Magnetic anastomosis equipment for tissue clipping under digestive endoscopy

By introducing a magnetic cover plate mechanism, an ring support mechanism and a secondary fine-tuning mechanism into the magnetic stapling device, the adjustable magnetic suction block and magnetic suction adjustment ring driven by magnetic force are solved, and the problem of difficulty in adjusting after adsorption of magnetic components is improved. The flexibility and controllability of the equipment are enhanced, and the safety and comfort of temporary clamping are enhanced.

CN119184773AActive Publication Date: 2024-12-27SECOND MEDICAL CENT OF CHINESE PLA GENERAL HOSPITAL
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Patent Information

Application Number
CN202411301790.7
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-09-18
Publication Date
2024-12-27
Estimated Expiration
2044-09-18

AI Technical Summary

Technical Problem

When tissue clamping is performed using magnetic anastomosis equipment under digestive endoscopy, it is difficult to adjust the position after magnetic elements are adsorbed on the target tissue, affecting the therapeutic effect of temporary closure.

Method used

A magnetic anastomosis device including a magnetic cover plate mechanism, an annular support mechanism and a secondary fine-tuning mechanism are designed. Through the adjustment area and reserved area of ​​the annular frame, an adjustable magnetic block mechanism and a magnetic suction driven by magnetic force are used. The adjustment ring mechanism realizes flexible adjustment and fine adjustment of magnetic components.

Benefits of technology

Improves the flexibility and controllability of magnetic components, avoids jamming or overloading problems in mechanical drives, enhances the safety and comfort of the temporary clamping process, and reduces maintenance costs and complexity.

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Abstract

The invention provides magnetic anastomosis equipment for tissue clipping under a digestive endoscope, and belongs to the technical field of magnetic anastomosis equipment. Comprising a first magnetic element and a second magnetic element, and the first magnetic element and the second magnetic element are the same in overall structure. The temporary clamping and closing device is sequentially composed of a magnetic suction cover plate mechanism, a circular ring supporting mechanism and a secondary fine adjustment mechanism from top to bottom, through an adjusting area and a reserved area arranged on a circular ring framework, in the temporary clamping and closing process, through rotation of the magnetic suction cover plate mechanism, a configured first magnetic suction block can be rotated to any position of the adjusting area, and the magnetic suction cover plate mechanism is rotated to adjust the position of the adjusting area; when the upper part of the magnetic ring is not accurately attracted to the optimal position, the upper part of the magnetic ring interacts with the adjustable magnetic attraction block mechanism at the bottom, so that a fourth magnetic attraction block of the adjustable magnetic attraction block mechanism is lifted upwards, and different from the prior art, the clamping end at the position can be temporarily loosened, and further adjustment can still be performed when the upper part of the magnetic ring is not accurately attracted to the optimal position; and the flexibility and controllability of the magnetic element are improved.
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Description

Technical Field

[0001] The present invention relates to the technical field of magnetic anastomosis equipment, and more specifically to a magnetic anastomosis equipment for tissue clamping under digestive endoscopy. Background Art

[0002] With the development of medical technology, minimally invasive treatment technology under digestive endoscopy has gradually become the preferred option for the treatment of many digestive system diseases. Among them, the technology of using digestive endoscopy to control magnetic anastomosis equipment for tissue clamping has shown significant advantages in clinical applications. This technology is particularly suitable for patients who need temporary tissue clamping, such as in gastrointestinal fistula repair, perforation repair, endoscopic gastric bypass surgery and other situations that require temporary closure or connection of gastrointestinal tissues.

[0003] In the process of using a magnetic anastomosis device for temporary tissue clamping, it is first necessary to select a magnetic anastomosis device of appropriate size according to the treatment needs of different patients, and then send the magnetic anastomosis device to the target position through a digestive endoscope. After accurately locating the target tissue with the camera on the endoscope, the adjustment module on the release mechanism can be used to fine-tune the magnetic element to ensure that it is accurately adsorbed on the target tissue, and then the magnetic element is unlocked by the release handle so that it is tightly combined with the target tissue.

[0004] Although the technology of using digestive endoscopy to control magnetic anastomosis equipment for tissue clamping has made significant progress in clinical practice, there are still some challenges, especially the problem that the magnetic anastomosis equipment cannot be effectively adjusted after placement and clamping. This is because in actual operation, after the magnetic anastomosis equipment releases the magnetic element, once the magnetic element is adsorbed on the target tissue, it is difficult to adjust the position. Most of the magnetic elements are in the shape of an integrated ring, which may cause some areas on the magnetic ring to fail to be accurately adsorbed at the optimal position, thereby affecting the temporary closure treatment effect. Therefore, it is necessary to provide a magnetic anastomosis device for tissue clamping under digestive endoscopy. Summary of the invention

[0005] In view of the problem in the prior art that the magnetic element is adsorbed on the target tissue and it is difficult to adjust the position, the purpose of the present invention is to provide a magnetic anastomosis device for tissue clamping under digestive endoscopy.

[0006] To solve the above problems, the present invention adopts the following technical solutions.

[0007] A magnetic anastomosis device for tissue clamping under digestive endoscopy, comprising a first magnetic element and a second magnetic element, wherein the first magnetic element and the second magnetic element have the same overall structure; from top to bottom, they are composed of a magnetic cover plate mechanism, a circular ring support mechanism, and a secondary fine-tuning mechanism;

[0008] The circular ring support mechanism includes a circular ring frame for overall support, and the inner wall of the circular ring frame is fixedly connected with a plurality of linear guide rail frames; each linear guide rail frame is slidably provided with an adjustable magnetic suction block mechanism facing the secondary fine-tuning mechanism;

[0009] Among them, the adjustable magnetic block mechanism includes a square sleeve block and a third magnetic block and a fourth magnetic block located on the upper and lower sides of the square sleeve block; the secondary fine-tuning mechanism includes a circular tray frame fixedly installed on the bottom of the circular frame and a film on the circular tray frame corresponding to the adjustable magnetic block mechanism on each side; the third magnetic block corresponds to the magnetic pole adsorption of the magnetic cover plate mechanism; and is used to lift the fourth magnetic block at the corresponding end to loosen the clamping state of that side to adjust the clamped tissue.

[0010] Optionally, the circular ring skeleton is fixedly connected to a first guide ring frame through the support of a linear guide frame at the center position of the circle, a second guide ring frame is fixedly installed on the outer edge surface of the circular ring skeleton, and the inner circle of the circular ring skeleton is divided into an outer circle and an inner circle by the separation effect of the first guide ring frame; the outer circle is an adjustment area; the inner circle is a reserved area, the linear guide frames are evenly arranged in the adjustment area at certain intervals, and the opening of the reserved area is connected and corresponds to the opening at the center position of the circular tray frame to serve as a temporary channel in the tissue clamping state.

[0011] Optionally, the linear guide frame as a whole is composed of two groups of support plate structures connected to the inner wall of the adjustment area; and the support plates are each provided with a first limiting slot, and the square sleeve block is movably mounted on the linear guide frame on each side; and auxiliary wheels that are mounted in the first limiting slot are movably installed at both ends of the surface of each square sleeve block, and an insertion rod that can move up and down is movably inserted and installed on the surface of the square sleeve block, the third magnetic block is fixedly installed on the upper side of the insertion rod; and the magnetic end faces outward, and the fourth magnetic block is fixedly installed on the lower side of the insertion rod; and the magnetic end faces outward.

[0012] Optionally, the magnetic cover mechanism includes a circular cover movably mounted on the upper side of the circular skeleton, a visible circular partition is fixedly mounted on the surface of the circular cover, a first wiring block is fixedly mounted on the upper circular surface of the visible circular partition, a first magnetic block is fixedly mounted on the lower circular surface of the visible circular partition, the overall length of the first magnetic block is the same as the inner diameter of the adjustment zone; and its magnetic poles are adsorbed and correspond to the magnetic poles of the third magnetic block, and the first circular opening that passes through the first guide circular frame is respectively provided at the head and tail ends of the linear guide frame; and a second circular opening that passes through the second guide circular frame is respectively provided.

[0013] Optionally, an arc guide groove is formed on the upper and lower edge surfaces of the first guide ring frame and the second guide ring frame, and an inner ring magnetic adjustment ring mechanism is configured internally of the first guide ring frame, and the inner ring magnetic adjustment ring mechanism includes a first locking ring, and a first limiting buckle that slides in the arc guide groove of the first guide ring frame is fixedly installed on the upper and lower edge surfaces of the first locking ring, and a first buffer bottom plate is fixedly installed on the outer edge surface of the first locking ring at the position corresponding to each side of the linear guide frame, and a plurality of fifth magnetic blocks with gradually weakening magnetic properties are fixedly installed on the surface of the first buffer bottom plate.

[0014] Optionally, an outer ring magnetic adjustment ring mechanism is movably configured on the second guide rail ring frame, and the outer ring magnetic adjustment ring mechanism includes a second locking ring, and the upper and lower edge surfaces of the second locking ring are fixedly installed with second limiting protrusions that slide in the arc guide groove of the second guide rail ring frame, and a second buffer bottom plate is fixedly installed on the outer edge surface of the second locking ring at the position corresponding to each side of the linear guide frame, and a plurality of sixth magnetic blocks with gradually weakening magnetic properties are fixedly installed on the surface of the second buffer bottom plate in sequence.

[0015] Optionally, second magnetic blocks are fixedly installed on both side surfaces of the square sleeve block facing the first circular opening and the second circular opening; and the second magnetic blocks on each side magnetically repel the fifth magnetic block and the sixth magnetic block on the circular opening end of the corresponding side, and the release module contact tube is installed on the outer sides of the first wiring block, the first limiting protrusion buckle and the second limiting protrusion buckle.

[0016] Optionally, the ring tray frame as a whole is a hollow cylindrical structure with an open upper side; and a first square slot is opened on the bottom surface of the cylinder corresponding to the position of the linear guide frame on each side; a connected second square slot is opened on the inner end cylindrical side surface corresponding to the first square slot on each side, and the first square slot and the second square slot are overall L-shaped opening shapes along the cylindrical end of the ring tray frame; and a second limiting slot is opened on the inner wall of each first square slot and the second square slot, and a limiting baffle is fixedly connected at the intersection of the first square slot and the second square slot.

[0017] Optionally, a spring winding drum is fixedly installed on one end of the first square slot close to the side wall of the ring tray frame, and the spring winding drum as a whole is a winding drum structure with a built-in return spring; and a film that is slidably sleeved in the second limiting slot is fixedly connected to its winding end, and the film is configured at the bottom of the ring tray frame through a limiting baffle on the corresponding side.

[0018] Optionally, a pull plate is fixedly installed on the end of the film away from the spring winding drum, and the pull plate is also slidably stuck in the second limiting groove on the corresponding side. The upper side of the second square groove is fixedly connected with an extended side plate, and a threading opening is opened in the middle position of the surface of the extended side plate. The upper surface of the pull plate is fixedly connected with a pull wire passing through the threading opening; and the pull wire passing through each side is fixedly connected to the square sleeve block on the corresponding side.

[0019] Compared with the prior art, the above technical solution provided by the present invention has at least the following beneficial effects:

[0020] In the above scheme, through the adjustment area and reserved area set by the circular ring skeleton, during the temporary clamping process, the configured first magnetic block can be rotated to any position of the adjustment area through the rotation setting of the magnetic cover mechanism to interact with the adjustable magnetic block mechanism at the bottom, so that the fourth magnetic block of the adjustable magnetic block mechanism is lifted upward. Different from the prior art, the clamping end at this position can be temporarily loosened, and further adjustment can be performed when some areas on the magnetic ring cannot be accurately adsorbed at the optimal position, thereby improving the flexibility and controllability of the magnetic element.

[0021] By configuring the inner and outer rings of the circular frame with an inner magnetic suction adjustment ring mechanism and an outer magnetic suction adjustment ring mechanism, and pulling the first engaging circular ring and the second engaging circular ring on the corresponding side through the release module contact tube on the release module, magnetic blocks with different magnetic forces can be used to align the square sleeve blocks in sequence, and the different magnetic forces at the head and tail ends can be used to adjust the overall position of the adjustable magnetic suction block mechanism, so that the magnetic element can adjust the inner diameter of the circular ring at its adsorption end according to the actual situation of the patient and the actual situation of temporary clamping during use, thereby further improving the flexibility and controllability of the magnetic element.

[0022] Magnetic drive can avoid possible jamming or overload problems in mechanical drive, thereby improving safety during temporary clamping. Magnetic drive has a fast response time, which is different from mechanical drive adjustment. Not only does it produce smaller feedback of motion effects to improve patient comfort, but it is also non-contact and does not require lubrication, which can reduce maintenance costs and complexity.

[0023] In the process of cooperating to adjust the position of the adjustable magnetic block mechanism through the inner ring magnetic adjustment ring mechanism and the outer ring magnetic adjustment ring mechanism, it can also control the position of the pull plate by pulling the pull wire through the square sleeve block, and can control the pull plate to pull the film upward. When the fourth magnetic block is lifted upward to cancel the clamping state, the tissue at the corresponding end can be pulled, so that the tissue at the clamped end can be fine-tuned for a second time, further improving the flexibility and controllability of the magnetic element. BRIEF DESCRIPTION OF THE DRAWINGS

[0024] The accompanying drawings, which are incorporated herein and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, further serve to explain the principles of the invention and to enable those skilled in the relevant art to make and use the invention.

[0025] Figure 1 It is a schematic diagram of the overall structure of the present invention;

[0026] Figure 2 is a schematic structural diagram of a first magnetic element of the present invention;

[0027] Figure 3 FIG. 1 is a structural schematic diagram of the first magnetic element of the present invention in a split state;

[0028] Figure 4 The schematic diagram of the structure of the magnetic cover plate mechanism of the present invention on both sides

[0029] Figure 5 It is a structural schematic diagram of the circular ring support mechanism of the present invention in a disassembled state;

[0030] Figure 6 Schematic diagram of the structure of the circular skeleton of the present invention;

[0031] Figure 7 It is a structural schematic diagram of the inner ring magnetic adjustment ring mechanism of the present invention;

[0032] Figure 8 It is a structural schematic diagram of the outer ring magnetic attraction adjustment ring mechanism of the present invention;

[0033] Fig. 9 It is a structural schematic diagram of the adjustable magnetic suction block mechanism of the present invention;

[0034] Fig.10 It is a structural schematic diagram of the secondary fine-tuning mechanism of the present invention.

[0035] [Reference Signs]

[0036] 1. First magnetic element; 2. Second magnetic element; 3. Release module contact tube;

[0037] 4. Circular ring support mechanism; 41. Circular ring frame; 42. Adjustment area; 43. Reserved area; 44. First guide rail circular ring frame; 45. Linear guide rail frame; 46. First limiting notch; 47. First circular opening; 48. Second guide rail circular ring frame; 49. Second circular opening; 410. Arc guide notch;

[0038] 5. Secondary fine-tuning mechanism; 51. Ring tray rack; 52. First square notch; 53. Second square notch; 54. Second limit notch; 55. Spring reel; 56. Film; 57. Pull plate; 58. Limit baffle; 59. Extended side plate; 510. Threading opening; 511. Pull wire;

[0039] 6. Magnetic cover plate mechanism; 61. Circular cover plate; 62. First wiring block; 63. Visible circular partition plate; 64. First magnetic block;

[0040] 7. Adjustable magnetic block mechanism; 71. Square sleeve block; 72. Second magnetic block; 73. Insertion rod; 74. Third magnetic block; 75. Fourth magnetic block; 76. Auxiliary wheel;

[0041] 8. Inner ring magnetic adjustment ring mechanism; 81. First engaging ring; 82. First limit convex buckle; 83. First buffer bottom plate; 84. Fifth magnetic block;

[0042] 9. Outer ring magnetic adjustment ring mechanism; 91. Second engaging ring; 92. Second limiting convex buckle; 93. Second buffer bottom plate; 94. Sixth magnetic block.

[0043] As shown in the figure, in order to clearly implement the structure of the embodiment of the present invention, specific structures and devices are marked in the figure, but this is only for illustrative purposes and is not intended to limit the present invention to the specific structure, device and environment. According to specific needs, ordinary technicians in this field can adjust or modify these devices and environments. DETAILED DESCRIPTION

[0044] The following is a detailed description of a magnetic stapling device for tissue clamping under digestive endoscopy provided by the present invention in conjunction with the accompanying drawings and specific embodiments. At the same time, it is explained here that in order to make the embodiments more detailed, the following embodiments are the best and preferred embodiments, and those skilled in the art may also adopt other alternative methods to implement some known technologies; and the accompanying drawings are only for more specific description of the embodiments, and are not intended to specifically limit the present invention.

[0045] It should be noted that the references to "one embodiment", "embodiment", "exemplary embodiments", "some embodiments" and the like in the specification indicate that the embodiments described may include specific features, structures or characteristics, but not every embodiment may include the specific features, structures or characteristics. In addition, when a specific feature, structure or characteristic is described in conjunction with an embodiment, it should be within the knowledge of a person skilled in the art to implement such feature, structure or characteristic in conjunction with other embodiments (whether or not explicitly described).

[0046] In general, a term can be understood, at least in part, from its use in context. For example, depending, at least in part, on the context, the term "one or more" as used herein can be used to describe any feature, structure, or characteristic in the singular sense, or can be used to describe a combination of features, structures, or characteristics in the plural sense. Additionally, the term "based on" can be understood as not necessarily intended to convey an exclusive set of factors, but can instead, depending, at least in part, on the context, allow for the presence of other factors that are not necessarily explicitly described.

[0047] It will be understood that the meanings of “on,” “over,” and “above” in the present invention should be interpreted in the broadest manner, so that “on” not only means “directly on” something, but also includes the meaning of being “on” something with intervening features or layers therebetween, and “on” or “over” not only means “on” or “above” something, but also includes the meaning of being “on” or “above” something with no intervening features or layers therebetween.

[0048] Additionally, spatially relative terms such as "under," "beneath," "lower," "above," "upper," and the like may be used herein for descriptive convenience to describe the relationship of one element or feature to another element or features, as shown in the accompanying drawings. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the accompanying drawings. The device may be oriented in other ways, and the spatially relative descriptors used herein may be similarly interpreted accordingly.

[0049] like Figures 1 to 10 As shown, an embodiment of the present invention provides a magnetic anastomosis device for tissue clamping under digestive endoscopy, including a first magnetic element 1 and a second magnetic element 2. The first magnetic element 1 and the second magnetic element 2 have the same overall structure; from top to bottom, they are composed of a magnetic cover plate mechanism 6, a circular ring support mechanism 4, and a secondary fine-tuning mechanism 5.

[0050] The annular support mechanism 4 includes an annular frame 41 for overall support, and the inner wall of the annular frame 41 is fixedly connected with a plurality of linear guide rails 45 ; each linear guide rail 45 is slidably provided with an adjustable magnetic block mechanism 7 facing the secondary fine-tuning mechanism 5 .

[0051] Among them, the adjustable magnetic block mechanism 7 includes a square sleeve block 71 and a third magnetic block 74 and a fourth magnetic block 75 located on the upper and lower sides of the square sleeve block 71; the secondary fine-tuning mechanism 5 includes a circular tray frame 51 fixedly installed at the bottom of the circular frame 41 and a film 56 on the circular tray frame 51 corresponding to the adjustable magnetic block mechanism 7 on each side; the third magnetic block 74 corresponds to the magnetic pole adsorption of the magnetic cover plate mechanism 6; and is used to lift the fourth magnetic block 75 at the corresponding end to loosen the clamping state of that side to adjust the clamped tissue.

[0052] In order to solve the problem in the prior art that it is difficult to adjust the position of the magnetic element when it is adsorbed on the target tissue, the above-mentioned technical solution is now adopted to solve the problem. The above-mentioned technical solution mainly includes a first magnetic element 1 and a second magnetic element 2. The first magnetic element 1 and the second magnetic element 2 have the same overall structure, and the difference is that one acts on one end and the other end of the tissue to be temporarily clamped, and each element is composed of a magnetic cover mechanism 6, a circular ring support mechanism 4, and a secondary fine-tuning mechanism 5, wherein the circular ring support mechanism 4 plays an overall supporting role, the upper side is movablely sleeved with a magnetic cover mechanism 6, and the bottom is fixedly installed with a circular ring tray frame 51. Through the effect of the corresponding magnetic pole adsorption of the third magnetic block 74 and the magnetic cover mechanism 6, during use, the fourth magnetic block 75 at the corresponding end can be lifted to loosen the clamping state of that side to adjust the clamped tissue, so as to solve the problem in the prior art that it is difficult to adjust the position of the magnetic element when it is adsorbed on the target tissue.

[0053] like Figures 1 to 6 As shown, the circular skeleton 41 is fixedly connected to the first guide circular frame 44 through the support of the linear guide frame 45 at the center position of the circle, and the second guide circular frame 48 is fixedly installed on the outer edge surface of the circular skeleton 41. The inner circle of the circular skeleton 41 is divided into an outer circle and an inner circle by the separation effect of the first guide circular frame 44; the outer circle is the adjustment area 42; the inner circle is the reserved area 43, and the linear guide frames 45 are evenly arranged in the adjustment area 42 at a certain interval, and the opening of the reserved area 43 is connected and corresponds to the opening at the center position of the circular tray frame 51 to serve as a temporary channel in the tissue clamping state.

[0054] like Figures 2 to 4As shown, the linear guide frame 45 as a whole is composed of two groups of support plate structures connected to the inner wall of the adjustment area 42; and the support plates are each provided with a first limiting slot 46, and the square sleeve block 71 is movably mounted on the linear guide frame 45 on each side; and auxiliary wheels 76 mounted in the first limiting slot 46 are movably installed at both ends of the surface of each square sleeve block 71, and a plug rod 73 that can move up and down is movably inserted and installed on the surface of the square sleeve block 71, and the third magnetic block 74 is fixedly installed on the upper side of the plug rod 73; and the magnetic end faces outward, and the fourth magnetic block 75 is fixedly installed on the lower side of the plug rod 73; and the magnetic end faces outward.

[0055] like Figures 3 to 6 As shown, the magnetic cover mechanism 6 includes a circular cover 61 movably mounted on the upper side of the circular skeleton 41, a visible circular partition 63 is fixedly mounted on the surface of the circular cover 61, a first wiring block 62 is fixedly mounted on the upper circular surface of the visible circular partition 63, a first magnetic block 64 is fixedly mounted on the lower circular surface of the visible circular partition 63, the overall length of the first magnetic block 64 is the same as the inner diameter of the adjustment area 42; and its magnetic poles are adsorbed and correspond to the magnetic poles of the third magnetic block 74, and the first circular opening 47 that passes through the first guide circular frame 44 is respectively provided at the head and tail ends of the linear guide frame 45; and a second circular opening 49 that passes through the second guide circular frame 48.

[0056] Among them, the configured visible circular partition 63 and the circular cover 61 are an integrated structure, specifically, a visible circular partition 63 is configured on the surface of the circular cover 61, which can cooperate with the camera end on the release structure for real-time detection, and the first circular opening 47 passing through the first guide rail circular frame 44 and the second circular opening 49 passing through the second guide rail circular frame 48 are specifically opened on the two circular frames.

[0057] like Figures 3 to 6 As shown, an arc guide groove 410 is provided on the upper and lower edge surfaces of the first guide ring frame 44 and the second guide ring frame 48, and an inner ring magnetic adjustment ring mechanism 8 is movably configured inside the first guide ring frame 44, and the inner ring magnetic adjustment ring mechanism 8 includes a first engaging ring 81, and the upper and lower edge surfaces of the first engaging ring 81 are fixedly installed with a first limiting convex buckle 82 that slides in the arc guide groove 410 of the first guide ring frame 44, and a first buffer bottom plate 83 is fixedly installed on the outer edge surface of the first engaging ring 81 at the position corresponding to each side of the linear guide frame 45, and a plurality of fifth magnetic blocks 84 with gradually weakening magnetic properties are fixedly installed on the surface of the first buffer bottom plate 83 in sequence.

[0058] like Figures 3 to 8As shown, an outer ring magnetic adjustment ring mechanism 9 is movably configured on the second guide rail ring frame 48, and the outer ring magnetic adjustment ring mechanism 9 includes a second locking ring 91, and the upper and lower edge surfaces of the second locking ring 91 are fixedly installed with second limiting protrusions 92 that slide and are locked in the arc guide groove 410 of the second guide rail ring frame 48, and a second buffer bottom plate 93 is fixedly installed at the position of each side linear guide frame 45 on the outer edge surface of the second locking ring 91, and a plurality of sixth magnetic blocks 94 with gradually weakening magnetic properties are fixedly installed on the surface of the second buffer bottom plate 93 in sequence.

[0059] like Figures 3 to 8 As shown, the second magnetic blocks 72 are fixedly installed on the two side surfaces of the square sleeve block 71 facing the first circular opening 47 and the second circular opening 49; and the second magnetic blocks 72 on each side are magnetically repelled from the fifth magnetic blocks 84 and the sixth magnetic blocks 94 on the corresponding side circular opening ends, and the release module contact tube 3 is installed on the outer sides of the first wiring block 62, the first limiting protrusion 82, and the second limiting protrusion 92.

[0060] Among them, the configured release module touch tube 3 is a touch tube structure installed on the release module in the prior art, and the release module is a structure used to release the magnetic element in the prior art, which generally includes a handle used by the doctor to control the release of the magnetic element, an adjustment module to ensure that the magnetic element remains fixed during the transportation process, and an indicator showing the status of the magnetic element, while the touch tube is a tubular structure connected to the release end, which is a slender hose as a whole, used to deliver the magnetic element into the digestive tract, and is used in conjunction with the push rod, which are all conventional configurations in the prior art.

[0061] The specific working state of the adjustable magnetic block mechanism 7 is:

[0062] Pre-adjustment stage: according to the needs, the release module touch tube 3 set on the first limit convex buckle 82 and the second limit convex buckle 92 can be used to pull the inner ring magnetic adjustment ring mechanism 8 and the outer ring magnetic adjustment ring mechanism 9 respectively. Since the magnetic force of the fifth magnetic block 84 on the outer ring of the first engaging ring 81 movably clamped in the first guide rail circular ring frame 44 gradually weakens, the magnetic force of the second engaging ring 91 movably clamped in the second guide rail circular ring frame 48 also gradually weakens, and both are aligned with the second magnetic block 72 on the square sleeve block 71 through the first circular opening 47 and the second circular opening 49 on the corresponding side, it is only necessary to adjust the first engaging ring 81 and the second engaging ring 91 separately, and slide on the arc guide The first limiting convex buckle 82 and the second limiting convex buckle 91 in the notch 410 can change their respective positions, so that the fifth magnetic block 84 and the sixth magnetic block 94 with different magnetic forces can be aligned with the second magnetic blocks 72 on the front and rear sides of the square sleeve block 71, so that the square sleeve block 71 changes its current position. If the magnetic force of the fifth magnetic block 84 is stronger than that of the sixth magnetic block 94, the square sleeve block 71 will move along the linear guide frame 45 to the outer end of the circular frame 41, otherwise it will move to the inner end of the circular frame 41 to change the position of the square sleeve block 71. The change in the position of the square sleeve block 71 can synchronously adjust the position of each fourth magnetic block 75 to change the inner diameter of the magnetic end of the magnetic element.

[0063] Second fine-tuning stage: After the release module touch tube 3 is used to control the release of the first magnetic element 1 and the second magnetic element 2 into the digestive tract, after they enter the designated position, the groups of fourth magnetic blocks 75 on the two elements will be adsorbed and fitted to temporarily clamp the position. When it is necessary to fine-tune a certain area of ​​the temporary clamping end again, it is only necessary to pull the release module touch tube 3 set on the first wiring block 62 to control the circular cover plate 61 that is movable on the upper side of the circular frame 41 to rotate through the release module touch tube 3. During the rotation of the circular cover plate 61, the first magnetic block 64 on the bottom surface thereof will also During the synchronous rotation, in the process of rotating around the adjustment area 42, since the first magnetic block 64 and the third magnetic block 74 on the upper side of the plug rod 73 of the square sleeve block 71 are mutually attracted, the first magnetic block 64 will be attracted to the third magnetic block 74 at this position when the third magnetic block 74 is aligned with the third magnetic block 74 on the corresponding side, and the plug rod 73 is movably installed on the square sleeve block 71, and the upward lifting of the third magnetic block 74 will drive the synchronous upward movement of the fourth magnetic block 75, so that the fourth magnetic block 75 in the adsorption state on the first magnetic element 1 and the second magnetic element 2 will be separated, thereby canceling the clamping state at this position;

[0064] Among them, since the first magnetic element 1 and the second magnetic element 2 are extended into the patient's interior through the release module contact tube 3 on the release module, and the release module is provided with a corresponding camera end to provide real-time feedback of the internal situation, and with the help of the camera end and the visible circular ring partition 63 of the circular ring cover 61, the internal situation of the circular ring frame 41 can also be observed, so as to facilitate the control of the fourth magnetic suction block 75 on the corresponding side to lift up to cancel the clamping state of the corresponding side.

[0065] like Figures 2 to 10 As shown, the ring tray frame 51 is a hollow cylindrical structure with an open upper side; and a first square slot 52 is provided on the bottom surface of the cylinder at a position corresponding to the linear guide frame 45 on each side; a connected second square slot 53 is provided on the inner end cylindrical side surface corresponding to the first square slot 52 on each side, and the first square slot 52 and the second square slot 53 are an L-shaped opening shape along the cylindrical end of the ring tray frame 51; and a second limiting slot 54 is provided on the inner wall of each first square slot 52 and the second square slot 53, and a limiting baffle 58 is fixedly connected at the intersection of the first square slot 52 and the second square slot 53.

[0066] like Figures 2 to 10 As shown, a spring winding drum 55 is fixedly installed on one end of the first square slot 52 close to the side wall of the ring tray frame 51, and the spring winding drum 55 is a winding drum structure with a built-in return spring; and a film 56 that is slidably sleeved in the second limiting slot 54 is fixedly connected to its winding end, and the film 56 is arranged at the bottom of the ring tray frame 51 through a limiting baffle 58 on the corresponding side.

[0067] like Figures 2 to 10 As shown, a pull plate 57 is fixedly installed on one end of the film 56 away from the spring winding drum 55, and the pull plate 57 is also slidably stuck in the second limiting groove 54 on the corresponding side, and the upper side of the second square groove 53 is fixedly connected with an extended side plate 59, and a threading opening 510 is opened in the middle position of the surface of the extended side plate 59, and the upper surface of the pull plate 57 is fixedly connected with a pull wire 511 passing through the threading opening 510; and the pull wire 511 passing through each side is fixedly connected to the square sleeve block 71 on the corresponding side.

[0068] Among them, the fourth magnetic block 75 of the adjustable magnetic block mechanism 7 at the corresponding position on the circular frame 41 is lifted upward, and after the clamping state of the corresponding side is cancelled, the film 56 in the secondary fine-tuning mechanism 5 can also be pulled by the adjustable magnetic block mechanism 7 to perform secondary fine-tuning, and the specific steps are as follows: first, the first magnetic block 64 at the bottom of the circular cover plate 61 is aligned with the fourth magnetic block 75 on the corresponding side, and after it is lifted, the inner ring magnetic adjustment ring mechanism 8 and the outer ring magnetic adjustment ring mechanism 8 can be adjusted again by the release module contact tube 3 configured on the first limiting convex buckle 82 and the second limiting convex buckle 92. The relative position of the structure 9 makes the square sleeve 71 close to the outermost inner wall of the circular frame 41, and the other end of the pull wire 511 is connected to the square sleeve 71. When the square sleeve 71 is expanded outward, it will pull the film 56 at the bottom of the pull plate 57, so that the film 56 moves upward along the first square notch 52 and the second limiting notch 54 on the second square notch 53. The bottom of the film 56 is in contact with the tissue layer of the patient. Therefore, when the film 56 is pulled upward, the tissue layer on the corresponding side will also be pulled, so that the tissue layer at this position is finely adjusted for the second time.

[0069] Among them, the limiting baffles 58 arranged at the first square slot 52 and the second square slot 53 are used to limit the film 56 outward so that the film 56 can move at the edge position of the bottom of the circular tray rack 51 to effectively pull the tissue layer at this position. The configured pulling plate 57 is specifically slidably stuck in the second limiting slot 54 on the vertical side.

[0070] The working process of the technical solution of the present invention is as follows:

[0071] First, the first limiting convex buckle 82 and the second limiting convex buckle 92 on the inner circle magnetic adjustment ring mechanism 8 and the outer circle magnetic adjustment ring mechanism 9 are pulled by the release module contact tube 3 to make the first engaging circular ring 81 and the second engaging circular ring 92 rotate accordingly, and change the position of the fifth magnetic block 84 and the sixth magnetic block 94 on one end of the second magnetic block 72 facing the surface of the square sleeve block 71. According to the corresponding magnetic force, the position of the square sleeve block 71 is adjusted, and the position of the fourth magnetic block 75 is changed to change the inner diameter of the entire magnetic element. Furthermore, the third magnetic block 74 can be adsorbed on the first magnetic block 64 by the rotating circular cover plate 61 to release the fourth magnetic block 75 on the corresponding side, and the square sleeve block 71 is cooperated to pull the pull plate 57 upward, so that the film 56 in the secondary fine-tuning mechanism 5 pulls the tissue layer, so that the tissue layer at this position is fine-tuned for the second time.

[0072] The present invention covers any substitution, modification, equivalent method and scheme made on the essence and scope of the present invention. In order to make the public have a thorough understanding of the present invention, specific details are described in detail in the following preferred embodiments of the present invention, but those skilled in the art can fully understand the present invention without the description of these details. In addition, in order to avoid unnecessary confusion about the essence of the present invention, well-known methods, processes, procedures, components and circuits are not described in detail.

[0073] The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention. These improvements and modifications should also be regarded as the scope of protection of the present invention.

Claims

1. A magnetic anastomosis device for tissue clamping under digestive endoscopy, comprising a first magnetic element and a second magnetic element, characterized in that: The first magnetic element and the second magnetic element have the same overall structure; from top to bottom, they are composed of a magnetic cover mechanism, a circular ring support mechanism, and a secondary fine-tuning mechanism; The circular ring support mechanism includes a circular ring frame for overall support, and the inner wall of the circular ring frame is fixedly connected with a plurality of linear guide rail frames; each linear guide rail frame is slidably provided with an adjustable magnetic suction block mechanism facing the secondary fine-tuning mechanism; Among them, the adjustable magnetic block mechanism includes a square sleeve block and a third magnetic block and a fourth magnetic block located on the upper and lower sides of the square sleeve block; the secondary fine-tuning mechanism includes a circular tray frame fixedly installed on the bottom of the circular frame and a film on the circular tray frame corresponding to the adjustable magnetic block mechanism on each side; the third magnetic block corresponds to the magnetic pole adsorption of the magnetic cover plate mechanism; and is used to lift the fourth magnetic block at the corresponding end to loosen the clamping state of that side to adjust the clamped tissue.

2. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 1, characterized in that: The circular ring skeleton is fixedly connected to a first guide circular ring frame through the support of a linear guide frame at the center position of the circle, a second guide circular ring frame is fixedly installed on the outer edge surface of the circular ring skeleton, and the inner circle of the circular ring skeleton is divided into an outer circle and an inner circle by the separation effect of the first guide circular ring frame; the outer circle is an adjustment area; the inner circle is a reserved area, the linear guide frames are evenly arranged in the adjustment area at certain intervals, and the opening of the reserved area is connected and corresponds to the opening at the center position of the circular tray frame to serve as a temporary channel in the tissue clamping state.

3. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 2, characterized in that: The linear guide frame as a whole is composed of two groups of support plate structures connected to the inner wall of the adjustment area; and the support plates are each provided with a first limiting groove, and the square sleeve block is movably mounted on the linear guide frame on each side; and auxiliary wheels that are mounted in the first limiting groove are movably installed at both ends of the surface of each square sleeve block, and a plug rod that can move up and down is movably inserted and installed on the surface of the square sleeve block, the third magnetic block is fixedly installed on the upper side of the plug rod; and the magnetic end faces outward, and the fourth magnetic block is fixedly installed on the lower side of the plug rod; and the magnetic end faces outward.

4. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 3, characterized in that: The magnetic cover plate mechanism includes a circular cover plate movably mounted on the upper side of the circular frame, a visible circular partition is fixedly mounted on the surface of the circular cover plate, a first wiring block is fixedly mounted on the upper circular surface of the visible circular partition, a first magnetic block is fixedly mounted on the lower circular surface of the visible circular partition, the overall length of the first magnetic block is the same as the inner diameter of the adjustment area; and its magnetic poles are adsorbed and correspond to the magnetic poles of the third magnetic block, and the first circular opening that passes through the first guide circular frame is respectively arranged at the head and tail ends of the linear guide frame; and a second circular opening that passes through the second guide circular frame is respectively arranged.

5. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 4, characterized in that: The upper and lower edge surfaces of the first guide ring frame and the second guide ring frame are both provided with an arc guide groove, the first guide ring frame is internally movably configured with an inner ring magnetic adjustment ring mechanism, the inner ring magnetic adjustment ring mechanism comprises a first locking ring, the upper and lower edge surfaces of the first locking ring are both fixedly provided with a first limiting convex buckle which slides in the arc guide groove of the first guide ring frame, a first buffer bottom plate is fixedly provided on the outer edge surface of the first locking ring at the position corresponding to each side of the linear guide frame, and a plurality of fifth magnetic blocks with gradually weakening magnetic properties are fixedly provided on the surface of the first buffer bottom plate.

6. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 5, characterized in that: An outer ring magnetic adjustment ring mechanism is movably configured on the second guide rail ring frame, and the outer ring magnetic adjustment ring mechanism includes a second locking ring, and the upper and lower edge surfaces of the second locking ring are fixedly installed with second limiting protrusions that slide and are locked in the circular arc guide groove of the second guide rail ring frame, and a second buffer bottom plate is fixedly installed on the outer edge surface of the second locking ring at the position corresponding to each side of the linear guide frame, and a plurality of sixth magnetic blocks with gradually weakening magnetic properties are fixedly installed on the surface of the second buffer bottom plate in sequence.

7. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 6, characterized in that: The second magnetic blocks are fixedly installed on the two side surfaces of the square sleeve block facing the first circular opening and the second circular opening; and the second magnetic blocks on each side magnetically repel the fifth magnetic blocks and the sixth magnetic blocks on the circular opening ends of the corresponding sides, and the release module contact tubes are installed on the outer sides of the first wiring block, the first limiting convex buckle and the second limiting convex buckle.

8. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 7, characterized in that: The ring tray frame as a whole is a hollow cylindrical structure with an open upper side; and a first square slot is opened on the bottom surface of the cylinder at the position corresponding to the linear guide frame on each side; a connected second square slot is opened on the inner end cylindrical side surface corresponding to the first square slot on each side, and the first square slot and the second square slot are generally L-shaped opening shapes along the cylindrical end of the ring tray frame; and a second limiting slot is opened on the inner wall of each first square slot and the second square slot, and a limiting baffle is fixedly connected at the intersection of the first square slot and the second square slot.

9. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 8, characterized in that: A spring winding drum is fixedly installed on one end of the first square slot close to the side wall of the ring tray frame, and the spring winding drum as a whole is a winding drum structure with a built-in return spring; and a film that slides in the second limiting slot is fixedly connected to its winding end, and the film is arranged at the bottom of the ring tray frame through the limiting baffle on the corresponding side.

10. The magnetic anastomosis device for tissue clamping under digestive endoscopy according to claim 9, characterized in that: A pull plate is fixedly installed on the end of the film away from the spring winding drum, and the pull plate is also slidably stuck in the second limiting groove on the corresponding side. The upper side of the second square groove is fixedly connected with an extended side plate, and a threading opening is opened in the middle position of the surface of the extended side plate. The upper surface of the pull plate is fixedly connected with a pull wire passing through the threading opening; and the pull wire passing through each side is fixedly connected to the square sleeve block on the corresponding side.

Citation Information

Patent Citations

  • Magnetic anastomat

    CN220495043U

  • Magnetic anastomosis devices with varying magnetic force at a distance

    US20160262761A1

  • Magnetic anastomosis ring

    WO2017101665A1

  • Magnetic anastomosis devices

    WO2018057613A2

  • Apparatus and method for forming an anastomosis

    WO2022223574A1