The present invention belongs to the technical field of medical instrument and is related to the structure of a stapler, and in particular related to a surgical stapler.
The principle of a surgical stapler is to clamp the tissues by closing the two corresponding handle components (generally including a staple abutting seat and a staple cartridge component), and then push the suturing staple in the cartridge out of shape to suture the tissue together. In some stapler, it is also equipped with a cutting knife for cutting the sutured tissue.
The surgical stapler with the above function includes a first handle part and a second handle part. The first handle part includes a dismountable staple cartridge component, a locking rod, and a drive component. The staple cartridge components generally include a staple cartridge, several suturing staples, and several staple pushing blocks. There are multiple rows of holes on the staple cartridge with suturing staples inside, and the upper surface of the staple cartridge is a tissue contact surface. The second handle part includes a staple abutting seat, with a staple forming surface which contains multiple rows of staple forming grooves.
The first handle part and the second handle are connected and locked by means of the locking rod located on the first handle part to close tissues that need to be sutured.
The drive component includes a wedge pushing sheet. When the drive component moves from the proximal end of the stapler to the distal end, it drives the suturing staple in the staple cartridge to deform in the forming groove of the staple abutting seat. Generally, the drive component also includes a cutting knife used for cutting tissues in the middle of the multiple rows of staples after being sutured.
In an existing stapler design, when the stapler closes the thick tissue, the thickness of the proximal and distal ends of the clamped tissue may be inconsistent after compression due to texture inconsistency of tissues such as toughness, thickness and etc. Generally, the compression thickness generated at distal ends is greater than that of the proximal end, as shown in
On such basis, a new stapler is desired to be designed to overcome the above defects of the existing stapler.
A technical problem to be solved by the present invention is to provide a surgical stapler which may make the thickness of the tissue after clamping reach the same at the proximal and distal ends, aim to improve the qualification rate of the staples deformation, and reduce the bleeding of the suture orifice, anastomotic leakage and etc.
To solve the above technical problem, the following technical solutions are provided in the present invention:
A surgical stapler, as mentioned, includes a first handle part, a second handle part, and an adjustment mechanism;
The first handle part, as mentioned, includes a staple cartridge base, a dismountable staple cartridge component, a locking rod, and a drive component, and the second handle part includes a staple abutting seat and a rotation shaft;
The first handle part and the second handle part are assembled together, and are locked via the locking rod on the first handle part in a longitudinal direction;
The adjustment mechanism is placed on the proximal end of the stapler and is located between the first handle part and the second handle part; the adjustment mechanism is rotated to make the second handle part rotate relative to the first handle part via the rotation shaft thereon, so that the thickness of the tissue after clamping reach the same at the proximal and distal ends;
The adjustment mechanism is a cam mechanism which contains a rotary dial, a rotary dial knob, a pin, a pull-out piece spring, an adjustment slider, and a sliding pin; the rotary dial is connected to the first handle part via the pin and the pull-out piece spring; the adjustment slider is connected to the second handle part via the sliding pin; a circular hole on the staple cartridge base is coaxially fit to the pin, the rotary dial, and the adjustment slider at the same time;
The rotary dial knob of the adjustment mechanism is connected to the rotary dial which comprises at least two stepped surfaces, and the adjustment slider is engaged with any of the stepped surfaces of the rotary dial. The rotary dial knob rotation drives the rotary dial rotation, leading the adjustment slider engaged with the rotary dial generates displacement vertical to the stepped surface, in which case drive the second handle part via the sliding pin to rotate relative to the first handle part, until the thickness of the tissue after clamping reach the same at the proximal and distal ends.
A surgical stapler, as mentioned, includes a first handle part, a second handle part, and an adjustment mechanism;
The first handle part includes a staple cartridge component and a drive component. The second handle part includes a staple abutting seat. A locking mechanism is designed within the first handle part or/and the second handle part. The first handle part and the second handle part may rotate via a rotation mechanism and lock in a longitudinal direction via the locking mechanism.
The adjustment mechanism is located between the first handle part and the second handle part; the adjustment mechanism is adjusted to make the second handle part rotate relative to the first handle part via the rotation mechanism thereon.
As an optimal solution of the present invention, the adjustment mechanism is disposed on a proximal end of the stapler; the adjustment mechanism adjusts its height so that the second handle part rotates relative to the first handle part, and the thickness of the tissue after clamping by the stapler reach the same at the proximal and distal ends.
As an optimal solution to the present invention, the adjustment mechanism is a cam mechanism.
As an optimal solution of the present invention, the cam mechanism includes a rotary dial knob, a rotary dial, and an adjustment slider. The rotary dial knob is connected to the rotary dial which comprises at least two stepped surfaces. One end of the adjustment slider is engaged with any of the stepped surfaces of the rotary dial, and the other end is connected to the second handle part via a sliding mechanism. The rotary dial knob rotation drives the rotary dial rotation, leading the adjustment slider engaged with the rotary dial generates displacement vertical to the stepped surface, in which case drive the second handle part via the sliding pin to rotate relative to the first handle part, until the thickness of the tissue after clamping reach the same at the proximal and distal ends.
As an optimal solution of the present invention, the adjustment mechanism contains a rotary dial, a rotary dial knob, a pin, a pull-out piece spring, an adjustment slider, and a sliding pin; the rotary dial is connected to the first handle part via the pin and the pull-out piece spring; the adjustment slider is connected to the second handle part via the sliding pin; a circular hole on the staple cartridge base is coaxially fit to the pin, the rotary dial, and the adjustment slider at the same time;
The rotary dial knob is connected to the rotary dial which comprises at least two stepped surfaces. One end of the adjustment slider is engaged with any of the stepped surfaces of the rotary dial, and the other end is connected to the second handle part via a sliding mechanism. The rotary dial knob rotation drives the rotary dial rotation, leading the adjustment slider engaged with the rotary dial generates displacement vertical to the stepped surface, in which case drive the second handle part via the sliding pin to rotate relative to the first handle part, until the thickness of the tissue after clamping reach the same at the proximal and distal ends.
As an optimal solution of the present invention, the adjustment mechanism comprises a wedge slider, which has a sliding slope, a non-horizontal surface. The wedge slider is placed above the staple cartridge base, and the sliding slope fits the staple abutting seat. The sliding slope has a push button which could make the wedge slider locate in different position, leading the staple abutting seat to change the mating surface with the sliding slope, and further making the proximal end of the staple abutting seat raise (or lower) and the distal end lower (or raise), until the thickness of the tissue after clamping reach the same at the proximal and distal ends.
As an optimal solution to the present invention, the adjustment mechanism includes an adjustment screw with thread, the thread of the adjustment screw fits a thread hole located on the first handle part/the second handle part, and the screw top fits the second handle part/the first handle part.
Beneficial effects of the present invention are that: the surgical stapler provided by the present invention may make, by means of the adjustment mechanism at the proximal end of the handle, the thickness of the tissue after clamping reach the same at the proximal and distal ends, aim to improve the qualification rate of the staples deformation, and reduce the bleeding of the suture orifice, anastomotic leakage and etc.
Preferred embodiments of the present invention are described in detail in combination with accompany drawings.
Referring to
In this embodiment, the first handle part 10 includes a staple cartridge base 101, a dismountable staple cartridge component (including a staple cartridge 107, several staple pushing blocks, and several suturing staples, a locking rod 105, a drive component (a pushing button 103, a pushing sheet, and a cutting knife in this embodiment); the locking rod 105 is rotatably installed on the first handle part 10. The second handle part 20 includes a staple abutting seat housing 201, a staple abutting seat 203, and a rotation shaft 205 (or other rotation mechanisms), and the staple abutting seat 203 has a staple forming surface.
The first handle part 10 and the second handle part 20 are assembled together, and are locked via the locking rod 105 on the first handle part 10 in a longitudinal direction.
The adjustment mechanism 30 is placed on a proximal end of the stapler and is located between the first handle part 10 and the second handle part 20 (more specifically, between the staple cartridge base 101 and the staple abutting seat 203); the adjustment mechanism 30 is rotated to make the second handle part 20 rotate relative to the first handle part 10 via the rotation shaft 205 thereon, so that the thickness of the tissue after clamping reach the same at the proximal and distal ends.
Referring to
The rotary dial 304 is connected to the first handle part 10 via the pin 309 and the pull-out piece spring 308; the adjustment slider 302 is connected to the second handle part 20 via the sliding pin 303; a circular hole is arranged on the staple cartridge base 101, and is coaxially fit to the pin 309, the rotary dial 304, and the adjustment slider 302, as shown in
As shown in
Certainly, the adjustment mechanism may use other methods to make the second handle part rotate relative to the first handle part, so that the thickness of the tissue after clamping reach the same at the proximal and distal ends.
This embodiment differs from embodiment 1 in that in this embodiment, referring to
This embodiment differs from embodiment 1 in that in this embodiment, referring to
When the adjustment knob on the adjustment screw is rotated manually, the relative position of the adjustment screw top to the staple cartridge base changes, so that the proximal end of the staple abutting seat 203 raise (or lower) and the distal end lower (or raise), until the thickness of the tissue after clamping reach the same at the proximal and distal ends, as shown in
A surgical stapler, includes a first handle part, a second handle part, and an adjustment mechanism. The first handle part includes a staple cartridge component and a drive component. The second handle part includes a staple abutting seat; a locking mechanism is disposed on the first handle part or/and the second handle part, and the first handle part and the second handle part may rotate via the rotation shaft (or any other rotation mechanism) and is locked via the locking mechanism in a longitudinal direction. The adjustment mechanism is located between the first handle part and the second handle part. The second handle part can rotate relative to the first handle part, via the rotation shaft thereon.
In conclusion, the surgical stapler as described above may make, by means of the adjustment mechanism at the proximal end of the handle, the thickness of the tissue after clamping reach the same at the proximal and distal ends, aim to improve the qualification rate of the staples deformation, and reduce the bleeding of the suture orifice, anastomotic leakage and etc.
The description and application of the invention are intended to be illustrative, not only limited to the scope of above. Variations and modifications of the embodiments disclosed herein are possible. Replacements and various equivalent alternatives of the components are well known to those skilled personnel in the art. It is apparent to those skilled in the art that the present invention may be embodied in other forms, structures, arrangements, ratios, and other assemblies, materials and components without deviating from the spirit or essential characteristics of the invention. Other variations and modifications of the embodiments disclosed herein may be made without deviating from the scope and spirit of the invention.
Number | Date | Country | Kind |
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201610345074.8 | May 2016 | CN | national |
Filing Document | Filing Date | Country | Kind |
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PCT/CN2017/089939 | 6/26/2017 | WO | 00 |