Pancreaticojejunostomy device

By designing a pancreatic and intestinal anastomosis device with negative pressure and adsorption spheres, the problems of inaccurate opening and intestinal surface wrinkles and tissue recovery in the prior art are solved, and the effects of complete anastomosis of the pore size, accurate opening diameter and tissue recovery in the pancreatic and intestinal anastomosis process are achieved.

CN118319408BActive Publication Date: 2025-03-11THE THIRD AFFILIATED HOSPITAL OF PLA NAVAL MEDICAL UNIVERSITY
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Patent Information

Application Number
CN202410518887.7
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-04-28
Publication Date
2025-03-11
Estimated Expiration
2044-04-28

AI Technical Summary

Technical Problem

Existing pancreatic and intestinal anastomosis surgical instruments cannot achieve complete anastomosis of the aperture during the opening process, resulting in pancreatic fistula problem; the wrinkles on the intestinal surface cannot be handled, resulting in inaccurate opening diameter; the inability to recover cut tissue, resulting in tissue remaining in the body or requiring additional treatment.

Method used

A pancreatic intestinal anastomosis device is designed, including a handheld controller and an open-hole treatment mechanism. Through the cooperation of the port guard tube and the adsorption treatment end tube, the mechanical action of negative pressure and adsorption spheres can be used to achieve flat adsorption and opening treatment of the jejunum surface. At the same time, the cut tissue is recovered by the adsorption force of the negative pressure central pore.

Benefits of technology

The flat opening of the jejunum surface is achieved, which avoids the occurrence of pancreatic fistula problem; it can effectively deal with the wrinkle problem on the intestinal surface to ensure the accuracy of the opening diameter; it can recover the cut tissue, which avoids the hidden dangers and efficiency problems of the tissue remaining in the body or requiring additional treatment.

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Abstract

The present invention relates to the technical field related to pancreatico-enteric anastomosis instruments, and discloses a pancreatico-enteric anastomosis device, including a handheld controller and an opening processing mechanism. The handheld controller includes a control body and a transmission control component. A function-carrying shell is fixedly installed on the front side of the control body, and a function-carrying tube body is fixedly installed on the right side of the function-carrying shell. The opening processing mechanism includes an outer tube function mechanism and an opening function mechanism. The expansion adsorption opening processing function of a pancreatico-enteric anastomosis device of the present invention can not only realize the adsorption and flattening processing of the intestinal surface, but also realize the recovery processing of the tissue after the opening. The negative pressure center hole generates a negative pressure adsorption effect at the center, which can realize the flattening function effect of the intestinal surface by cooperating with the expansion of the adsorption-like sphere, and avoid the problem of pancreatic fistula caused by the wrinkles on the intestinal surface in the prior art.
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Description

Technical Field

[0001] The present invention relates to the technical field related to pancreatico-enteric anastomosis instruments, and in particular to a pancreatico-enteric anastomosis device. Background Art

[0002] During the pancreaticojejunostomy operation, a pancreaticojejunostomy instrument is usually required to make an incision on the surface of the jejunum. However, in the prior art, the instruments used for pancreaticojejunostomy still have the following defects:

[0003] 1. During pancreatic intestinal surgery, it is necessary to make an opening in the jejunum. Due to the narrow space inside the abdominal cavity during surgery, the opening instruments in the prior art usually directly use a blade to cut an opening in a straight line on the surface of the jejunum, and then insert the two ends of the anastomosis supporter into the opening on the surface of the jejunum and the pancreatic duct to complete the anastomosis. However, the straight opening cannot achieve a complete anastomosis of the aperture, which can easily lead to the problem of pancreatic fistula;

[0004] 2. In the prior art, when making a hole on the surface of the jejunum, the pancreaticojejunostomy surgical instrument cannot process the surface of the intestine, which results in wrinkles on the surface and makes it impossible to accurately determine the diameter of the hole, thus still causing the problem of pancreatic fistula in the later stage.

[0005] 3. In the prior art, the excised tissue cannot be recovered during the hole-opening process, which may easily lead to it remaining in the body or requiring additional steps for processing. Summary of the invention

[0006] The object of the present invention is to provide a pancreaticojejunostomy device to overcome the above-mentioned defects in the prior art.

[0007] The present invention is achieved through the following technical solutions.

[0008] A pancreatico-enteric anastomosis device of the present invention comprises a handheld controller and an opening processing mechanism, wherein the handheld controller comprises a control body and a transmission control component, wherein a function-carrying shell is fixedly installed on the front side of the control body, and a function-carrying tube body is fixedly installed on the right side of the function-carrying shell, wherein the opening processing mechanism comprises an outer tube function mechanism and an opening function mechanism, wherein the outer tube function mechanism comprises a docking installation tube body, wherein the docking installation tube body is fixedly installed on the port of the function-carrying tube body, wherein an extended outer tube body is connected and fixedly installed on the outer side of the docking installation tube body, wherein a port protective tube is slidably installed on the end of the extended outer tube body, wherein the opening function mechanism comprises a functional inner tube body, wherein the functional inner tube body is arranged in the extended outer tube body, wherein an adjustment control end block is installed on the left end of the functional inner tube body, and wherein an adjustable outer wall array of the functional inner tube body on the side close to the adjustment control end block is provided with an adjustable Withdrawal slot, the adjustment control end block is slidably installed with an adjustment slide, the adjustment slide array is fixedly installed with a baffle, the inner wall array of the functional inner tube body is provided with a negative pressure channel, and the negative pressure channel is provided with a negative pressure withdrawal slot at one end close to the adjustable withdrawal slot, the end of the functional inner tube body is provided with a docking structure and a rotatably installed adsorption opening mechanism, the adsorption opening mechanism includes an adsorption processing end tube and a functional blade plate, the adsorption processing end tube is rotatably set at the right end of the functional inner tube body, the right end array of the adsorption processing end tube is provided with an adsorption deflection groove, an adsorption sphere is rotatably installed in the adsorption deflection groove, and a microporous adsorption port is provided at the outer end of the adsorption sphere, the functional blade plate is rotatably set in the adsorption processing end tube, a negative pressure center hole is provided at the center position of the functional blade plate, and a hole-opening blade is symmetrically fixedly installed on the outer wall of the functional blade plate.

[0009] A further technical solution is that a magnet cavity is provided on the inner wall of the adjustment control end block, an adjustment electromagnet is rotatably installed in the magnet cavity, a slide groove is provided on the right side of the magnet cavity and a permanent magnet slider is slidably installed, an adjustment spring is installed between the permanent magnet slider and the inner wall of the magnet cavity, an adjustment slide rod is rotatably installed on the permanent magnet slider, and the adjustment slide plate is fixedly installed on the end of the adjustment slide rod.

[0010] A further technical solution is that the transmission control component includes a pump-carrying casing and a transmission motor. The pump-carrying casing is fixedly installed on the top of the control body. A back-up vacuum pump body is embedded and fixedly installed in the pump-carrying casing. The back-up vacuum pump body is provided with a back-up port, and the back-up port is connected to the top of the inner cavity of the function-carrying shell. The inner wall of the function-carrying shell is provided with a transmission groove. The transmission motor is embedded and fixedly installed in the transmission groove. A transmission gear is installed at the end of the output shaft of the transmission motor. The outer wall of the adjustment control end block is provided with a transmission external tooth portion, and the transmission gear is meshed with the transmission external tooth portion for transmission.

[0011] A further technical solution is that the docking structure includes a docking carrying part arranged at the end of the functional inner tube body, the inner wall of the docking carrying part is provided with a connecting ring cavity, the connecting ring cavity is connected with each of the negative pressure channels, the docking carrying part is provided with a docking carrying cavity, the side wall of the docking carrying cavity is provided with a rotating embedded ring groove, and the connecting ring cavity array is provided with a docking connecting ring groove.

[0012] A further technical solution is that a deflection axis is symmetrically provided on the inner wall of the adsorption deflection groove, and deflection docking grooves are symmetrically provided on the outer walls of both sides of the adsorption sphere. The end of the deflection axis is rotatably set in the deflection docking groove. A telescopic hose is connected to the rear side of the adsorption sphere. The inner wall array of the adsorption processing end tube is provided with a tube groove and a connecting embedded tube is embedded and fixed. One end of the connecting embedded tube is connected to the docking connecting ring groove, and the other end of the connecting embedded tube is connected to the telescopic hose. An embedded rotating ring is provided on the outer wall of the adsorption processing end tube, and the embedded rotating ring is rotatably set in the rotating embedded ring groove.

[0013] A further technical solution is that the outer wall of the functional inner tube body is provided with a protective tube sliding groove, the side of the port protective tube is provided with a protective tube docking ring body, the inner wall of the protective tube docking ring body is provided with an inner slider, the inner slider is slidably installed in the protective tube sliding groove, a supporting spring is installed between the inner slider and the inner wall of the protective tube sliding groove, the inner wall of the port protective tube is provided with a damping contact block, the inner side of the damping contact block is in contact with the outer wall of the adsorption processing end tube, and the inner wall of the port protective tube is provided with a damping transmission block.

[0014] A further technical solution is that the outer wall of the adsorption sphere is provided with a linkage pull ring, the outer wall array of the adsorption processing end tube is provided with a linkage slide groove, a linkage slider is slidably installed in the linkage slide groove, a linkage spring is installed between the linkage slider and the inner wall of the linkage slide groove, a damping end block is provided on the outer wall of the linkage slider, a wiring groove is provided between the linkage slide groove and the adsorption deflection groove, a linkage pull wire is connected to one end of the linkage slider close to the wiring groove, the linkage pull wire passes through the wiring groove, and the end of the linkage pull wire is connected to the linkage pull ring.

[0015] A further technical solution is that a sliding transmission groove is provided on the inner wall of the docking installation tube body, a sliding transmission end block is slidably installed in the sliding transmission groove, a return spring is installed between the sliding transmission end block and the inner wall of the sliding transmission groove, a transmission pull wire is connected between the sliding transmission end block and the inner wall of the protective tube docking ring body, an electric telescopic rod is embedded in the inner wall of the function-carrying tube body, the end of the telescopic section of the electric telescopic rod is placed in the sliding transmission groove, and the end of the telescopic section of the electric telescopic rod is fixedly connected to the sliding transmission end block.

[0016] A further technical solution is that the outer wall array of the functional blade plate is provided with blade mounting countersunk holes, the bottom of the opening blade is fixedly provided with a blade fixing block, the blade fixing block can be embedded and fixedly installed in the corresponding blade mounting countersunk holes, the rear outer wall of the functional blade plate is fixedly installed with a frame docking plate, the frame docking plate is fixedly installed with a transmission mounting frame, the outer wall at the end of the transmission mounting frame is provided with a frame mounting end block, the inner wall of the functional inner tube body is symmetrically provided with fixed mounting grooves, and the frame mounting end blocks are embedded and fixedly installed in the corresponding fixed mounting grooves.

[0017] A further technical solution is that a battery module is fixedly installed on the bottom of the control body, the control body is provided with a hand-held part, a storage box is detachably installed on the bottom of the functional carrying shell, a box bottom cover is detachably installed on the bottom of the storage box, and a removal slot is provided on the inner wall of the functional inner tube body, and a slot baffle is detachably installed on the removal slot.

[0018] Beneficial effects of the present invention:

[0019] A pancreaticojejunostomy device of the present invention is provided with an expansion adsorption opening processing function. During pancreaticojejunal surgery, it is necessary to perform opening processing on the jejunal part. Since the space is narrow when performing surgery inside the abdominal cavity, the opening instruments in the prior art usually directly use a blade to cut an opening in a straight line on the surface of the jejunum, and then insert the two ends of the anastomosis supporter into the opening on the surface of the jejunum and the pancreatic duct to connect and complete the anastomosis. However, the straight opening cannot achieve complete aperture matching, which can easily lead to the problem of pancreatic fistula. At the same time, the pancreaticojejunostomy surgical instrument that can achieve opening processing When the device is used to make a hole on the surface of the jejunum, it is impossible to process the surface of the intestine, which leads to wrinkles on the surface and the inability to accurately determine the diameter of the hole, which will still cause pancreatic fistula problems in the later stage. When the present invention is used, after the port protection tube is close to the surface of the jejunal hole position, the electric telescopic rod is started to drive the transmission pull wire to gradually retract, so that the port protection tube slides backward relative to the adsorption treatment end tube, so that each group of adsorption-like spheres passes through the microporous adsorption port and approaches the surface of the jejunum, and when the vacuum pump body is started, the functional carrying shell is used to carry the adsorption spheres. The negative pressure retraction slot, the negative pressure channel, and the connected embedded tube are used for transmission, and a negative pressure adsorption effect is generated at the microporous adsorption port end, thereby adsorbing the surface of the jejunum. At the same time, the electromagnet is adjusted to start, driving the baffle to retract, so that the adjustable retraction slot is gradually connected, and the adsorption force is transmitted through the functional inner tube body, and a certain suction effect is generated on the central surface of the jejunum through the negative pressure center hole. In the process, it is further retracted through the port protective tube, and the damping transmission block drives the damping end block to slide, so that each group of adsorption spheres are deflected outward by being pulled by the linkage pull line, thereby adsorbing the air. The intestinal surface generates a pulling force outward to make the surface flat. Next, the transmission motor is started to drive the transmission outer tooth part to rotate through the transmission gear, so that the functional inner tube body rotates. The functional blade plate rotates together under the effect of the connection between the transmission mounting frame and the inner wall of the functional inner tube body. Therefore, under the effect of further angle deflection of the adsorption sphere and the hand pushing effect, the hole-making blade makes a hole on the flat surface of the target position, thereby avoiding the problem of pancreatic fistula caused by the wrinkles on the surface of the intestinal body in the prior art.

[0020] The expansion adsorption opening processing function of a pancreatico-enteric anastomosis device of the present invention can not only realize the adsorption and flattening processing of the intestinal surface, but also realize the recovery processing of the tissue after the opening. The negative pressure center hole generates a negative pressure adsorption effect in the center, which can realize the rapid flattening processing function of the intestinal surface in coordination with the expansion of the adsorption sphere. At the same time, during the cutting process and after the cutting is completed, the jejunal surface tissue is cut off by the opening blade, and under the effect of the backward sliding of the baffle, the adsorption force generated by the adjustable retraction slot gradually increases, that is, under the effect of the increased adsorption force at the center position of the negative pressure center hole, the cut intestinal tissue is retracted by the negative pressure center hole and placed in the functional inner tube body, so that after the cutting is completed, the cut tissue can be taken out by removing the through-slot baffle and placed in the storage box for storage, thereby avoiding the hidden dangers and efficiency problems of the prior art that the cut tissue cannot be recovered during the opening processing, which easily leads to the tissue being retained in the body or requiring additional steps for processing. BRIEF DESCRIPTION OF THE DRAWINGS

[0021] In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative work.

[0022] The present invention is further described below in conjunction with the accompanying drawings and embodiments.

[0023] Figure 1 It is a schematic diagram of the overall structure of the present invention;

[0024] Figure 2 It is a front view structural schematic diagram of the present invention;

[0025] Figure 3 is a front view structural schematic diagram of the opening processing mechanism 20 of the present invention;

[0026] Figure 4 It is a partial enlarged structural schematic diagram of the opening processing mechanism 20 of the present invention;

[0027] Figure 5 3 is a front view structural schematic diagram of the hole opening function mechanism 35 of the present invention;

[0028] Figure 6 4 is a front view structural diagram of the adsorption opening mechanism 40 of the present invention;

[0029] Figure 7 The present invention Figure 5 A schematic diagram of the enlarged structure at A in the middle; DETAILED DESCRIPTION

[0030] Combine the following Figure 1-7The present invention is described in detail. For the convenience of description, the directions mentioned below are defined as follows: the up, down, left, right, front, and back directions mentioned below are the same as Figure 1 The up-down, left-right, front-back directions of the projection relationship itself are consistent.

[0031] A pancreatico-enteric anastomosis device described in conjunction with Figures 1-7 includes a handheld controller 15 and a hole processing mechanism 20. The handheld controller 15 includes a control body 11 and a transmission control component. A function-carrying shell 19 is fixedly installed on the front side of the control body 11, and a function-carrying tube body 18 is fixedly installed on the right side of the function-carrying shell 19. The hole processing mechanism 20 includes an outer tube functional mechanism 30 and an opening functional mechanism 35. The outer tube functional mechanism 30 includes a docking installation tube body 31, and the docking installation tube body 31 is fixedly installed at the port of the function-carrying tube body 18. The outer side of the docking installation tube body 31 is connected and fixedly installed with an extended outer tube body 37, and a port protective tube 43 is slidably installed at the end of the extended outer tube body 37. The hole function mechanism 35 includes a functional inner tube body 45, and the functional inner tube body 45 is arranged in the extended outer tube body 37. An adjustment control end block 85 is installed at the left end of the functional inner tube body 45. The functional inner tube body 45 is provided with an adjustable retraction array on the outer wall of the side close to the adjustment control end block 85. The groove 79, the adjustment control end block 85 is slidably installed with an adjustment slide 82, and the adjustment slide 82 array is fixedly installed with a baffle 83. The inner wall array of the functional inner tube body 45 is provided with a negative pressure channel 46, and the negative pressure channel 46 is provided with a negative pressure retraction groove 78 at one end near the adjustable retraction groove 79. The end of the functional inner tube body 45 is provided with a docking structure and a suction opening mechanism 40 is rotatably installed. The suction opening mechanism 40 includes an suction processing end tube 55 and a functional blade plate 70. The suction processing end tube 55 is rotatably set at the right end of the functional inner tube body 45. The right end array of the suction processing end tube 55 is provided with an suction deflection groove 65. An suction sphere 67 is rotatably installed in the suction deflection groove 65. The outer end of the suction sphere 67 is provided with a microporous suction port 69. The functional blade plate 70 is rotatably set in the suction processing end tube 55. A negative pressure center hole 71 is provided at the center position of the functional blade plate 70, and a hole opening blade 74 is symmetrically fixedly installed on the outer wall of the functional blade plate 70.

[0032] Preferably, a magnet cavity 87 is provided on the inner wall of the adjustment control end block 85, and an adjustment electromagnet 88 is rotatably installed in the magnet cavity 87. A slide groove is provided on the right side of the magnet cavity 87 and a permanent magnet slider 89 is slidably installed. An adjustment spring 90 is installed between the permanent magnet slider 89 and the inner wall of the magnet cavity 87. An adjustment slide rod 84 is rotatably installed on the permanent magnet slider 89, and an adjustment slide plate 82 is fixedly installed on the end of the adjustment slide rod 84.

[0033] Preferably, the transmission control component includes a pump-carrying casing 14 and a transmission motor 24. The pump-carrying casing 14 is fixedly installed on the top of the control body 11. A back-up vacuum pump body 16 is embedded and fixedly installed in the pump-carrying casing 14. The back-up vacuum pump body 16 is provided with a back-up port 17. The back-up port 17 is connected to the top of the inner cavity of the function-carrying casing 19. The inner wall of the function-carrying casing 19 is provided with a transmission groove 23. The transmission motor 24 is embedded and fixedly installed in the transmission groove 23. A transmission gear 25 is installed at the end of the output shaft of the transmission motor 24. The outer wall of the adjustment control end block 85 is provided with a transmission external tooth portion 86, and the transmission gear 25 is meshed with the transmission external tooth portion 86 for transmission.

[0034] Preferably, the docking structure includes a docking mounting portion 47 arranged at the end of the functional inner tube body 45, the inner wall of the docking mounting portion 47 is provided with a connecting annular cavity 51, the connecting annular cavity 51 is connected with each negative pressure channel 46, a docking mounting cavity 48 is provided in the docking mounting portion 47, the side wall of the docking mounting cavity 48 is provided with a rotating embedded annular groove 49, and the connecting annular cavity 51 array is provided with a docking connecting annular groove 50.

[0035] Preferably, a deflection shaft 66 is symmetrically provided on the inner wall of the adsorption deflection groove 65, and a deflection docking groove 68 is symmetrically provided on the outer walls of both sides of the adsorption sphere 67. The end of the deflection shaft 66 is rotatably set in the deflection docking groove 68. A telescopic hose 58 is connected to the rear side of the adsorption sphere 67. The inner wall array of the adsorption processing end tube 55 is provided with a tube groove and a connecting embedded tube 57 is embedded and fixed. One end of the connecting embedded tube 57 is connected to the docking connecting ring groove 50, and the other end of the connecting embedded tube 57 is connected to the telescopic hose 58. The outer wall of the adsorption processing end tube 55 is provided with an embedded rotating ring 56, and the embedded rotating ring 56 is rotatably set in the rotating embedded ring groove 49.

[0036] Preferably, a protective tube sliding groove 38 is provided on the outer wall of the functional inner tube body 45, a protective tube docking ring body 42 is provided on the side of the port protective tube 43, an inner slider 41 is provided on the inner wall of the protective tube docking ring body 42, the inner slider 41 is slidably installed in the protective tube sliding groove 38, a support spring 39 is installed between the inner slider 41 and the inner wall of the protective tube sliding groove 38, a damping contact block 54 is provided on the inner wall of the port protective tube 43, the inner side of the damping contact block 54 contacts the outer wall of the adsorption processing end tube 55, and a damping transmission block 44 is provided on the inner wall of the port protective tube 43.

[0037] Preferably, a linkage pull ring 80 is provided on the outer wall of the adsorption-like sphere 67, a linkage slide groove 59 is provided in an array on the outer wall of the adsorption processing end tube 55, a linkage slider 60 is slidably installed in the linkage slide groove 59, a linkage spring 61 is installed between the linkage slider 60 and the inner wall of the linkage slide groove 59, a damping end block 62 is provided on the outer wall of the linkage slider 60, a wiring groove 63 is provided between the linkage slide groove 59 and the adsorption deflection groove 65, a linkage pull wire 81 is connected to one end of the linkage slider 60 close to the wiring groove 63, the linkage pull wire 81 passes through the wiring groove 63, and the end of the linkage pull wire 81 is connected to the linkage pull ring 80.

[0038] Preferably, a sliding transmission groove 32 is provided on the inner wall of the docking installation tube body 31, and a sliding transmission end block 33 is slidably installed in the sliding transmission groove 32, a return spring 34 is installed between the sliding transmission end block 33 and the inner wall of the sliding transmission groove 32, and a transmission pull wire 36 is connected between the sliding transmission end block 33 and the inner wall of the protective tube docking ring body 42, and an electric telescopic rod 95 is embedded in the inner wall of the function-carrying tube body 18, and the end of the telescopic section of the electric telescopic rod 95 is placed in the sliding transmission groove 32, and the end of the telescopic section of the electric telescopic rod 95 is fixedly connected to the sliding transmission end block 33.

[0039] Preferably, the outer wall array of the functional blade plate 70 is provided with blade mounting countersunk holes 72, and a blade fixing block 73 is fixedly provided at the bottom of the opening blade 74. The blade fixing block 73 can be embedded and fixedly installed in the corresponding blade mounting countersunk hole 72. The rear outer wall of the functional blade plate 70 is fixedly installed with a frame docking plate 75, and the frame docking plate 75 is fixedly installed with a transmission mounting frame 76. The outer wall at the end of the transmission mounting frame 76 is provided with a frame mounting end block 77. The inner wall of the functional inner tube body 45 is symmetrically provided with fixed mounting grooves 52, and the frame mounting end block 77 is embedded and fixedly installed in the corresponding fixed mounting groove 52.

[0040] Preferably, a battery module 12 is fixedly installed at the bottom of the control body 11, the control body 11 is provided with a hand-held part 13, a storage box 21 is detachably installed at the bottom of the function carrying shell 19, a box bottom cover 22 is detachably installed at the bottom of the storage box 21, and a removal groove 91 is provided on the inner wall of the functional inner tube body 45, and a removal groove baffle 92 is detachably installed on the removal groove 91.

[0041] Specific use of the present invention:

[0042] When in use, the medical staff measures the inner diameter of the pancreas and then fixes the hole-punching blade 74 to the corresponding blade installation countersunk hole 72. The medical staff then holds the control body 11, extends the hole-punching mechanism 20 as a whole to the prepared hole-punching position of the jejunum, and places the port protection tube 43 close to the surface of the hole-punching position of the jejunum to perform a hole-punching operation.

[0043] A pancreaticojejunostomy device of the present invention is provided with an expansion adsorption opening processing function. During pancreaticojejunal surgery, it is necessary to perform opening processing on the jejunal part. Due to the narrow space when performing surgery inside the abdominal cavity, the opening instruments in the prior art usually directly use a blade to cut an opening in a straight line on the surface of the jejunum, and then insert the two ends of the anastomosis supporter into the opening on the surface of the jejunum and the pancreatic duct to connect and complete the anastomosis. However, the straight opening cannot achieve complete matching of the aperture, which can easily lead to the problem of pancreatic fistula. At the same time, the pancreaticojejunostomy surgical instrument that can achieve opening cannot achieve the problem of pancreatic fistula when opening the hole on the surface of the jejunum. The surface of the intestinal body is processed, and the wrinkles on the surface cause the diameter of the opening to be inaccurate, so there will still be a problem of pancreatic fistula in the later stage. When the present invention is used, after the port protection tube 43 is close to the surface of the jejunal opening position, the electric telescopic rod 95 is started to drive the transmission pull wire 36 to gradually retract, so that the port protection tube 43 slides backward relative to the adsorption treatment end tube 55, so that each group of adsorption spherical bodies 67 is close to the surface of the jejunum through the microporous adsorption port 69, and under the start of the back-evacuation vacuum pump body 16, the negative pressure back-evacuation notch 78 and the negative pressure channel 4 are passed through the functional carrying shell 19. 6. The inner tube 57 is connected for transmission, and a negative pressure adsorption effect is generated at the end of the microporous adsorption port 69, thereby adsorbing the surface of the jejunum. At the same time, the electromagnet 88 is adjusted to start, driving the baffle 83 to retract, so that the adjustable retraction slot 79 is gradually connected, and the adsorption force is transmitted through the functional inner tube body 45, and a certain suction effect is generated on the central surface of the jejunum through the negative pressure center hole 71. In the process, the port protection tube 43 is further retracted, and the damping transmission block 44 drives the damping end block 62 to slide, so that each group of adsorption spheres 67 are pulled outward by the linkage pull line 81, thereby adsorbing the surface of the jejunum. The surface is flattened by generating a pulling force outward, and the transmission motor 24 is started in the next step, and the transmission outer tooth portion 86 is driven to rotate through the transmission gear 25, so that the functional inner tube body 45 rotates, and the functional blade plate 70 rotates together under the effect of the connection between the transmission mounting frame 76 and the inner wall of the functional inner tube body 45, so that the hole-making blade 74 performs hole-making processing on the flat surface of the target position under the effect of further angle deflection of the adsorption-like sphere 67 and the hand pushing effect, thereby avoiding the problem of pancreatic fistula caused by the wrinkles on the surface of the intestinal body in the prior art, which leads to the inability to accurately make the hole diameter;

[0044] The expansion adsorption opening processing function of a pancreatico-enteric anastomosis device of the present invention can not only realize the adsorption and flattening processing of the intestinal surface, but also realize the recovery processing of the tissue after the opening. The negative pressure center hole 71 generates a negative pressure adsorption effect at the center, which can realize the rapid expansion of the adsorption sphere 67 to realize the flattening processing function of the intestinal surface. At the same time, during the cutting process and after the cutting is completed, the jejunal surface tissue is cut off by the opening blade 74, and under the effect of the backward sliding of the baffle 83, the adsorption force generated by the adjustable retraction slot 79 gradually increases, that is, under the effect of the increased adsorption force at the center position of the negative pressure center hole 71, the cut intestinal tissue is retracted by the negative pressure center hole 71 and placed in the functional inner tube 45. After the cutting is completed, the cut tissue is taken out by removing the through-slot baffle 92 and placed in the storage box 21 for storage, thereby avoiding the hidden dangers and efficiency problems of the prior art that the cut tissue cannot be recovered during the opening processing, which easily leads to its retention in the body or the need for additional steps for processing.

[0045] The above embodiments are only for illustrating the technical concept and features of the present invention, and their purpose is to enable people familiar with the technology in this field to understand the content of the present invention and implement it, and they cannot be used to limit the protection scope of the present invention. Any equivalent changes or modifications made according to the spirit of the present invention should be included in the protection scope of the present invention.

Claims

1. A pancreaticojejunostomy device, comprising a handheld controller and a hole processing mechanism, characterized in that: The handheld controller comprises a control body and a transmission control component, a function-carrying shell is fixedly installed on the front side of the control body, a function-carrying tube body is fixedly installed on the right side of the function-carrying shell, the opening processing mechanism comprises an outer tube function mechanism and an opening function mechanism, the outer tube function mechanism comprises a docking installation tube body, the docking installation tube body is fixedly installed on the port of the function-carrying tube body, an extended outer tube body is connected and fixedly installed on the outside of the docking installation tube body, a port protective tube is slidably installed on the end of the extended outer tube body, the opening function mechanism comprises a functional inner tube body, the functional inner tube body is arranged in the extended outer tube body, an adjustment control end block is installed on the left end of the functional inner tube body, the functional inner tube body is provided with an adjustable retraction slot array on the outer wall array close to the adjustment control end block, and the adjustment control end block slides An adjusting slide is movably installed, a baffle is fixedly installed on the adjusting slide array, a negative pressure channel is arranged on the inner wall array of the functional inner tube body, a negative pressure retraction slot is arranged on one end of the negative pressure channel close to the adjustable retraction slot, a docking structure is arranged on the end of the functional inner tube body and an adsorption opening mechanism is rotatably installed, the adsorption opening mechanism comprises an adsorption processing end tube and a functional blade plate, the adsorption processing end tube is rotatably arranged on the right end of the functional inner tube body, an adsorption deflection slot is arranged on the right end array of the adsorption processing end tube, an adsorption-like sphere is rotatably installed in the adsorption deflection slot, a microporous adsorption port is arranged on the outer end of the adsorption-like sphere, the functional blade plate is rotatably arranged in the adsorption processing end tube, a negative pressure center hole is arranged at the center position of the functional blade plate, and a hole-opening blade is symmetrically and fixedly installed on the outer wall of the functional blade plate; The outer wall of the functional inner tube body is provided with a protective tube sliding groove, the side of the port protective tube is provided with a protective tube docking ring body, the inner wall of the protective tube docking ring body is provided with an inner slider, the inner slider is slidably installed in the protective tube sliding groove, a supporting spring is installed between the inner slider and the inner wall of the protective tube sliding groove, the inner wall of the port protective tube is provided with a damping contact block, the inner side of the damping contact block contacts with the outer wall of the adsorption processing end tube, and the inner wall of the port protective tube is provided with a damping transmission block; A linkage pull ring is provided on the outer wall of the adsorption sphere, a linkage slide groove is provided on the outer wall array of the adsorption processing end tube, a linkage slider is slidably installed in the linkage slide groove, a linkage spring is installed between the linkage slider and the inner wall of the linkage slide groove, a damping end block is provided on the outer wall of the linkage slider, a wiring groove is provided between the linkage slide groove and the adsorption deflection groove, a linkage pull wire is connected to one end of the linkage slider close to the wiring groove, the linkage pull wire passes through the wiring groove, and the end of the linkage pull wire is connected to the linkage pull ring.

2. The pancreatico-enteric anastomosis device according to claim 1, characterized in that: A magnet cavity is provided on the inner wall of the adjustment control end block, and an adjustment electromagnet is rotatably installed in the magnet cavity. A slide groove is provided on the right side of the magnet cavity and a permanent magnet slider is slidably installed. An adjustment spring is installed between the permanent magnet slider and the inner wall of the magnet cavity. An adjustment slide rod is rotatably installed on the permanent magnet slider, and the adjustment slide plate is fixedly installed on the end of the adjustment slide rod.

3. The pancreaticojejunostomy device according to claim 1, characterized in that: The transmission control component includes a pump-carrying casing and a transmission motor. The pump-carrying casing is fixedly installed on the top of the control body. A back-up vacuum pump body is embedded and fixedly installed in the pump-carrying casing. The back-up vacuum pump body is provided with a back-up port, and the back-up port is connected to the top of the inner cavity of the function-carrying shell. The inner wall of the function-carrying shell is provided with a transmission groove. The transmission motor is embedded and fixedly installed in the transmission groove. A transmission gear is installed at the end of the output shaft of the transmission motor. The outer wall of the adjustment control end block is provided with a transmission external tooth portion, and the transmission gear is meshed with the transmission external tooth portion for transmission.

4. The pancreatico-enteric anastomosis device according to claim 1, characterized in that: The docking structure includes a docking mounting part arranged at the end of the functional inner tube body, the inner wall of the docking mounting part is provided with a connecting ring cavity, the connecting ring cavity is connected with each of the negative pressure channels, a docking mounting cavity is provided in the docking mounting part, a rotatable embedded ring groove is provided on the side wall of the docking mounting cavity, and the connecting ring cavity array is provided with a docking connecting ring groove.

5. The pancreatico-enteric anastomosis device according to claim 4, characterized in that: The inner wall of the adsorption deflection groove is symmetrically provided with a deflection axis, and the outer walls on both sides of the adsorption sphere are symmetrically provided with deflection docking grooves, the end of the deflection axis is rotatably set in the deflection docking groove, and the rear side of the adsorption sphere is connected with a telescopic hose, the inner wall array of the adsorption processing end tube is provided with a tube groove and a connecting embedded tube is embedded and fixed, one end of the connecting embedded tube is connected with the docking connecting ring groove, and the other end of the connecting embedded tube is connected with the telescopic hose, and the outer wall of the adsorption processing end tube is provided with an embedded rotating ring, and the embedded rotating ring is rotatably set in the rotating embedded ring groove.

6. The pancreaticojejunostomy device according to claim 5, characterized in that: A sliding transmission groove is provided on the inner wall of the docking installation tube body, a sliding transmission end block is slidably installed in the sliding transmission groove, a return spring is installed between the sliding transmission end block and the inner wall of the sliding transmission groove, a transmission pull wire is connected between the sliding transmission end block and the inner wall of the protective tube docking ring body, an electric telescopic rod is embedded in the inner wall of the function-carrying tube body, the end of the telescopic section of the electric telescopic rod is placed in the sliding transmission groove, and the end of the telescopic section of the electric telescopic rod is fixedly connected to the sliding transmission end block.

7. The pancreaticojejunostomy device according to claim 1, characterized in that: The outer wall array of the functional blade plate is provided with blade mounting countersunk holes, and a blade fixing block is fixedly provided at the bottom of the opening blade, and the blade fixing block can be embedded and fixedly installed in the corresponding blade mounting countersunk hole, and the rear outer wall of the functional blade plate is fixedly installed with a frame docking plate, and the frame docking plate is fixedly installed with a transmission mounting frame, and the outer wall at the end of the transmission mounting frame is provided with a frame mounting end block, and the inner wall of the functional inner tube body is symmetrically provided with fixed mounting grooves, and the frame mounting end blocks are embedded and fixedly installed in the corresponding fixed mounting grooves.

8. The pancreaticojejunostomy device according to claim 1, characterized in that: A battery module is fixedly installed at the bottom of the control body, the control body is provided with a hand-held part, a storage box is detachably installed at the bottom of the functional carrying shell, a box bottom cover is detachably installed at the bottom of the storage box, a removal slot is provided on the inner wall of the functional inner tube body, and a slot baffle is detachably installed on the removal slot.

Citation Information

Patent Citations

  • Rectal anastomotic stoma expanding device

    CN112618927A

  • Self-expansion type fully-covered pancreatic anastomotic stoma stent capable of reducing pancreatic leakage occurrence rate

    CN114098876A