CN105193466A - Continuous-stimulation tissue occlusion gun - Google Patents

Continuous-stimulation tissue occlusion gun Download PDF

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Publication number
CN105193466A
CN105193466A CN201410698165.0A CN201410698165A CN105193466A CN 105193466 A CN105193466 A CN 105193466A CN 201410698165 A CN201410698165 A CN 201410698165A CN 105193466 A CN105193466 A CN 105193466A
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CN
China
Prior art keywords
nail
excite
sleeve
stimulation
groove
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Granted
Application number
CN201410698165.0A
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Chinese (zh)
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CN105193466B (en
Inventor
周小驰
丁瑞芳
陆叶青
孙妹
谭震
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Priority to CN201410698165.0A priority Critical patent/CN105193466B/en
Publication of CN105193466A publication Critical patent/CN105193466A/en
Application granted granted Critical
Publication of CN105193466B publication Critical patent/CN105193466B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The invention provides a continuous-stimulation tissue occlusion gun which can be used in cooperation with a nail bin containing a plurality of closing nails. The continuous-stimulation tissue occlusion gun is characterized by comprising an inner rod, a sleeve and a stimulation unit, wherein the inner rod is sleeved with the sleeve, the sleeve and the inner rod can relatively slide, and the stimulation unit is arranged between the inner rod and the sleeve and can slide along with the sleeve. The upper section of the inner rod is segmented into a left forceps foot and a right forceps foot. The two forceps feet can extend out of the sleeve to be opened. The sleeve slides forwards so that the two forceps feet can be closed again. The inner side faces of the front ends of the two forceps feet are provided with nail grooves with opposite openings. The nail grooves can be detachably clamped to the nail bin. The stimulation unit is provided with two stimulation blocks and stimulation handles, wherein the stimulation blocks are located on the inner side face of the front end of the sleeve and arranged oppositely, and the stimulation handles are connected to the bottoms of the stimulation blocks respectively and exposed out of the outer wall of the lower end of the sleeve. The stimulation blocks correspond to the nail grooves and can stimulate a single closing nail in sequence. The stimulation handles are used for controlling the stimulation blocks. The continuous-stimulation tissue occlusion gun can reduce wounds, is easy to operate and can be continuously used.

Description

Running fire tissue closure rifle
Technical field
The present invention relates to a kind of running fire tissue closure rifle, belong to medical instruments field.
Background technology
Surgical operation is developed so far, and more and more tends to Minimally Invasive Surgery.Minimally Invasive Surgery generally only needs to open several aperture on the health of patient, excision, suture tissue and auxiliary apparatus is stretched in patient body from aperture and performs the operation.The wound that Minimally Invasive Surgery brings to patient is little, and patient can recover in a short period of time.At present, the suture way of endoscope-assistant surgery mainly under the mirror of chamber pin hold stitching.But there is very large problem in pin seam mode in operation easier and safety.
After endoscope-assistant surgery, puncturing hole must be closed, but the operation easier of puncturing hole closedown is at present very large.If puncturing hole can not be closed completely, postoperative being easy to produces incisional hernia complication, and the risk of infection of incisional wound simultaneously also significantly improves.Puncturing hole due to Minimally Invasive Surgery is small-sized and required precision is high, need other people first to use other operating forceps to assist the tissue of wound both sides to slippage from other mini-incision enough closely to sew up again, therefore need many people cooperation to operate, could puncturing hole be closed.Especially the interior one deck of the deep layer wound sewing up abdominal cavity or thoracic cavity is needed, and during the wound of the very thick adiposis patient of fat deposit, more need the internal layer at other mini-incision place from enclose inside otch by other operating forceps, the operation easier of closing puncturing hole is larger.
Special need, it is to be noted that in rectal carcinoma radical operation, gynecologic operation and operation of low rectal carcinoma, open the Pelvic pain syndrome after at the bottom of basin and be even more important, if can not effective wound closure, easily cause small intestine to crash into pelvic cavity.Near pelvic cavity, tissue tension is comparatively large, and the method that pin under the mirror of chamber must be used at present to hold stitching is rebuild and tried to get to the heart of a matter.But suture needle is sharp weapon, in use very high to the risk of peripheral vessels and intestinal wall accidental injury, and the operation sewing up knotting is very complicated, is inconvenient to operate.
Summary of the invention
The present invention carries out to solve the problem, and object is to provide a kind of and reduces wound, the simple to operate and running fire tissue closure rifle that can use continuously.
The present invention to achieve these goals, have employed following structure:
The invention provides a kind of running fire tissue closure rifle, can with the nail bin that multiple closed nail is housed with the use of, and utilize and close nail and close organized layer around puncturing hole, it is characterized in that, comprising: interior bar; Be sheathed on the sleeve of interior bar outside, can relative sliding between sleeve and interior bar; And be arranged on can to follow between interior bar and sleeve that sleeve slides together excite unit.
Wherein, the epimere of interior bar is split into two, left and right pincers foot, and two pincers feet can stretch out and opened with certain angle from sleeve, and sleeve slides forward can close two the pincers feet opened again.The leading inside face of two pincers feet is provided with the nail groove of subtend opening, nail groove dismountablely can block nail bin.
Excite unit to have to be positioned at barrel forward end medial surface and subtend two of arranging excite block; And be connected to each excite to expose sleeve lower end outer wall below block excite handle, excite block corresponding with nail groove and single closed nail can be excited successively, exciting handle to excite block for control.
In addition, in running fire tissue closure rifle of the present invention, such feature can also be had: wherein, excite unit for exciting clamp, clamp is excited to have the first component and second component, the middle part of the first component and second component all extends along the outside wall surface of interior bar and crosses one another, and the first component and second component are rotationally connected at infall
The front end of the first component and second component forms a left side respectively and excites block and the right side to excite block, and rear end forms the right side respectively and excites handle and a left side to excite handle, and the right side excites handle and a left side to excite handle to stretch out from the opening of both sides, sleeve lower end respectively.
In addition, in running fire tissue closure rifle of the present invention, can also have such feature: wherein, the top of nail bin arranges the outlet of single closed nail of can letting pass, and excites block corresponding with outlet.
In addition, in running fire tissue closure rifle of the present invention, such feature can also be had: wherein, the front end outer side face of pincers foot be provided with follow closely that groove top is connected excite groove, excite the width of groove to be less than the width of single closed nail, excite groove and excite block to match.
In addition, in running fire tissue closure rifle of the present invention, can also have such feature: wherein, the lower end of interior bar is provided with handle, and handle stretches out below sleeve.
In addition, in running fire tissue closure rifle of the present invention, can also have such feature: wherein, be provided with elastic component between the end of two pincers feet, the end of elastic component to two pincers feet applies the power strutted to the outside.
Invention effect and effect
According to running fire tissue closure rifle of the present invention, because two the pincers feet being provided with nail groove can be closed by sleeve, the size of whole device is reduced, can be held by less puncturing hole, so do not need to open larger-size puncturing hole on patient body, thus reduce the injury to patient;
In addition, due to the interstice that two pincers feet can close as required, opened with certain angle from sleeve, therefore can capture the organized layer of puncturing hole both sides, then sleeve slides forward, can close again two the pincers feet opened, grab the organized layer of closing both sides to centre, realize the closedown of puncturing hole; And due to the present invention two pincers foot be closed by sleeve slides forward, therefore the opening angle clamping foot is unrestricted, larger than existing closed pincers, thus do not need other people first to use other operating forceps to assist the tissue of wound both sides to slippage from other mini-incision enough closely to sew up again, eliminate the difficulty of many people cooperation, make closed more simple and convenient, the particularly direct wound closing closed deep layer wound and adiposis patient from outside, the effect that operation easier is reduced is particularly evident;
In addition, because two pincers feet are provided with the nail groove of subtend opening, nail groove dismountablely can block and the nail bin closing nail is housed more, and the excite block corresponding with nail groove can excite single closed nail successively, therefore each closed nail can hook tissue after being excited, and plays the effect of closed puncturing hole, is particularly useful for the tissue that closed tension force is larger, and do not need to continue suture needle near wound, thus decrease the injury to patient;
In addition, because nail groove dismountablely can block the nail bin that multiple closed nails are housed, the excite block corresponding with nail groove can excite single closed nail successively, therefore multiple closed nail can be excited continuously, close longer wound, and do not need from puncturing hole, take out two pincers feet, again install and close nail, decrease waiting time and the amount of bleeding of patient, improve efficiency and the safety of sew application.
Accompanying drawing explanation
Fig. 1 is the running fire tissue closure rifle structural representation in an embodiment that the present invention relates to;
Fig. 2 is the nail groove side view in an embodiment that the present invention relates to;
Fig. 3 is the nail bin structural representation in an embodiment that the present invention relates to; And
Fig. 4 is the closed nail structural representation in an embodiment that the present invention relates to.
Detailed description of the invention
Referring to accompanying drawing, running fire tissue closure rifle involved in the present invention is elaborated.
Fig. 1 is the running fire tissue closure rifle structural representation in an embodiment that the present invention relates to.
As shown in Figure 1, tissue is closed rifle 50 and is comprised interior bar 1, sleeve 2, and excites unit 30.
Interior bar 1 and sleeve 2 are as cylinder, and the diameter of interior bar 1 is more smaller than sleeve 2.Sleeve 2 is set in the outside of interior bar 1, and can slide by internal bar 1 mutually.Exciting unit 30 for exciting clamp, exciting clamp to be arranged between interior bar 1 and sleeve 2, and sleeve 2 can be followed slide together.
Interior bar 1 is divided into two sections.The end of interior bar hypomere arranges handle 11, and handled easily person controls.Handle 11 stretches out below sleeve 2.The epimere of interior bar 1 is divided into symmetrical two parts, is respectively left pincers foot 4 and right clamp foot 41.Left pincers foot 4 and right clamp foot 41 can close up and shrink in sleeve 2.
Be provided with elastic component between left pincers foot 4 and the end of right clamp foot 41, elastic component is spring 6.The end of spring 6 to two pincers feet applies the power strutted to the outside.Therefore when interior bar 1 relative sleeve 2 travels forward, two pincers feet can stretch out from sleeve 2, and under the effect of spring 6, to both sides opened with certain angle.After two pincers feet open, sleeve 2 mutually internal bar 1 forward slip, can close two pincers feet again, and Compress Spring 6.
The leading inside face of left pincers foot 4 and right clamp foot 41 is perpendicular, is respectively arranged with the left nail groove 7 of subtend opening and right nail groove 71.Left nail groove 7 and right nail groove 71 all can block nail bin, and nail bin can also take apart from two nail grooves.
Fig. 2 is the nail groove side view in an embodiment that the present invention relates to.
As shown in Figure 2, the both sides, inside of left nail groove 7 are provided with two row first fixture blocks 73.Often the quantity of row first fixture block 73 is three, and the length direction along left nail groove 7 is arranged.The both sides external of nail bin 12 is provided with two row second fixture blocks 13.The position one_to_one corresponding of each first fixture block 73 and each second fixture block 13.
First fixture block 73 and the second fixture block 13 are right angled triangle, and two inclined-planes just subtend are arranged and the gradient is identical.Second fixture block 13 is arranged on the lower end of nail bin 12.Distance bottom first fixture block 73 to left nail groove 7 just holds the second fixture block 13.Nail bin 12 can just be held between two the first fixture blocks 73 of subtend.First fixture block 73 and the second fixture block 13 are made by flexible material, and deformation to a certain degree can occur.
When nail bin 12 inserts left nail groove 7 downwards, the second fixture block 13 can glide along the inclined-plane of the first fixture block 73.First fixture block 73 and the second fixture block 13 extrude the other side mutually, all deformation occur, and make the first fixture block 73 around the below to the second fixture block 13.After nail bin 12 inserts do nail groove 7 completely, the right-angle side of the first fixture block 73 is just close to the top of the second fixture block 13, the second fixture block 13 can not be dropped out easily, play the effect blocking nail bin 12.
When nail bin 12 takes out by needs from left nail groove 7, only need firmly to extract, make the first fixture block 73 and each second fixture block 13 that deformation occur, the second fixture block 13 around to the first fixture block 73 top, nail bin 12 just from left nail groove 7 depart from.
Right nail groove 71 is identical with left nail groove internal structure.Nail bin 12 mounts and dismounts in the same way from right nail groove 71.
Fig. 3 is the nail bin structural representation in an embodiment that the present invention relates to.
As shown in Figure 3, nail bin 12 can hold multiple closed nail 15.The side on nail bin 12 top arranges the outlet 121 of single closed nail 15 of can letting pass, and the width of outlet 121 is identical with the width of single closed nail 15.The opposite side on nail bin 12 top arranges the import 122 relative with outlet 121.The width of import 122 is slightly less than the width of single closed nail 15, and first closed nail on nail bin 12 top can not be dropped out from opposite side.
After first closed nail in nail bin 12 is pushed out, remaining closed nail can rise under the effect of nail bin 12 bottom spring, and next nail of closing can occupy the position that first is closed nail.
Fig. 4 is the closed nail structural representation in an embodiment that the present invention relates to.
As shown in Figure 4, closed nail has two kinds, is respectively son nail 16 and female nail 17.Every height nail 16 and every height nail 17 need pairing to use.Son nail 16 and female nail 17 can be fitted together to mutually, thus link together securely, play sealing process.
The front end outer side face of left pincers foot 4 and right clamp foot 41 is semi-cylinder surface, is respectively arranged with a symmetrical left side and excites groove 8 and the right side to excite groove 81.A left side excites groove 8 to be communicated with the top of left nail groove 7.A left side excites the width of groove 8 identical with the width of nail bin 12 import.When nail bin 12 is stuck in left nail groove 7, a left side excites groove 7 just to connect with the import of left side nail bin.The right side excites groove 81 to be communicated with the top of right nail groove 71, and the right side excites the width of groove 81 identical with the width of nail bin 12 import.When nail bin is stuck in right nail groove 71, the right side excites groove 81 just to connect with the import of the right nail bin.
Clamp is excited to have the first symmetrical component 3 and second component 31.Two components are made by foil, can be divided into leading portion, stage casing and back segment.The leading portion of two components is distributed in the outside of two pincers feet, and parallel with sleeve 2 with interior bar 1.The left side that the leading portion top of the first component 3 and second component 31 arranges subtend respectively excites block 5 and the right side to excite block 51.A left side excites block 5 and the right side to excite block 51 to be positioned at sleeve 2 leading inside face.A left side excites block 5 and a left side to excite groove 8 to mate, and through the left import exciting groove 8 and left side nail bin, can enter into left side nail bin, first in the nail bin of the left side is closed nail and releases from outlet.The right side excites block 51 and the right side to excite groove 81 to mate, and through the right import exciting groove 81 and the right nail bin, can enter into the right nail bin, first in the nail bin of the right is closed nail and releases from outlet.
First component 3 and second component 31 stage casing extend along the outside wall surface of interior bar 1 and cross one another, and the first component 3 is connected by screws at infall with second component 31.The back segment end of the first component 3 and second component 31 arranges the right side respectively and excites handle 91 and a left side to excite handle 9, and the right side excites handle 91 and a left side to excite handle 9 to stretch out from the opening of both sides, sleeve 2 lower end.When a left side excites handle 9 and the right side to excite handle 91 to draw in both sides, a left side excites handle 9 to control the right side and excites block 51 to left movement, through the right import exciting groove 81 and the right nail bin, release first closed nail in the nail bin of the right; The right side excites handle 91 to control a left side and excites block 5 to move right, through the left import exciting groove 8 and left side nail bin, release first closed nail in the nail bin of the left side.
Use procedure:
First, left pincers foot 4 and right clamp foot 41 open, and two nail bins 12 that son nail and female nail are housed snap in two nail grooves respectively.Sleeve 2 mutually internal bar 1 forward slip, closes left pincers foot 4 and right clamp foot 41, makes two to clamp foot and is contracted in completely in sleeve 3.
Then, interior bar 1 inserts in the stamp hole clipping of endoscope-assistant surgery together with sleeve 2, arrives the top of one section of puncturing hole to be closed.Then, according to the size in wound gap to be closed, sleeve 2 slides backward certain distance relatively, makes left pincers foot 4 and right clamp foot 41 opened with certain angle.Close the organized layer that nail captures puncturing hole both sides for first on two pincers feet.
Then, sleeve 2 is relative front slide gradually, makes two to clamp foot and grabs the organized layer of closing both sides gradually to centre, and final plant closure puncturing hole.Two pincers feet finally close and are contracted in sleeve 2, and the organized layer on both sides is sandwiched between two pincers feet.
Then, a left side excites handle 9 and the right side to excite handle 91 to draw in both sides, and a left side excites handle 9 to control the right side and excites block 51 to left movement, excite groove 81, enter into right nail groove 71 through the right side, and first of releasing in the nail bin of the right closes nail; The right side excites handle 91 to control a left side and excites block 5 to move right, excite groove 8, enter into left nail groove 7 through a left side, and first of releasing in the nail bin of the left side closes nail.
Closed nail in left side nail bin and the right nail bin, under the thrust on both sides, mutually to hook, all can be fixed on organized layer, makes equal with single closed nail length on puncturing hole one section to be closed.Then, a left side excites handle 9 and the right side to excite handle 91 to unclamp to both sides, and the block that excites on both sides no longer promotes to close nail, closes nail for first and departs from from nail bin 12.
If the length of puncturing hole is longer, single closed nail can only close a part, needs again to excite next closing to follow closely, and continues to close not yet closed wound.Next, the closed downwards nail in nail bin 12 under the effect of bottom spring, can occupy the position that first is closed nail.Interior bar 1 moves together with sleeve 2, reaches the top of next section of puncturing hole to be closed, then repeats aforementioned process, make second closed nail be fixed in organized layer, closes next section of puncturing hole.Continue to repeat aforementioned process, after the closed nail in nail bin 12 is all finished, puncturing hole will be completely enclosed.
Finally, interior bar 1 is contracted in sleeve 2, and exits from stamp hole clipping together with sleeve 2.
Embodiment effect and effect
Involved by the present embodiment running fire tissue closure rifle, because two the pincers feet being provided with nail groove can be closed by sleeve, the size of whole device is reduced, can be held by less puncturing hole, so do not need to open larger-size puncturing hole on patient body, thus reduce the injury to patient;
In addition, due to the interstice that two pincers feet can close as required, opened with certain angle from sleeve, therefore can capture the organized layer of puncturing hole both sides, then sleeve slides forward, can close again two the pincers feet opened, grab the organized layer of closing both sides to centre, realize the closedown of puncturing hole; And due to the present invention two pincers foot be closed by sleeve slides forward, therefore the opening angle clamping foot is unrestricted, larger than existing closed pincers, thus do not need other people first to use other operating forceps to assist the tissue of wound both sides to slippage from other mini-incision enough closely to sew up again, eliminate the difficulty of many people cooperation, make closed more simple and convenient, the particularly direct wound closing closed deep layer wound and adiposis patient from outside, the effect that operation easier is reduced is particularly evident;
In addition, because two pincers feet are provided with the nail groove of subtend opening, nail groove dismountablely can block and the nail bin closing nail is housed more, and the excite block corresponding with nail groove can excite single closed nail successively, therefore each closed nail can hook tissue after being excited, and plays the effect of closed puncturing hole, is particularly useful for the tissue that closed tension force is larger, and do not need to continue suture needle near wound, thus decrease the injury to patient;
In addition, because nail groove dismountablely can block the nail bin that multiple closed nails are housed, the excite block corresponding with nail groove can excite single closed nail successively, therefore multiple closed nail can be excited continuously, carry out closed longer wound, and do not need from puncturing hole, take out two pincers feet, again install and close nail, decrease waiting time and the amount of bleeding of patient, improve efficiency and the safety of sew application.
Certainly, the running fire tissue closure rifle that the present invention relates to not merely is defined in structure in the embodiment above.Elastic component can also for being gum elastic etc.

Claims (6)

1. a running fire tissue closure rifle, can with the nail bin that multiple closed nail is housed with the use of, and utilize described closed nail to close organized layer around puncturing hole, it is characterized in that, comprising:
Interior bar;
Be sheathed on the sleeve of described interior bar outside, can relative sliding between described sleeve and described interior bar; And
Be arranged on can to follow between described interior bar and described sleeve that described sleeve slides together excite unit,
Wherein, the epimere of described interior bar is split into two, left and right pincers foot, and two described pincers feet can stretch out and opened with certain angle from described sleeve, and described sleeve slides forward can close two the described pincers feet opened again,
The leading inside face of two described pincers feet is provided with the nail groove of subtend opening, described nail groove dismountablely can block described nail bin,
Describedly excite unit to have to be positioned at described barrel forward end medial surface and subtend two of arranging excite block; And be connected to each described in excite to expose described sleeve lower end outer wall below block excite handle, described in excite block corresponding with described nail groove and single described closed nail can be excited successively, described in excite handle to excite block described in controlling.
2. running fire tissue closure rifle according to claim 1, is characterized in that:
Wherein, the described unit that excites for exciting clamp, described in excite clamp to have the first component and second component, the middle part of described first component and described second component all extends along the outside wall surface of described interior bar and crosses one another, described first component and described second component are rotationally connected at infall
The front end of described first component and described second component forms a left side respectively and excites block and the right side to excite block, and rear end forms the right side respectively and excites handle and a left side to excite handle, and the described right side excites handle and a described left side to excite handle to stretch out from the opening of both sides, described sleeve lower end respectively.
3. running fire tissue closure rifle according to claim 1, is characterized in that:
Wherein, the top of described nail bin arranges the outlet of single described closed nail of can letting pass, described in excite block with described export corresponding.
4. running fire tissue closure rifle according to claim 1, is characterized in that:
Wherein, the front end outer side face of described pincers foot be provided be connected with described nail groove top excite groove, described in excite the width of groove to be less than the width of single described closed nail, described in excite groove and the described block that excites to match.
5. running fire tissue closure rifle according to claim 1, is characterized in that:
Wherein, the lower end of described interior bar is provided with handle, and described handle stretches out below described sleeve.
6. running fire tissue closure rifle according to claim 1, is characterized in that:
Wherein, be provided with elastic component between the end of two described pincers feet, described elastic component applies the power strutted to the outside to the end of two described pincers feet.
CN201410698165.0A 2014-11-27 2014-11-27 Continuous-stimulation tissue occlusion gun Expired - Fee Related CN105193466B (en)

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Application Number Priority Date Filing Date Title
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CN105193466B CN105193466B (en) 2017-05-24

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4821721A (en) * 1985-01-14 1989-04-18 Thomas J. Fogarty Apparatus and method for applying hemostatic scalp clips
US4924864A (en) * 1985-11-15 1990-05-15 Danzig Fred G Apparatus and article for ligating blood vessels, nerves and other anatomical structures
US6051007A (en) * 1998-03-02 2000-04-18 Corvascular, Inc. Sternal closure device and instruments therefor
CN201076489Y (en) * 2007-06-27 2008-06-25 苏州天臣国际医疗科技有限公司 Automatic purse-string suturing device
CN102389325A (en) * 2011-07-19 2012-03-28 上海市肺科医院 Reinforced suturing device for surgery

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4821721A (en) * 1985-01-14 1989-04-18 Thomas J. Fogarty Apparatus and method for applying hemostatic scalp clips
US4924864A (en) * 1985-11-15 1990-05-15 Danzig Fred G Apparatus and article for ligating blood vessels, nerves and other anatomical structures
US6051007A (en) * 1998-03-02 2000-04-18 Corvascular, Inc. Sternal closure device and instruments therefor
CN201076489Y (en) * 2007-06-27 2008-06-25 苏州天臣国际医疗科技有限公司 Automatic purse-string suturing device
CN102389325A (en) * 2011-07-19 2012-03-28 上海市肺科医院 Reinforced suturing device for surgery

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