiching instrument; One end of the first torsion spring is installed on the check pawl, and the other end stretches out and can be activated the promotion of assembly and trigger check pawl, makes check pawl and Gear Contact.
Preferably, band cutter stiching instrument also comprises the second torsion spring, and an end of the second torsion spring is fixed on the axle of gear or gear, and the other end is fixed on the holder.
Preferably, indicator wheel is two, is separately fixed at the two ends of the axle of gear.
Preferably, band cutter stiching instrument also comprises blanking cover, and blanking cover is installed on the holder removably, and has the hole that cooperates with an end of the axle of gear.
In the present invention, indicating device has used rotatable indicator wheel to indicate different states, can in the situation of using less space, indicate multiple duty like this, thereby solved the baroque technical problem of indicating device that causes owing to the straight line indication in the prior art, reached and used technique effect simple in structure, that the less indicating device that takes up room can be indicated multiple duty.
In the present invention, indicating device has not only used rotatable indicator wheel to indicate different states, and the driving tooth bar directly is fixed on the nail pushing plate by base, drive tooth bar and nail pushing plate and be linked to be same integral body, free-extension in can the base on being fixed on nail pushing plate, thereby the movement of nail pushing plate directly drives driving tooth bar driven wheel and drives simultaneously the indicator wheel rotation that is fixed on both sides, in use, the duty of nail pushing plate can be directly by the indicator wheel simultaneous display, bring synchronous visual information to the operator, guaranteed the success rate of operation.
Above-mentioned only is the general introduction of technical solution of the present invention, and for can clearer understanding technological means of the present invention, the present invention is described in further detail below in conjunction with accompanying drawing and the specific embodiment, the present invention includes but is not limited to the following drawings and embodiment.
Description of drawings
Above-mentioned only is the general introduction of technical solution of the present invention, and for can clearer understanding the present invention, the present invention is described in further detail below in conjunction with accompanying drawing and the specific embodiment.
Fig. 1 is the sketch map with the cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Fig. 2 be a kind of preferred embodiment provided by the invention with the nail pushing plate of cutter stiching instrument and the sketch map of driven unit.
Fig. 3 is the sketch map with the driven unit of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Fig. 4 is the sketch map with the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Fig. 5 is the sketch map with the nail pushing plate of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Fig. 6 is the profile sketch map with the driven unit of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Fig. 7 is the sketch map with the second torsion spring of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Fig. 8 is the sketch map with the gear of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Fig. 9 is the sketch map with the holder of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 10 is the sketch map with the first torsion spring of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 11 is the sketch map with the check pawl of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 12 is the sketch map with the shell fragment of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 13 is the sketch map with check pawl, the first torsion spring and the shell fragment of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 14 is the sketch map with the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 15 be a kind of preferred embodiment provided by the invention with the first indicator wheel 38 of the indication component of cutter stiching instrument or the sketch map of the second indicator wheel 39.
Figure 16 is the sketch map with the blanking cover of the indication component of cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 17 is the original state sketch map with the cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 18 is the closure state sketch map with the cutter stiching instrument of a kind of preferred embodiment provided by the invention.
Figure 19 is the percussion view with the cutter stiching instrument of a kind of preferred embodiment provided by the invention.
The specific embodiment
Present embodiment provides a kind of preferred stiching instrument, take band cutter stiching instrument as example, comprises nail pushing plate 1 and jaw clamping plate 5, and as shown in Figure 1, it comprises: driven unit 2, and as shown in Figure 2, above-mentioned driven unit 2 is fixedly mounted on the above-mentioned nail pushing plate 1; And indication component 3, indication component 3 comprises holder 31, gear 32, non-return assembly, indicator wheel 38 and/or 39 and other associated components.The holder 31 of above-mentioned indication component 3 is fixedly mounted on the above-mentioned jaw clamping plate 5; As shown in Figure 3, above-mentioned driven unit 2 comprises driving tooth bar 22, as shown in Figure 4, above-mentioned indication component 3 comprises gear 32, check pawl 34, the first indicator wheel 38 and the second indicator wheel 39, above-mentioned the first indicator wheel 38 and above-mentioned the second indicator wheel 39 are fixed on said gear 32 both sides with cone pin, and above-mentioned check pawl 34 contacts under the first state with said gear 32.
Above-mentioned in referring to the percussion process of cutter stiching instrument under closure state or after the closure under the first state, namely be with the cutter stiching instrument to prepare to begin to reset from just beginning to be closed into to finish to pull the trigger, all belong under the first state but also be under the closure state.Above-mentioned resetting refers to be with each parts of cutter stiching instrument to return to original state, and namely above-mentioned driven unit 2 is along with nail pushing plate returns to as shown in Figure 1 position, and above-mentioned check pawl 34 is separated with said gear 32, is in state as shown in Figure 1.
Preferably, as shown in Figure 3, above-mentioned driven unit 2 also comprises base 21, spring 23 and pin 24, and such as Fig. 2, Fig. 3 and shown in Figure 5, the first groove 211 by above-mentioned base 21 clamps above-mentioned driven unit 2 on the first projection 11 that is fixedly mounted on the above-mentioned nail pushing plate 1; Above-mentioned spring 23 1 ends prop up the inwall of above-mentioned base 21, the other end is connected in the above-mentioned driving tooth bar 22, make above-mentioned driving tooth bar 22 springs be connected in above-mentioned base 21, spring 23 is at above-mentioned base 21 interior free-extensions, simultaneously, such as Fig. 3 and shown in Figure 6, above-mentioned base 21 is provided with the first hole 213, one end of above-mentioned pin 24 is fixedly connected on the base 21 by the first hole 213, and the other end passes bar hole 221 set on as shown in Figure 3 the above-mentioned driving tooth bar 22 range of activity of above-mentioned driving tooth bar 22 is limited in the scope that above-mentioned bar hole 221 is subjected to above-mentioned pin 24 controls.
Preferably, as shown in Figure 1, above-mentioned indication component 3 clamped be fixedly installed on the above-mentioned jaw clamping plate 5.Wherein each parts annexation of above-mentioned indication component 3 as shown in Figure 4, above-mentioned indication component 3 also comprises holder 31, the first torsion spring 36, the second torsion spring 33, shell fragment 35 and blanking cover 37.As shown in Figures 7 and 8, wherein the axle 331 of above-mentioned the second torsion spring 33 is installed in axle journal 324 positions of said gear 32, the latch 332 of above-mentioned the second torsion spring 33 is inserted in the hole 326 of said gear 32, and the installing hole 333 of above-mentioned the second torsion spring 33 is installed on the axle 313 of above-mentioned holder 31 as shown in Figure 9.Above-mentioned the first torsion spring 36 is installed on the above-mentioned check pawl 34, such as Figure 10 and shown in Figure 11, the axle 363 of above-mentioned the first torsion spring 36 is installed in the installing hole 344 of above-mentioned check pawl 34, such as Figure 12 and shown in Figure 13, the end 351 of above-mentioned shell fragment 35 is inserted in the hole 343 of above-mentioned check pawl 34, such as Figure 10, Figure 11 and shown in Figure 13, align with the hole 341 of above-mentioned check pawl 34 above-mentioned the first torsion spring 36 and above-mentioned check pawl 34 be installed on the axle 312 of above-mentioned holder 31 in the hole 362 of above-mentioned the first torsion spring 36, such as Fig. 9, Fig. 4 and shown in Figure 12, face 352 certain decrements that the first axle 314 of above-mentioned holder 31 is given above-mentioned shell fragment 35, make above-mentioned check pawl 34 be in as shown in figure 14 state, above-mentioned check pawl 34 and the tooth of said gear 32 are separated, such as Fig. 9 and shown in Figure 4, the anglec of rotation of above-mentioned check pawl 34 is subject to the restriction of the axle 313 of above-mentioned holder 31; Such as Fig. 8, Fig. 9, Fig. 4 and shown in Figure 16, above-mentioned the first indicator wheel 38 and above-mentioned the second indicator wheel 39 are fixed on said gear 32 both sides with cone pin, after soon the axle 323 with hole 326 homonymies of said gear 32 will penetrate the installing hole 311 of above-mentioned holder 31, again above-mentioned the second indicator wheel 39 is fixed on said gear 32 and the axles 321 hole 326 homonymies with cone pin, make as shown in Figure 8 cooperate installation with the projection 322 of hole 326 homonymies with the hole 381 of the second indicator wheel 39 as shown in figure 15, with said gear 32 penetrate the installing hole 376 of above-mentioned blanking cover 37 as shown in figure 16 with axles 323 protruding 325 homonymies after, again above-mentioned the first indicator wheel 38 is fixed on said gear 32 and the axles 321 protruding 325 homonymies with cone pin, make as shown in Figure 8 and projections 322 protruding 325 homonymies cooperate installation with the hole 381 of as shown in figure 15 the first indicator wheel 38, simultaneously above-mentioned blanking cover 37 is cooperated installation with above-mentioned holder 31, on the above-mentioned blanking cover 37 on the square opening 374 of both sides and the above-mentioned holder 31 projection 315 of both sides cooperate installation, hole 375 on the above-mentioned blanking cover 37 of while, 372,371 respectively with above-mentioned holder 31 on axle 312,313,314 corresponding installations, pillar 373 on the above-mentioned blanking cover 37 contacts with projection 325 on the said gear 32, the initial position of restriction said gear 32.
Indication component 3 also can only be installed indicator wheel 38 or 39 at an end of gear 32.
Preferably, clamping of above-mentioned fixed installation mode can also replace to the screw connection.
Above-mentioned the first indicator wheel 38 and above-mentioned the second indicator wheel 39 are fixed on the mode of said gear 32 both sides, fix with fixing can also the replacing with the back-up ring form of cone pin.
Annexation between all parts described in the present embodiment only is a kind of example, and the present invention can also adopt the annexation that is equal to above-mentioned annexation to be connected.
Present embodiment preferably is with cutter stiching instrument operation principle as follows:
1, original state
Such as Fig. 1, Fig. 4, Fig. 8, Figure 16 and shown in Figure 17, above-mentioned indication component 3 on above-mentioned driven unit 2 on the above-mentioned nail pushing plate 1 and the above-mentioned jaw clamping plate is in original state, whole apparatus is in not closed and does not pull the trigger state, because the not stressed and above-mentioned axle 314 of above-mentioned the first torsion spring 36 compresses above-mentioned shell fragments 35 so that above-mentioned check pawl 34 is separated with said gear 32, this moment, said gear 32 gave above-mentioned the second torsion spring 33 certain pre-torsion, pillar 373 on the above-mentioned blanking cover 37 of while contacts with the projection 325 on the said gear 32, do not make said gear 32 rotations, each parts is in original state.
2, closing course
Such as Fig. 1, Fig. 4, Fig. 9 and shown in Figure 180, after pressing trigger action, above-mentioned nail pushing plate 1 drives above-mentioned driven unit 2 and moves forward, above-mentioned driven unit 2 just contacted with the said gear 32 of above-mentioned indication component 3 when closure was finished, and this moment above-mentioned indication component 3 the bar as shown in figure 10 361 of above-mentioned the first torsion spring 36 be subject to above-mentioned driven unit 2 compressions and cause above-mentioned check pawl 34 rotations, make as shown in figure 11 check pawl 342 block the tooth of said gear 32, prevent the counter clockwise directions rotation as shown in figure 18 of said gear 32 edges, above-mentioned shell fragment 35 is subjected to above-mentioned axle 314 to compress above-mentioned shell fragment 35 compressions simultaneously.
3. percussion process
Such as Fig. 1, Fig. 4 and shown in Figure 19, when again pulling trigger, above-mentioned nail pushing plate 1 is moved to the left, this moment, above-mentioned driving tooth bar 22 meshed with said gear 32, said gear 32 is clockwise rotated, driving simultaneously above-mentioned the second torsion spring 33 rotates, above-mentioned the first indicator wheel 38 that install said gear 32 both sides and above-mentioned the second indicator wheel 39 be corresponding clockwise rotating also, after percussion is finished for the first time, unclamp trigger, above-mentioned nail pushing plate 1 moves right, and drives above-mentioned driven unit 2 and moves right, because above-mentioned check pawl 34 blocks said gear 32 and can not rotate, namely can not rotate counterclockwise, so said gear 32 is pushed down above-mentioned driving tooth bar 22, above-mentioned driving tooth bar 22 is got back to closure state as shown in figure 18 at the effect lower compression above-mentioned spring 23 as shown in Figure 3 that is stressed; Percussion will repeat above-mentioned action with repeatedly pulling the trigger again, the spraying color 382 as shown in figure 15 that arranges on above-mentioned the first indicator wheel 38 and above-mentioned the second indicator wheel 39 realizes deictic function along with the rotation of indicator wheel shows the form of color lump indication information by shell.
4. reset
Such as Fig. 1 and shown in Figure 17, press SR 4, the above-mentioned driven unit 2 of above-mentioned nail pushing plate 1 drive moves right and gets back to the apparatus initial position, above-mentioned driven unit 2 does not recompress above-mentioned the first torsion spring 36, thereby above-mentioned check pawl 34 is rotated counterclockwise, make it to separate with said gear 32, thereby above-mentioned the second torsion spring 33 torsion are discharged, said gear 32 is got back to initial position, thereby drive above-mentioned the first indicator wheel 38 and above-mentioned the second indicator wheel 39 is got back to initial position along rotating counterclockwise, whole mechanism is resetted.
Above-mentioned reset mode is original state or initial position, namely such as Fig. 1 and state as shown in figure 17.
Above-mentioned predetermined direction refers to clockwise direction as shown in figure 19, and above-mentioned predetermined party refers to counter clockwise direction as shown in figure 19 in the opposite direction.
The spraying color that arranges on above-mentioned the first indicator wheel 38 and above-mentioned the second indicator wheel 39 also can be replaced by the numeral of being separated by at a certain distance, perhaps adopts other Warning Mark.
The band cutter stiching instrument that the present invention addresses is also referred to as band cutter anastomat, band cutter line style anastomat or similar title sometimes, and its structure is identical with function, and the former capital falls within the scope of protection of the present invention.