Vascular anastomosis device
By designing the vascular jaw clamp unit and the first vascular fixation mechanism, the vascular anastomosis ring and multiple tube fittings, positioning members and support units are used to achieve stable folding and fixation of blood vessels, solving the problem of poor fixation effect of existing vascular anastomosis devices and improving surgical efficiency and safety.
Patent Information
- Application Number
- CN202280099340.7
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2022-12-27
- Publication Date
- 2025-05-06
AI Technical Summary
The existing vascular anastomosis device is not effective when fixing the blood vessel wall, which can easily lead to blood vessel damage and improper fixation. Manual operation depends on the doctor's skilled technology, which is long and has high risk.
A vascular anastomosis device including a vascular jaw clamp unit and a first vascular fixation mechanism is designed, and stable folding and fixing of the blood vessels are achieved through a combination of a vascular anastomosis ring and a plurality of tube fittings, positioning members and support units.
It improves the fixation effect of vascular anastomosis, shortens the surgical time, reduces alignment time, improves operation convenience, reduces surgical risks, and reduces the operating burden of doctors.
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Figure CN119947660A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to a vascular anastomosis device. Background Art
[0002] Vascular anastomosis technology is a major advancement in microsurgery. It can efficiently connect blood vessels and plays a key role in the failure of microsurgery repair and reconstruction. Today, in addition to traditional manual suturing, other new vascular anastomosis technologies have also flourished, such as the routine method, adhesive method, anastomosis clip method or stapler method. Among them, the effect of the stapler method has been proven to be widely used in tissues of the limbs, breasts or oral and maxillofacial areas, and can be repaired and reconstructed, allowing patients to obtain better treatment results.
[0003] However, the existing stapler method still relies on manual use of vascular clamps to turn the blood vessel wall outward 90 degrees, and then fix the turned-out blood vessel wall to the staplers in a specific order. However, this step not only relies on the skilled techniques of the doctor, but also makes it difficult to perform this step if the patient's blood vessels are hardened or brittle, and it is easy for the blood vessels to be damaged due to uneven force. In addition, even if this step is completed, it cannot ensure that the blood vessel wall has been properly fixed. Therefore, the existing manual use of staplers still has problems such as poor fixation effect, easy bleeding from the pinhole, long time consumption, or poor alignment. The existing manual method requires the two ends of the blood vessel wall to be processed separately before they can be joined, which needs to be improved. Furthermore, because it is a manual fixation, it is impossible to ensure that the fixation effect of each manual use of the stapler is consistent, so that the fixed blood vessel may fall off in the patient's body, causing additional risks in surgery.
[0004] Therefore, it is urgent to propose an improved vascular anastomosis device to eliminate or alleviate the above problems. Summary of the invention
[0005] In view of this, according to one viewpoint of the present disclosure, a vascular anastomosis device is proposed to improve the fixation effect of the vascular anastomosis device, shorten the operation time, reduce the alignment time, enhance the ease of use or enable the connection to be performed through simple steps, so that the vascular anastomosis device can play a greater role, thereby reducing the burden on surgeons, or even reducing additional risks of the operation.
[0006] Therefore, the vascular anastomosis device disclosed in the present invention includes a vascular jaw clamp unit and a first vascular fixing mechanism; wherein the vascular jaw clamp unit is provided with a vascular anastomosis ring, and the vascular anastomosis ring is sleeved on the first vascular fixing mechanism, so when operating the vascular anastomosis device, the blood vessel can be folded outward at an angle (for example, 90 degrees) and then fixed on the vascular anastomosis ring.
[0007] In addition, the first blood vessel fixing mechanism includes a first tube, a blood vessel positioning member, a second tube, a blood vessel support unit, a pusher and a third tube; wherein the first tube has a first end and a second end, and the first end is opposite to the second end, and a first opening and a first guide rail are provided on the first tube; the blood vessel positioning member is connected to the first end of the first tube. On the other hand, the blood vessel positioning member may be provided with a first protrusion at the third end relative to the first end, the blood vessel expansion member may be provided with a first concave hole, and the first concave hole may be provided corresponding to the first protrusion, but the present disclosure is not limited thereto. By moving the first tube, the first protrusion can be moved outside the first concave hole, so that the blood vessel positioning member is expanded outward to be smoothly inserted into the blood vessel; then, when the first protrusion is moved into the first concave hole again, the blood vessel can be attached and clamped on the blood vessel support unit.
[0008] Secondly, the second tube is accommodated in the first tube, the blood vessel support unit is assembled on the second tube and is arranged adjacent to the third end of the blood vessel positioning member, and the third end is opposite to the first end of the first tube, wherein the blood vessel support unit includes a blood vessel support body and a blood vessel expansion member, and the blood vessel expansion member is pivoted on the blood vessel support body. By moving the second tube, the blood vessel expansion member is pivoted to fold the blood vessel attached to the blood vessel support unit outward at an angle (for example, 90 degrees), and at the same time fix the blood vessel on the blood vessel anastomosis ring.
[0009] Furthermore, the pushing member is accommodated in the first tube member, wherein the pushing member is arranged adjacent to the second end of the first tube member. Since the pushing member is engaged in the first tube member, when the pushing member moves backward, the blood vessel positioning member can be stretched outward to be inserted into the blood vessel; the third tube member is accommodated in the pushing member and is provided with a cross bar and a guide rod, wherein the cross bar is arranged corresponding to the first opening of the first tube member, thereby allowing the cross bar to move within the range of the first opening of the first tube member, and the guide rod is arranged corresponding to the first guide rail, so that the guide rod can move along the first guide rail.
[0010] In the vascular anastomosis device of the present disclosure, the vascular jaw clamp unit may include a first part and a second part, the first part and the second part may be pivotally connected by a pivot, the vascular anastomosis ring may be arranged on the first part, and another vascular anastomosis ring may be arranged on the second part, but the present disclosure is not limited to this. In addition, the present disclosure may also include another first vascular fixing mechanism, wherein another vascular anastomosis ring may be sleeved on another first vascular fixing mechanism, but the present disclosure is not limited to this. After the two ends of the blood vessel are respectively fixed to the vascular anastomosis rings on the first part and the second part, the pivot may be pivoted to make the first part and the second part engage toward each other, so as to facilitate the anastomosis of the two ends of the blood vessel. On the other hand, since two sets of identical vascular anastomosis rings are provided at the same time, the two ends of the blood vessel can be processed synchronously and the vascular anastomosis process can be completed.
[0011] In the vascular anastomosis device of the present disclosure, the first vascular fixing mechanism may also include a fourth tube, wherein the fourth tube may be provided with a first through hole, and the cross bar may be assembled in the first through hole of the fourth tube and may protrude from the opening of the first tube, so that when the second tube moves, it can simultaneously rotate along the first through hole of the fourth tube, but the present disclosure is not limited to this.
[0012] The vascular anastomosis device of the present disclosure may further include a housing, wherein the vascular jaw clamp unit and the first vascular fixing mechanism may be accommodated in the housing, but the present disclosure is not limited thereto. In addition, the housing of the present disclosure may be provided with a second guide rail, which may be provided corresponding to the cross bar, but the present disclosure is not limited thereto, so that the second pipe member may move along the path of the second guide rail. Furthermore, the housing of the present disclosure may be provided with a third guide rail, a first protrusion may be provided on the first pipe member, and the third guide rail may be provided corresponding to the first protrusion, but the present disclosure is not limited thereto, so as to ensure that the first pipe member does not rotate relative to the housing.
[0013] In the vascular anastomosis device of the present disclosure, a base may be further included, which may be accommodated in the shell and may be provided with a clamping positioning unit, wherein the vascular jaw clamp unit may be provided corresponding to the clamping positioning unit, but the present disclosure is not limited thereto. In addition, the vascular jaw clamp unit may include a first portion and a second portion, the first portion and the second portion may be pivotally connected via a pivot, the clamping positioning unit may include a recess, and when the first portion and the second portion are clamped, the first portion and the second portion may be accommodated in the recess. When the vascular jaw clamp unit is moved by force, since the vascular jaw clamp unit abuts against the clamping positioning unit, the pivot begins to pivot, so that the first portion and the second portion are clamped toward each other, thereby completing the vascular anastomosis, but the present disclosure is not limited thereto.
[0014] The vascular anastomosis device of the present disclosure may also include a first driving member, which may be disposed on the base, wherein the vascular jaw clamp unit may be pivotally mounted on the first driving member, but the present disclosure is not limited thereto, so that the first driving member is linked to the vascular jaw clamp unit.
[0015] In the vascular anastomosis device of the present disclosure, the first driving member may be provided with a third protrusion, and the third protrusion may be provided corresponding to a first protrusion of the base, but the present disclosure is not limited thereto. When the third protrusion is engaged with the first protrusion, if the base moves forward, the first driving member may be driven to move forward at the same time, but the first driving member may only move forward relative to the base, and cannot move backward relative to the base.
[0016] The vascular anastomosis device of the present disclosure may further include a second driving member, which may be assembled in a sliding groove of the propulsion member and may be provided with a first connecting member, wherein the first connecting member may be connected to a first linkage element, but the present disclosure is not limited thereto. When the first linkage element moves, the second driving member may be linked to move, and the sliding groove provides the second driving member with an appropriate moving space.
[0017] In the vascular anastomosis device of the present disclosure, a third driving member may be further provided, which may be provided with a second protrusion, which may be provided corresponding to a sliding member, and the sliding member may be pivotally provided with a rotating element, wherein the rotating element may be provided adjacent to a first fixing member of the housing, and the rotating element may be provided corresponding to a second protrusion of the housing, and the rotating element may be provided corresponding to a fourth protrusion of the pushing member, but the present disclosure is not limited thereto. In addition, the present disclosure may further include a device body, wherein the housing may include a first fixing member and may be assembled in the device body through the first fixing member, but the present disclosure is not limited thereto. When the rotating element rotates due to contact with a second protrusion of the housing, the rotating element may engage with the fourth protrusion, thereby enabling the rotating element to drive the pushing member in a linkage manner.
[0018] In the vascular anastomosis device of the present disclosure, a fifth tube member may be further included, which may be accommodated in the device body, wherein the fifth tube member may be provided with a clamping member and an elastic element, but the present disclosure is not limited thereto. In addition, the present disclosure may further include a displacement control member, which may be accommodated in the device body, wherein the displacement control member may be provided corresponding to the clamping member, but the present disclosure is not limited thereto. When the clamping member contacts the displacement control member, the clamping member will start to rotate and release a tenon of the clamping member, so that the propulsion member and the fifth tube member can move relative to each other.
[0019] The following detailed description with accompanying drawings will make other purposes, advantages, and novel features of the present disclosure more apparent. BRIEF DESCRIPTION OF THE DRAWINGS
[0020] Figures 1 to 6 It is a schematic diagram of the actuation mechanism of the vascular jaw clamp unit and the local first vascular fixing mechanism according to one embodiment of the present disclosure;
[0021] Figure 7 is an exploded view of a first blood vessel fixing mechanism according to an embodiment of the present disclosure;
[0022] Figures 8 to 11 is a schematic diagram of the actuation mechanism of the first blood vessel fixing mechanism according to an embodiment of the present disclosure;
[0023] Fig.12 An exploded view of a vascular anastomosis assembly according to an embodiment of the present disclosure;
[0024] Figures 13 to 17 It is a schematic diagram of the actuation mechanism of a vascular anastomosis assembly according to an embodiment of the present disclosure;
[0025] Fig.18 is a three-dimensional diagram of a vascular anastomosis device according to an embodiment of the present disclosure;
[0026] Fig.19 is a three-dimensional diagram of a first operating unit according to an embodiment of the present disclosure;
[0027] Fig. 20 is a three-dimensional diagram of a second operating unit according to an embodiment of the present disclosure;
[0028] Fig.21 is a three-dimensional diagram of a third operating unit according to an embodiment of the present disclosure;
[0029] Fig. 22 It is a three-dimensional diagram of a fourth operating unit according to an embodiment of the present disclosure.
[0030] In the above drawings, the meanings of the reference numerals are as follows:
[0031] 1. Vascular anastomosis device;
[0032] 10. Vascular jaw clamp unit;
[0033] 101, Part 1;
[0034] 102, Part II;
[0035] 103, pivot member;
[0036] 104. Vascular anastomosis ring;
[0037] 20. A first blood vessel fixing mechanism;
[0038] 201, first pipe fitting;
[0039] 201a, first end;
[0040] 201b, second end;
[0041] 2011, first opening;
[0042] 2012, First Guide Rail;
[0043] 2013, Rings;
[0044] 202. Vascular positioning parts;
[0045] 2021, the first bulge;
[0046] 202a, third end;
[0047] 203, first engaging member;
[0048] 204, a first protrusion;
[0049] 205, second pipe fitting;
[0050] 2051, horizontal bar;
[0051] 207. Vascular support unit;
[0052] 2071, vascular support body;
[0053] 2072, vascular expansion device;
[0054] 2073, the first concave hole;
[0055] 2074, the second concave hole;
[0056] 2075, shaft;
[0057] 208, fourth pipe fitting;
[0058] 2081, first through hole;
[0059] 209, propulsion element;
[0060] 2091, push forward;
[0061] 2092, push the rear;
[0062] 2093, sliding slot;
[0063] 2094, fourth bump;
[0064] 2095, second fixing member;
[0065] 2096, the eighth fixing member;
[0066] 210, the third pipe fitting;
[0067] 2101, guide rod;
[0068] 30. Vascular anastomosis components;
[0069] 301, housing;
[0070] 3011, front part of the housing;
[0071] 3012, rear part of the housing;
[0072] 3013, second guide rail;
[0073] 3014, third rail;
[0074] 3015, first fixing member;
[0075] 30151, the fourth opening;
[0076] 3016, second protrusion;
[0077] 3017, fifth protrusion;
[0078] 3018, sliding parts;
[0079] 3019, groove;
[0080] 302, base;
[0081] 3021, first protrusion;
[0082] 3022, clamping and positioning unit;
[0083] 3023. concave part;
[0084] 303, first driving member;
[0085] 3031, third protrusion;
[0086] 304, second driving member;
[0087] 3041, first connecting member;
[0088] 305, third driving member;
[0089] 3051, rotating element;
[0090] 3052, fourth fixing member;
[0091] 3053, second protrusion;
[0092] 40. Device body;
[0093] 401, displacement control element;
[0094] 402, second opening;
[0095] 4021, third button;
[0096] 403, the third opening;
[0097] 404, first fixing seat;
[0098] 405, second fixing seat;
[0099] 406, third fixed seat;
[0100] 407, fourth fixed seat;
[0101] 408, sixth fixed seat;
[0102] 409, seventh fixed seat;
[0103] 410, eighth fixed seat;
[0104] 50. Operation components;
[0105] 501, a first operating unit;
[0106] 5011, first button;
[0107] 5012, a first elastic element;
[0108] 5013, first connecting rod;
[0109] 50131, third fixing member;
[0110] 5014, second connecting rod;
[0111] 5014a, first end;
[0112] 5014b, second end;
[0113] 50141, second through hole;
[0114] 50142, third through hole;
[0115] 50143, fourth through hole;
[0116] 502, second operating unit;
[0117] 5021, second gripping element;
[0118] 50211, fifth through hole;
[0119] 50212, sixth through hole;
[0120] 50213, seventh through hole;
[0121] 50214, second protrusion;
[0122] 5022, a second elastic element;
[0123] 5023, fifth fixing member;
[0124] 5024, a third elastic element;
[0125] 5025, fourth driving member;
[0126] 5025a, first component;
[0127] 5025b, second component;
[0128] 50251, sixth fixing member;
[0129] 503, third operating unit;
[0130] 5031, third gripping element;
[0131] 50311, eighth through hole;
[0132] 50312, ninth through hole;
[0133] 50313, tenth through hole;
[0134] 50314, the fourth opening;
[0135] 50315, third protrusion;
[0136] 5032, fourth elastic element;
[0137] 5033, seventh fixing member;
[0138] 5034, fifth elastic element;
[0139] 5035, fifth pipe fitting;
[0140] 5036, snap-fit parts;
[0141] 50361, tenon;
[0142] 5037, sixth elastic element;
[0143] 5038, sixth pipe fitting;
[0144] 504, fourth operating unit;
[0145] 5041, fourth gripping element;
[0146] 50411, eleventh through hole;
[0147] 50412, twelfth through hole;
[0148] 50413, tooth structure;
[0149] 5042, first gear;
[0150] 5043, second gear;
[0151] 5044, third gear;
[0152] 5045, first linkage element;
[0153] 5046, second linkage element;
[0154] 5047, locking assembly;
[0155] 50471, first locking element;
[0156] 50472, adjustment element;
[0157] 50473, ninth elastic element;
[0158] 50474, fifth fixed seat;
[0159] 5048, seventh elastic element;
[0160] 5049, eighth elastic element;
[0161] 5050, ninth fixing member;
[0162] 5051, fourth gear;
[0163] 5052, second locking element;
[0164] 60. Release components;
[0165] 601, second button;
[0166] 602, third connecting rod;
[0167] 603, fourth connecting rod;
[0168] 604, tenth fixing member;
[0169] 80. Blood vessels;
[0170] 90. Control components;
[0171] 901, control unit;
[0172] a, b, distance;
[0173] D1, D2, direction;
[0174] G. Gap;
[0175] S1, first position;
[0176] S2, second position;
[0177] S3, third position;
[0178] S4, fourth position;
[0179] S5, fifth position;
[0180] S6, sixth position;
[0181] S7, seventh position; DETAILED DESCRIPTION
[0182] The following provides different embodiments of the present disclosure. These embodiments are used to illustrate the technical content of the present disclosure, but are not used to limit the scope of the present disclosure. A feature of an embodiment can be applied to other embodiments through appropriate modification, replacement, combination, and separation.
[0183] It should be noted that, in this document, unless otherwise specified, “a” element is not limited to a single element, but may include one or more elements.
[0184] In addition, in this document, unless otherwise specified, ordinal numbers such as "first" and "second" are only used to distinguish multiple components with the same name, and do not indicate the existence of a hierarchy, level, execution order, or process order between them. A "first" component and a "second" component may appear together in the same component, or appear in different components. The presence of a component with a larger ordinal number does not necessarily indicate the presence of another component with a smaller ordinal number.
[0185] In addition, in this article, the terms "upper", "lower", "left", "right", "front", "back", or "between" are only used to describe the relative positions between multiple elements, and can be extended to include translation, rotation, or mirroring.
[0186] Furthermore, herein, unless specifically stated otherwise, “an element is on another element” or the like does not necessarily mean that the element contacts the other element.
[0187] Furthermore, in this document, “preferable” or “better” is used to describe optional or additional elements or features, that is, these elements or features are not essential and may be omitted.
[0188] In addition, in this document, unless otherwise specified, when an element is said to be "suitable for" or "appropriate for" another element, it means that the other element is not part of the application subject matter, but is illustrative or referenced to help imagine the properties or applications of the element; similarly, in this document, unless otherwise specified, when an element is said to be "suitable for" or "appropriate for" a configuration or an action, it describes the characteristics of the element, but does not mean that the configuration has been set or the action has been performed.
[0189] The structure of the first blood vessel fixing mechanism 20.
[0190] Figure 1 4 is a cross-sectional view of a blood vessel jaw unit 10 and a partial first blood vessel fixing mechanism 20 according to an embodiment of the present disclosure.
[0191] Figure 7 FIG. 2 is an exploded view of a first blood vessel fixing mechanism 20 according to an embodiment of the present disclosure.
[0192] Figure 8 FIG. 4 is a three-dimensional diagram of a first blood vessel fixing mechanism 20 according to an embodiment of the present disclosure.
[0193] like Figure 1 , Figure 7 and Figure 8As shown, the first blood vessel fixing mechanism 20 of this embodiment includes a first tube 201, a blood vessel positioning member 202, a first joint member 203, a first protrusion 204, a second tube 205, a blood vessel supporting unit 207, a fourth tube 208, a pusher 209 and a third tube 210. The first tube 201 is connected to the blood vessel positioning member 202 through the first joint member 203. In other words, the first joint member 203 is disposed between the first tube 201 and the blood vessel positioning member 202. The first tube 201 has a first end 201a and a second end 201b, the first end 201a is opposite to the second end 201b, and a first opening 2011 and a first guide rail 2012 are disposed on the first tube 201. The blood vessel positioning member 202 is provided with a first protrusion 2021 on the inner side of the third end 202a relative to the first end 201a of the first tube 201. On the other hand, the first protrusion 204 is disposed on the first tube 201 and corresponds to the third guide rail 3014 of the housing 301 (eg Fig.12 as shown).
[0194] In addition, the second tube 205 is accommodated in the first tube 201. The blood vessel support unit 207 is sleeved outside the second tube 205 and is disposed adjacent to the third end 202a of the blood vessel positioning member 202, wherein the blood vessel support unit 207 includes a blood vessel support body 2071 and a blood vessel expansion member 2072, the blood vessel expansion member 2072 is pivotally disposed on the blood vessel support body 2071, and the blood vessel expansion member 2072 is provided with a first concave hole 2073, a second concave hole 2074 and a rotating shaft 2075, and the first concave hole 2073 is disposed corresponding to the first protrusion 2021. In this embodiment, the blood vessel support unit 207 is accommodated in the blood vessel positioning member 202 and the first joint member 203 and sleeved outside the second tube 205.
[0195] Furthermore, the pusher 209 is accommodated in the first tube 201 and sleeved outside the second tube 205, and the pusher 209 is disposed adjacent to the second end 201b of the first tube 201. In this embodiment, the pusher 209 includes a front pusher portion 2091 and a rear pusher portion 2092, and a sliding groove 2093 is disposed on the rear pusher portion 2092. On the other hand, the third tube 210 is accommodated in the front pusher portion 2091 of the pusher 209 and is provided with a guide rod 2101 and a cross bar 2051, and the fourth tube 208 is sleeved outside the third tube 210, wherein the guide rod 2101 is disposed corresponding to the first guide rail 2012 of the first tube 201, that is, the guide rod 2101 can move along the first guide rail 2012, and the cross bar 2051 is assembled in the first through hole 2081 of the fourth tube 208 and protrudes from the first opening 2011 of the first tube 201.
[0196] The structure of the vascular anastomosis assembly 30.
[0197] Fig.12 FIG. 4 is an exploded view of a vascular anastomosis assembly 30 according to an embodiment of the present disclosure.
[0198] Fig.13 It is a stereoscopic view of a vascular anastomosis assembly 30 according to an embodiment of the present disclosure.
[0199] like Figure 1 , Fig.12 and Fig.13 As shown, the vascular anastomosis assembly 30 of this embodiment includes a vascular jaw clamp unit 10, a first vascular fixing mechanism 20, a housing 301, a base 302, a first driving member 303, and a second driving member 304. The vascular jaw clamp unit 10 includes a first portion 101 and a second portion 102, and the first portion 101 and the second portion 102 are pivotally connected by a pivoting member 103. In addition, the vascular jaw clamp unit 10 is provided with a vascular anastomosis ring 104, and the vascular anastomosis ring 104 is sleeved on the first vascular fixing mechanism 20. In this embodiment, the vascular anastomosis assembly 30 has two vascular anastomosis rings 104 and two first vascular fixing mechanisms 20, the vascular anastomosis ring 104 is provided on the first portion 101 and sleeved on the first vascular fixing mechanism 20, and another vascular anastomosis ring 104 is provided on the second portion 102 and sleeved on another first vascular fixing mechanism 20. In addition, the first blood vessel fixing mechanism 20 is sleeved in the first portion 101 , and the other first blood vessel fixing mechanism 20 is sleeved in the second portion 102 .
[0200] Secondly, the vascular jaw clamp unit 10, the first vascular fixing mechanism 20, the base 302, the first driving member 303 and the second driving member 304 are accommodated in the housing 301, and the housing 301 includes a housing front portion 3011 and a housing rear portion 3012, and the interior of the housing 301 is provided with two corresponding second guide rails 3013, a third guide rail 3014, a first fixing member 3015, a sliding member 3018, a groove 3019 and a single fifth protrusion 3017. Among them, the second guide rail 3013 is correspondingly arranged with the cross bar 2051 (such as Figure 7 ), and the third guide rail 3014 is arranged corresponding to the first protrusion 204 on the first pipe 201 (as shown Figure 7 ), and the fifth protrusion 3017 is used to block the second driving member 304, so that the second driving member 304 cannot move along the direction D1. On the other hand, the base 302 is provided with a first protrusion 3021 and a clamping positioning unit 3022, and the clamping positioning unit 3022 has a recess 3023, wherein the vascular jaw clamp unit 10 is correspondingly arranged with the clamping positioning unit 3022. In addition, the groove 3019 accommodates a sliding member 3018, and the sliding member 3018 can move in the groove 3019 along the direction D1 or the direction D2.
[0201] In this embodiment, the first driving member 303 is disposed on the base 302, wherein the vascular jaw clamp unit 10 is pivotally disposed on the first driving member 303. More specifically, the first driving member 303 is pivotally connected to the pivoting member 103 of the vascular jaw clamp unit 10. In addition, the first driving member 303 is provided with a third protrusion 3031, and the third protrusion 3031 is correspondingly disposed with the first protrusion 3021 of the base 302. The second driving member 304 is assembled in the sliding groove 2093 of the pushing member 209 and connected to the second tube member 205, and is provided with a first connecting member 3041 (such as Figure 7 As shown), wherein the first connecting member 3041 is connected to the first linkage element 5045.
[0202] The structure of the vascular anastomosis device 1.
[0203] Fig.18 It is a stereoscopic view of a vascular anastomosis device 1 according to an embodiment of the present disclosure.
[0204] Fig.19 FIG. 5 is a perspective view of a first operating unit 501 according to an embodiment of the present disclosure.
[0205] Fig. 20 FIG. 5 is a perspective view of a second operating unit 502 according to an embodiment of the present disclosure.
[0206] Fig.21 FIG. 5 is a perspective view of a third operating unit 503 according to an embodiment of the present disclosure.
[0207] Fig. 22 FIG. 5 is a perspective view of a fourth operating unit 504 according to an embodiment of the present disclosure.
[0208] like Fig.18 As shown, the vascular anastomosis device 1 of this embodiment includes a vascular anastomosis component 30, a device body 40, an operating component 50 and a release component 60. The device body 40 contains the vascular anastomosis component 30, the operating component 50 and the release component 60. The structure of the vascular anastomosis component 30 can be found in the above description. The device body 40 has two correspondingly arranged second openings 402 (due to the viewing angle, Fig.18 Only one second opening 402 is drawn in the figure), and the second opening 402 is provided with a third button 4021, and the third button 4021 is provided corresponding to the first fixing member 3015 of the housing 301. The housing 301 is assembled to the second opening 402 of the device body 40 through the first fixing member 3015, so that the vascular anastomosis component 30 is accommodated in the device body 40. In addition, by pressing the third button 4021 to link the first fixing member 3015, the second protrusion 3053 of the third driving member 305 is pushed open, so that the vascular anastomosis component 30 can be separated from the device body 40 (as shown in FIG. Fig.19 as shown).
[0209] like Fig.18 and Fig.19 As shown, the operating assembly 50 includes a first operating unit 501, a second operating unit 502, a third operating unit 503 and a fourth operating unit 504, wherein the first operating unit 501 includes two first buttons 5011, two first elastic elements 5012, two first connecting rods 5013, two second connecting rods 5014 and two third driving members 305. In this embodiment, the first button 5011 is arranged corresponding to the third opening 403 of the device body 40, so that part of the first button 5011 is accommodated in the device body 40, the first button 5011 is connected to the first elastic element 5012 through the first connecting rod 5013, and the first connecting rod 5013 is provided with a third fixing member 50131, and the third fixing member 50131 is assembled in the second through hole 50141 of the second connecting rod 5014 adjacent to the first end 5014a. On the other hand, the third driving member 305 has a fourth fixing member 3052, and the fourth fixing member 3052 is assembled in the third through hole 50142 of the second connecting rod 5014 adjacent to the second end 5014b. In addition, the second connecting rod 5014 of the first operating unit 501 is also provided with a fourth through hole 50143 adjacent to the first end 5014a, through which the first operating unit 501 is pivotally mounted on the first fixing seat 404 in the device body 40. In another embodiment of the present disclosure, the two first buttons 5011 of the first operating unit 501 can be respectively operated to clamp two blood vessels 80 (such as Figure 3 Also, please refer to Fig.12 , Fig.14 and Fig.18 In this embodiment, a second protrusion 3053 is disposed at the front end of each third driving member 305, and the second protrusion 3053 is engaged with the fourth opening 30151 on the sliding member 3018, and a rotating element 3051 is pivotally disposed on the sliding member 3018, wherein the rotating element 3051 is disposed adjacent to the first fixing member 3015 of the housing 301, and the rotating element 3051 is disposed corresponding to the second protrusion 3016 of the housing 301, and the rotating element 3051 is disposed corresponding to the fourth protrusion 2094 of the propulsion member 209. On the other hand, please refer to Fig.12 and Fig.14 Since the second protrusion 3053 is engaged with the fourth opening 30151 on the sliding member 3018, pressing the third button 4021 to link the first fixing member 3015 can cause the second protrusion 3053 to be disengaged from the fourth opening 30151, thereby separating the vascular anastomosis component 30 from the device body 40. Therefore, the vascular anastomosis component 30 is a detachable component (such as Fig.12 as shown).
[0210] In addition, if Fig.18 and Fig. 20As shown, the second operating unit 502 includes a second gripping element 5021, a second elastic element 5022, a fifth fixing element 5023, two third elastic elements 5024 and a fourth driving element 5025. The second gripping element 5021 has a fifth through hole 50211, two sixth through holes 50212, two seventh through holes 50213 and two second protrusions 50214. In this embodiment, two ends of the second elastic element 5022 are respectively fixed to the fifth through hole 50211 and the second fixing seat 405 of the device body 40. On the other hand, the second gripping element 5021 is pivoted in the device body 40 by the fifth fixing element 5023 passing through the corresponding two sixth through holes 50212, with the fifth fixing element 5023 as a pivot. The fourth driving member 5025 has a first component 5025a and a second component 5025b, wherein the first component 5025a and the second component 5025b are respectively connected to two different third elastic elements 5024, and a sixth fixing component 50251 is respectively disposed on the first component 5025a and the second component 5025b, and the sixth fixing component 50251 is assembled in the seventh through hole 50213 of the second gripping element 5021. In addition, when the second gripping element 5021 is pressed to the bottom, the two second protrusions 50214 of the second gripping element 5021 can be respectively fixed on the seventh fixing seat 409 of the device body 40, and fixed on the fourth connecting rod 603 of the release assembly 60. In another embodiment of the present disclosure, the two second gripping elements 5021 of the second operating unit 502 can be integrated into one to form a single gripping element to enhance the convenience of operation.
[0211] Furthermore, if Fig.18 and Fig.21As shown, the third operating unit 503 includes a third gripping element 5031, a fourth elastic element 5032, a seventh fixing element 5033, two fifth elastic elements 5034, two fifth tubes 5035, two engaging elements 5036 and two sixth elastic elements 5037. The third gripping element 5031 has an eighth through hole 50311, two ninth through holes 50312, two tenth through holes 50313 and two third protrusions 50315, and two ends of the fourth elastic element 5032 are respectively fixed to the eighth through hole 50311 and the third fixing seat 406 of the device body 40. In addition, the seventh fixing element 5033 passes through the two ninth through holes 50312 on the third gripping element 5031, and the seventh fixing element 5033 is used as a pivot, so that the third gripping element 5031 is pivotally disposed in the device body 40. On the other hand, the fifth tube 5035 and the sixth elastic element 5037 are accommodated in the device body 40, and the fifth tube 5035 is sleeved outside the sixth tube 5038. In this embodiment, the fifth tube 5035 is connected to the sixth tube 5038 through the sixth elastic element 5037, and the sixth tube 5038 is also connected to the fifth elastic element 5034. Furthermore, the sixth tube 5038 is provided with an eighth fixing member 2096, and the eighth fixing member 2096 can be assembled in the tenth through hole 50313 of the third holding element 5031 through the fourth opening 50314. Secondly, the engaging member 5036 has a tenon 50361, and the engaging member 5036 is provided on the fifth tube 5035, and the tenon 50361 is provided corresponding to the displacement control member 401 of the device body 40. When the third gripping element 5031 is pressed to the bottom, the two third protrusions 50315 of the third gripping element 5031 can be respectively fixed to the eighth fixing seat 410 of the device body 40 and fixed to the fourth connecting rod 603 of the release assembly 60. In another embodiment of the present disclosure, the two third gripping elements 5031 of the third operating unit 503 can be integrated into one to form a single gripping element to enhance the convenience of operation.
[0212] like Fig.18 and Fig. 22As shown, the fourth operating unit 504 includes a fourth gripping element 5041, a first gear 5042, a second gear 5043, a third gear 5044, a first linking element 5045, a second linking element 5046, a locking assembly 5047, a seventh elastic element 5048, an eighth elastic element 5049, a ninth fixing member 5050, a fourth gear 5051 and a second locking element 5052. The fourth gripping element 5041 has an eleventh through hole 50411 and a twelfth through hole 50412, and two ends of the eighth elastic element 5049 are respectively fixed to the twelfth through hole 50412 and the fourth fixing seat 407 of the device body 40. On the other hand, the fourth gripping element 5041 is pivotally disposed in the device body 40 by the ninth fixing member 5050 passing through the eleventh through hole 50411 on the fourth gripping element 5041, with the ninth fixing member 5050 as a pivot. In addition, the fourth gripping element 5041 is provided with a toothed structure 50413, and the toothed structure 50413 is meshed with the first gear 5042. In this embodiment, the first gear 5042, the second gear 5043, the third gear 5044 and the fourth gear 5051 are arranged concentrically, and the first linkage element 5045 and the second linkage element 5046 are meshed with the third gear 5044, the first linkage element 5045 is connected to the first connecting member 3041, and the second linkage element 5046 is connected to the first driving member 303 (such as Fig.12 ), and the first linkage element 5045 is also connected to the control assembly 90 via the seventh elastic element 5048. In addition, the control assembly 90 includes a control unit 901. When the fourth gripping element 5041 is pressed to the bottom, the first linkage element 5045 moves along the direction D2, so that the first connecting member 3041 contacts the control unit 901, thereby loosening the first linkage element 5045 from the first connecting member 3041 to facilitate subsequent operations (such as Fig.13 On the other hand, the fourth gear 5051 is disposed in the hollow first gear 5042 and is respectively engaged with the two second locking elements 5052.
[0213] Secondly, if Fig.18 and Fig. 22As shown, the locking assembly 5047 includes a first locking element 50471, an adjusting element 50472, a ninth elastic element 50473 and a fifth fixing seat 50474, wherein the first locking element 50471 is meshed with the second gear 5043, the adjusting element 50472 is connected to the ninth elastic element 50473 and abuts against the first locking element 50471, and the ninth elastic element 50473 is fixed to the sixth fixing seat 408 of the device body 40. On the other hand, the fifth fixing seat 50474 of the locking assembly 5047 is assembled on the third connecting rod 602 of the release assembly 60, and the third connecting rod 602 is provided with a second button 601 and connected with the fourth connecting rod 603. In addition, the fourth connecting rod 603 is provided with a tenth fixing member 604, and the tenth fixing member 604 is pivotally arranged in the device body 40.
[0214] The operating mechanism of the blood vessel jaw unit 10 and the first blood vessel fixing mechanism 20 .
[0215] Figures 1 to 6 The vascular jaw clamp unit 10 and the local first vascular fixing mechanism 20 (such as Figure 7 Schematic diagram of the actuation mechanism.
[0216] like Figure 1 As shown, at this time, the vascular jaw clamp unit 10 and the first vascular fixing mechanism 20 (such as Figure 7 In the unactivated state (as shown in the figure), the first protrusion 2021 of the vascular positioning member 202 is disposed in the first recess 2073 of the vascular expansion member 2072, and the first portion 101 or the second portion 102 of the vascular jaw clamp unit 10 is sleeved outside the vascular positioning member 202.
[0217] like Figure 2 As shown, at this time, the blood vessel 80 is inserted, and the first button 5011 of the first operating unit 501 is operated. The operating mechanism of the first operating unit 501 will be described in detail below (see Fig.18 and Fig.19 As shown in the figure, the vascular positioning member 202 moves along the direction D2, and the first protrusion 2021 of the vascular positioning member 202 disengages from the first recess 2073 of the vascular expansion member 2072, causing the vascular positioning member 202 to slightly open outward and form a gap G between the third end 202a of the vascular positioning member 202 and the vascular support body 2071, so that the blood vessel 80 can be inserted into the vascular support body 2071 and accommodated in the gap G.
[0218] like Figure 3 As shown, at this time, the insertion into the blood vessel 80 is completed, and by operating the first operating unit 501 (such as Fig.18As shown in FIG. 2 ), the blood vessel positioning member 202 moves along the direction D1, and the first protrusion 2021 of the blood vessel positioning member 202 returns to the first concave hole 2073 of the blood vessel expansion member 2072, so that the gap G disappears (as shown in FIG. 2 ). Figure 2 As shown), the third end 202a of the blood vessel positioning member 202 is able to clamp the blood vessel 80.
[0219] like Figure 4 Please refer to Fig.12 At this time, the vascular jaw clamp unit 10 is in an actuated state, and the actuation mechanism of the second operating unit 502 will be described in detail below (eg Fig.18 As shown in FIG. 1 ), the vascular jaw clamp unit 10 moves along the direction D1 from the position originally set outside the vascular positioning member 202 (as shown in FIG. 1 ). Figure 3 As shown in the figure, the anastomotic ring 104 is moved to a position where it is sheathed outside the blood vessel 80, so as to facilitate the subsequent fixation of the blood vessel to the blood vessel anastomosis ring 104.
[0220] like Figure 5 Please refer to Figure 6 to Figure 7 At this time, the blood vessel 80 is in a state of being folded outwards, and the third operating unit 503 is operated. The operating mechanism of the third operating unit 503 will be described in detail below (eg Fig.18 As shown in FIG. 2 ), the blood vessel expansion member 2072 linked with the third tube 210 moves along the direction D1. Since the blood vessel expansion member 2072 is pivoted on the blood vessel support body 2071, the blood vessel expansion member 2072 can be folded outward after pivoting, so that the blood vessel 80 attached to the blood vessel expansion member 2072 is folded outward. In addition, since the blood vessel expansion member 2072 and the blood vessel positioning member 202 move synchronously along the direction D1 by a distance a, the first protrusion 2021 is still engaged with the first concave hole 2073, and the blood vessel 80 is firmly clamped.
[0221] like Figure 6 Please refer to Figure 1 At this time, the blood vessel 80 is fixed to the blood vessel anastomosis ring 104. By continuously operating the third operating unit 503 (such as Fig.18 As shown), the vascular expansion member 2072 is pivoted by the rotating shaft 2075 and moved along the direction D1 by a distance b to fix the blood vessel 80 on the vascular anastomosis ring 104, thereby completing the vascular anastomosis step.
[0222] The operating mechanism of the first blood vessel fixing mechanism 20 .
[0223] Figures 8 to 11 The first blood vessel fixing mechanism 20 (eg Figure 7 Schematic diagram of the driving mechanism).
[0224] like Figure 8As shown, at this time, the first blood vessel fixing mechanism 20 is in an inactive state (eg Figure 7 shown), and Figure 1 Correspondingly, the guide rod 2101 is assembled in the first guide rail 2012, and the cross bar 2051 is assembled in the first through hole 2081 and protrudes from the first opening 2011. Here, the guide rod 2101 and the cross bar 2051 are located at the first position S1.
[0225] like Fig. 9 Please refer to Figures 7 and 8 , at this time, it is in the state of being inserted into the blood vessel 80, and Figure 2 Correspondingly. By operating the first operating unit 501 (such as Fig.18 As shown in FIG. 2 ), the pusher 209 moves along the direction D2, and the first tube 201 linked with the pusher 209 moves synchronously along the direction D2. In addition, since the third tube 210 and the fourth tube 208 can move relative to the first tube 201, the guide rod 2101 and the cross bar 2051 move to the second position S2. Fig. 9 and Fig.19 As shown, since the first button 5011 is connected to the first elastic element 5012, when the first button 5011 is not operated, the first elastic element 5012 can provide elastic force to make the guide rod 2101 and the cross bar 2051 return to the first position S1, so that the blood vessel positioning member 202 clamps the blood vessel 80. Figure 3 In more detail, by operating the first button 5011 , the guide rod 2101 and the cross bar 2051 can move back and forth between the first position S1 and the second position S2 .
[0226] like Fig.10 Please refer to Figure 5 and Figure 7 At this time, the blood vessel 80 is folded outwards. Figure 5 By operating the third operating unit 503 (such as Fig.18 As shown in FIG. 2 ), the third tube 208 moves in the direction D1, thereby causing the crossbar 2051 to rotate along the first through hole 2081, so that the guide rod 2101 and the crossbar 2051 move from the first position S1 to the third position S3. When the third tube 208 continues to move in the direction D1, the crossbar 2051 moves a distance a (as shown in FIG. 2 ) along the direction D1. Figure 6 As shown in FIG. 2 ), the guide rod 2101 is engaged with the first guide rail 2012 and simultaneously pushes the first pipe 201 to move a distance a along the direction D1 (as shown in FIG. 2 ). Figure 6 As shown), and then moves from the third position S3 to the fourth position S4.
[0227] like Fig.11 Please refer to Figure 4 , Figure 7 , Fig.17 and Fig.18 At this time, the blood vessel 80 is fixed to the blood vessel anastomosis ring 104, and Figure 6 Correspondingly, by continuously operating the third operating unit 503, the third tube 208 continuously moves along the direction D1, so that the guide rod 2101 and the cross bar 2051 move from the fourth position S4 to the fifth position S5, and then to the sixth position S6, so as to fix the blood vessel 80 on the blood vessel anastomosis ring 104. On the other hand, by pressing the fourth operating unit 504, the first linkage element 5045 and the first connecting member 304 move along the direction D2, and the second tube 205 in the blood vessel 80 moves synchronously along the direction D2, and the guide rod 2101 and the cross bar 2051 can be moved from the sixth position S6 to the seventh position S7.
[0228] The actuation mechanism of the vascular anastomosis component 30.
[0229] Figures 13 to 17 FIG. 4 is a schematic diagram of the actuation mechanism of the vascular anastomosis assembly 30 according to an embodiment of the present disclosure.
[0230] like Fig.13 As shown, at this time, the vascular anastomosis assembly 30 is in an unactivated state. Figure 1 and Figure 8 Correspondingly, the crossbar 2051 assembled in the second guide rail 3013 is located at the first position, and the first linkage element 5045 is assembled on the first connecting member 3041 .
[0231] like Fig.14 Please refer to Fig.12 , at this time, it is in the state of being inserted into the blood vessel 80, and Figure 2 and Fig. 9 Correspondingly. By operating the first operating unit 501 (such as Fig.18 As shown in FIG. 1 ), the third driving member 305 moves along the direction D2, and the rotating element 3051 on the sliding member 3018 that is buckled by the third driving member 305 contacts the second protrusion 3016 on the housing 301 (as shown in FIG. 1 ). Fig.12 As shown in FIG. 2 , the rotating element 3051 is pivoted to engage with the fourth protrusion 2094 , thereby linking the third driving member 305 and the propulsion member 209 to move along the direction D2 , thereby completing the step of inserting the blood vessel 80 .
[0232] like Fig.15 Please refer to Fig.12 , which is the state of the vascular jaw clamp unit 10 being in motion, and Figure 4 By operating the second operating unit 502 (such as Fig.18As shown in FIG. 3 ), the fourth driving member 5025 moves along the direction D1 and pushes the base 302. In addition, since the first protrusion 3021 disposed on the base 302 is linked with the third protrusion 3031, the first driving member 303 is also synchronously moved along the direction D1 to move the vascular jaw unit 10 to a position.
[0233] like Fig.16 Please refer to Figure 4 At this time, the blood vessel 80 is fixed to the blood vessel anastomosis ring 104, and Figure 6 and Fig.11 By operating the third operating unit 503 (such as Fig.18 As shown in FIG. 1 , the pusher 209 moves along the direction D1, so that the cross bar 2051 assembled in the second guide rail 3013 moves to the sixth position S6 and fixes the blood vessel 80 on the blood vessel anastomosis ring 104.
[0234] like Fig.17 Please refer to Fig.12 At this time, the fixed blood vessel 80 is in anastomosis state, and by operating the fourth operating unit 504 (such as Fig.18 As shown in FIG. 1 ), the first linkage element 5045 moves along the direction D2, and the second driving element 304 is linked by the first connecting member 3041, so that the second tube 205 located in the blood vessel and the first tube 201 move along the direction D2 and away from the blood vessel anastomosis ring 104 (as shown in FIG. 1 ). Figure 7 ), so that the crossbar 2051 reaches the seventh position S7; and at the same time, the first driving member 303 moves along the direction D1. Since the first part 101 and the second part 102 of the vascular jaw clamp unit 10 correspond to the clamping positioning unit 3022, the vascular jaw clamp unit 10 pivots with the pivot 103 as the pivot, and the first part 101 and the second part 102 are clamped toward each other and disposed in the recess 3023 of the base 302, thereby completing the step of anastomosis of the blood vessel 80. In this embodiment, the anastomosed blood vessel 80 can be separated from the vascular anastomosis assembly 30 from above the recess 3023.
[0235] The actuation mechanism of the operating assembly 50 and the releasing assembly 60.
[0236] Fig.19 FIG. 5 is a perspective view of a first operating unit 501 according to an embodiment of the present disclosure.
[0237] Fig. 20 FIG. 5 is a perspective view of a second operating unit 502 according to an embodiment of the present disclosure.
[0238] Fig.21 FIG. 5 is a perspective view of a third operating unit 503 according to an embodiment of the present disclosure.
[0239] Fig. 22 FIG. 5 is a perspective view of a fourth operating unit 504 according to an embodiment of the present disclosure.
[0240] like Fig.19 As shown, by operating the first button 5011, the first button 5011 is moved along the direction D2 and the first elastic element 5012 is compressed, and the fourth through hole 50143 is used as a pivot, and the third fixing member 50131 and the second connecting rod 5014 assembled in the second through hole 50141 are linked to the fourth fixing member 3052 assembled in the third through hole 50142, so that the fourth fixing member 3052 and the third driving member 305 are synchronously moved along the direction D2, so as to be inserted into the blood vessel 80 (as shown in FIG. Figure 2 , Fig. 9 and Fig.14 When the first button 5011 is not operated, the first elastic element 5012 provides elastic force to move the third driving member 305 and the first button 5011 along the direction D1, thereby clamping the blood vessel 80 (as shown in FIG. Figure 2 as shown).
[0241] like Fig. 20 As shown, by operating the second gripping element 5021, the second gripping element 5021 is moved along the direction D2, and the fifth fixing member 5023 assembled in the sixth through hole 50212 is used as a pivot, and the fourth driving member 5025 is linked to move along the direction D1 through the sixth fixing member 50251 assembled in the seventh through hole 50213, and the fourth driving member 5025 is connected to the base 302 (as shown in FIG. Fig.15 As shown), the vascular anastomosis ring 104 can be moved along the direction D1 to a position (as shown Figure 4 In addition, in this embodiment, while operating the second gripping element 5021, the third gripping element 5031 is simultaneously slowly moved closer to the handle (as shown in FIG. Fig.21 to facilitate subsequent operations.
[0242] like Fig.21 As shown, the third holding element 5031 is operated to move the third holding element 5031 along the direction D2, and the seventh fixing member 5033 assembled in the ninth through hole 50312 is used as a pivot, so that the eighth fixing member 2096 enters the tenth through hole 50313 from the fourth opening 50314, thereby linking the sixth tube 5038 to move along the direction D1. Since the sixth tube 5038 is connected to the pusher 209, the pusher 209 moves along the direction D1, so that the blood vessel 80 is fixed to the blood vessel anastomosis ring 104 (as shown in FIG. Figure 5In addition, when the third gripping element 5031 is operated, since the pusher 209 continues to move along the direction D1, the engaging element 5036 will contact the displacement control element 401, and the engaging element 5036 will flip and release the tenon 50361, so that the fifth tube 5035 is not linked to the pusher 209, thereby allowing the fourth gripping element 5041 to be operated continuously (as shown in FIG. Fig. 22 On the other hand, when replacing the vascular anastomosis assembly 30 (as shown in Fig.12 As shown in FIG. 1 , the sixth elastic element 5037 resets the third gripping element 5031 and returns the tenon 50361 to its original position. In addition, in this embodiment, while operating the third gripping element 5031, the fourth gripping element 5041 is simultaneously slowly moved closer to the handle (as shown in FIG. 1 ). Fig. 22 to facilitate subsequent operations.
[0243] like Fig. 22 As shown, the fourth holding element 5041 is operated to move along the direction D2, and the ninth fixing member 5050 assembled in the eleventh through hole 50411 is rotated as a pivot, so that the tooth structure 50413 on the fourth holding element 5041 is engaged with the first gear 5042, and the tooth structure 50413 moves along the direction D1 (if observed from the perspective of the figure, it is a clockwise rotation), which links the first gear 5042, the second gear 5043, the third gear 5044 and the fourth gear 5051 to rotate synchronously along the direction D2 (if observed from the perspective of the figure, it is a counterclockwise rotation), thereby driving the first linkage element 5045 to move along the direction D2, and driving the second linkage element 5046 to move along the direction D1, so as to achieve the purpose of anastomosis of the blood vessel 80. Since the fourth gripping element 5041 needs to be actuated back and forth multiple times, when the fourth gripping element 5041 moves along the direction D2 (i.e., when the fourth gripping element 5041 is operated), the first gear 5042 can rotate; and when the fourth gripping element 5041 moves along the direction D1 (i.e., when the fourth gripping element 5041 is released), the first gear 5042 does not rotate. In addition, since the first locking element 50471 is meshed with the second gear 5043, and the fourth gear 5051 is meshed with the second locking element 5052, when the release assembly 60 is not operated, the first gear 5042, the second gear 5043, and the third gear 5044 are only allowed to rotate in one direction, so that the fourth gripping element 5041 can be actuated back and forth multiple times, so that the two vascular anastomosis rings 104 can be slowly combined under visual observation to complete the anastomosis of the blood vessels 80 (such as Fig.17 The fourth gripping element 5041 is pressed to the bottom, thereby loosening the first linkage element 5045 and the first connecting member 3041. After the anastomosed blood vessel 80 is visually separated from the vascular anastomosis assembly 30 from above the recess 3023, the vascular anastomosis assembly 30 can be removed by pressing the third button 4021 (as shown). Fig.12). When operating the release assembly 60, by pressing the second button 601, the fifth fixing seat 50474 moves upward, and the adjustment element 50472 can move upward, so that the first locking element 50471 is loosened and does not mesh with the second gear 5043, allowing the first gear 5042, the second gear 5043 and the third gear 5044 to be restored to the state before the fourth gripping element 5041 is not operated, and the second gripping element 5021, the third gripping element 5031 and the fourth gripping element 5041 are released to reset. Therefore, the first linking element 5045 and the second linking element 5046 connected to the seventh elastic element 5048 and the eighth elastic element 5049 are restored to the state before the fourth gripping element 5041 is not operated, and a new blood vessel anastomosis assembly 30 can be connected to anastomose another blood vessel.
[0244] In summary, by using the vascular anastomosis device disclosed in the present invention, the fixation effect of vascular anastomosis can be effectively improved, the operation time can be shortened, the convenience can be improved, or the connection can be performed through simple steps, which has the effect of reducing the burden on surgeons or reducing additional risks of surgery.
[0245] Although the present disclosure has been described through a number of embodiments, it should be understood that many other possible modifications and variations may be made without departing from the spirit of the present disclosure and the scope of the claims.
Claims
1. A vascular anastomosis device, comprising: A vascular jaw clamp unit is provided with a vascular anastomosis ring; A first blood vessel fixing mechanism, wherein the blood vessel anastomosis ring is sleeved on the first blood vessel fixing mechanism, and the first blood vessel fixing mechanism comprises: A first pipe having a first end and a second end, wherein the first end is opposite to the second end, and a first opening and a first guide rail are disposed on the first pipe; a blood vessel positioning member connected to the first end of the first tube; a second pipe member, received in the first pipe member; a blood vessel support unit, which is assembled on the second tube and disposed adjacent to a third end of the blood vessel positioning member, and the third end is opposite to the first end of the first tube, wherein the blood vessel support unit includes a blood vessel support body and a blood vessel expansion member, and the blood vessel expansion member is pivotally mounted on the blood vessel support body; a pushing member, accommodated in the first tube, wherein the pushing member is disposed adjacent to the second end of the first tube; and A third pipe is contained in the pushing member and is provided with a cross bar and a guide rod, wherein the cross bar is provided corresponding to the first opening of the first pipe, and the guide rod is provided corresponding to the first guide rail.
2. The vascular anastomosis device according to claim 1, wherein the vascular positioning member is provided with a first protrusion at the third end, the vascular expansion member is provided with a first recessed hole, and the first recessed hole is provided correspondingly to the first protrusion.
3. The vascular anastomosis device according to claim 1, wherein the vascular jaw clamp unit includes a first part and a second part, the first part and the second part are pivotally connected by a pivot member, the vascular anastomosis ring is arranged on the first part, and another vascular anastomosis ring is arranged on the second part.
4. The vascular anastomosis device according to claim 3, further comprising another first vascular fixing mechanism, wherein the another vascular anastomosis ring is sleeved on the another first vascular fixing mechanism.
5. The vascular anastomosis device according to claim 1, wherein the first vascular fixing mechanism further comprises: A fourth pipe member is provided with a first through hole, and the cross bar assembly is arranged in the first through hole of the fourth pipe member and protrudes from the first opening of the first pipe member.
6. The vascular anastomosis device according to claim 1, further comprising: A shell, wherein the blood vessel jaw clamp unit and the first blood vessel fixing mechanism are accommodated in the shell.
7. The vascular anastomosis device according to claim 6, wherein the shell is provided with a second guide rail, and the second guide rail is arranged corresponding to the cross bar.
8. The vascular anastomosis device according to claim 6, wherein the housing is provided with a third guide rail, a first protrusion is provided on the first tube, and the third guide rail is provided corresponding to the first protrusion.
9. The vascular anastomosis device according to claim 8, further comprising: A base is accommodated in the shell and is provided with a clamping and positioning unit, wherein the blood vessel jaw clamp unit is correspondingly arranged with the clamping and positioning unit.
10. The vascular anastomosis device according to claim 9, wherein the vascular jaw clamp unit includes a first part and a second part, the first part and the second part are pivotally connected by a pivot member, and the clamping positioning unit includes a recess, and when the first part and the second part are clamped, the first part and the second part are accommodated in the recess.
11. The vascular anastomosis device according to claim 9, further comprising: A first driving member is disposed on the base, wherein the blood vessel jaw clamp unit is pivotally disposed on the first driving member. 12 . The blood vessel anastomosis device according to claim 11 , wherein the first driving member is provided with a third protrusion, and the third protrusion is arranged corresponding to a first protrusion of the base.
13. The vascular anastomosis device according to claim 1, further comprising: A second driving member is assembled in a sliding groove of the pushing member.
14. The vascular anastomosis device according to claim 1, further comprising: A third driving member is provided with a second protrusion, the second protrusion is correspondingly arranged with a sliding member, and the sliding member is pivotally provided with a rotating element, wherein the rotating element is correspondingly arranged with a fourth protrusion of the pushing member.
15. The vascular anastomosis device according to claim 6, further comprising: A device body, wherein the shell includes a first fixing member and is assembled in the device body through the first fixing member.
16. The vascular anastomosis device according to claim 15, further comprising: A fifth pipe is accommodated in the device body, wherein the fifth pipe is provided with a locking piece.
17. The vascular anastomosis device according to claim 16, further comprising: A displacement control component is accommodated in the device body, wherein the displacement control component is correspondingly arranged with the engaging component.