Electric tube type anastomat with multi-dimensional three-dimensional grasping structure
The electric tubular stapler with a multi-dimensional three-dimensional grasping structure addresses manual operation challenges by providing precise control over cutting and suturing, reducing tissue damage and improving surgical precision in digestive tract surgeries.
Patent Information
- Application Number
- CN202420689980.X
- Authority / Receiving Office
- CN · China
- Patent Type
- Utility models(China)
- Current Assignee / Owner
- Filing Date
- 2024-04-03
- Publication Date
- 2024-12-24
- Estimated Expiration
- 2034-04-03
AI Technical Summary
Current tubular staplers used in digestive tract surgeries face challenges in accurately controlling holding time, leading to hand fatigue, operational errors, and potential tissue necrosis due to manual operation, affecting the stability and neatness of the surgical process.
An electric tubular stapler with a multi-dimensional three-dimensional grasping structure, featuring a curved connection assembly with intersecting axes, a driving motor, and a firing assembly, which allows for precise control of cutting and suturing operations, reducing tissue damage and improving surgical precision.
The electric stapler ensures consistent cutting speed and nail pushing speed, minimizing tissue damage and improving the neatness of cuts and sutures, enhancing surgical stability and reducing the risk of tissue necrosis.
Smart Images

Figure CN222217879U_ABST
Abstract
Description
Technical Field
[0001] The utility model relates to an electric tubular stapler with a multi-dimensional three-dimensional grasping structure. Background Art
[0002] The current tubular stapler is used for end-to-end, end-to-side, and side-to-side anastomosis of the digestive tract during reconstruction surgeries of the esophagus, stomach, intestine, etc. Since the firing is mainly achieved by manually operating the firing handle during use, it is difficult to accurately control the holding time, and hand fatigue and even operational errors may easily occur during the strong holding process, resulting in poor stability of the instrument during operation. Before cutting and suturing, the instrument needs to press the digestive tract tissue, which may easily cause digestive tract tissue necrosis and is not conducive to wound healing. Utility Model Content
[0003] According to one aspect of the utility model, there is provided an electric tubular stapler with a multi-dimensional three-dimensional grasping structure, comprising:
[0004] Support frame;
[0005] A kiss-cutting assembly, mounted on the support frame;
[0006] A curved connection assembly, a screw rod rotatably connected to the support frame, and an anvil assembly arranged relative to the kiss cutting assembly, wherein the curved connection assembly is respectively connected to the screw rod and the anvil assembly so that the axes of the screw rod and the anvil assembly intersect, and as the screw rod rotates, the anvil assembly can move between a clamping position and a releasing position so as to cooperate with the kiss cutting assembly to clamp and release the digestive tract tissue, a three-dimensional grasping structure for accommodating the digestive tract tissue is arranged between the kiss cutting assembly and the anvil assembly, and the kiss cutting assembly and the anvil assembly are detachably connected;
[0007] A driving motor and a firing assembly, wherein the driving motor is used to control the action of the kiss cutting assembly, and the firing assembly is used to control the start and stop of the driving motor.
[0008] The utility model has an electric tubular stapler with a multi-dimensional three-dimensional gripping structure. By setting a curved connection component, the axes of the screw and the anvil assembly intersect, so that the curvature of the curved connection component can be adapted to the digestive tract such as the esophagus, stomach, intestine, etc., so that the anvil assembly and the anastomosis component can effectively enter the digestive tract; the relative positions of the anastomosis component and the anvil assembly on the support frame are adjusted by rotating the screw on the support frame, so that the digestive tract tissue can enter the three-dimensional gripping structure between the anastomosis component and the anvil assembly and clamp the digestive tract tissue, so that the anastomosis component and the anvil assembly cooperate to cut and suture the digestive tract tissue. A driving motor is used to provide the kinetic energy required for the anastomosis component to work, and the start and stop of the driving motor is controlled by the firing component, so that when cutting the digestive tract tissue, the cutting speed can be kept constant, which is conducive to improving the neatness of the cut digestive tract tissue surface. When suturing the digestive tract tissue, the nail pushing speed is kept constant, which can avoid the phenomenon of poor nail shape.
[0009] In some embodiments, the three-dimensional grasping structure includes a nail outlet and a digestive tract tissue accommodating groove, the nail outlet is formed on the anastomosis component, and the digestive tract tissue accommodating groove is formed between the anastomosis component and the nail support component.
[0010] In some embodiments, the digestive tract tissue accommodating groove is formed by a depression from the end surface of the anvil assembly facing the anastomosis assembly toward the end surface of the anvil assembly facing away from the anastomosis assembly.
[0011] In some embodiments, the nail outlet is formed with two nail outlets around the circumferential direction of the anastomosis assembly, and the nail outlets are staggered.
[0012] In some embodiments, the curved connection assembly includes a pull tab portion and a connecting rod portion, the pull tab portion is respectively connected to the screw rod and the anvil seat assembly so that the axes of the screw rod and the anvil seat assembly intersect, and the connecting rod portion is sleeved on the pull tab portion.
[0013] In some embodiments, the curved connection assembly further comprises a curved pipe, which is sleeved on the connecting rod portion and respectively connected to the kiss-cutting assembly and the support frame.
[0014] In some embodiments, the curved connection component is made of a flexible bendable material.
[0015] In some embodiments, a spring clip is provided on the anvil assembly, and the curved connection assembly is provided with a kiss-cut assembly through a guide shaft. The spring clip can clamp the guide shaft to make the anvil assembly detachably connected to the screw rod.
[0016] In some embodiments, a protective cover is further included, and when the dowel assembly moves to the clamping position, the protective cover can be clamped between the dowel assembly and the kiss-cut assembly.
[0017] In some embodiments, a puncture device is detachably mounted on the protective cover. BRIEF DESCRIPTION OF THE DRAWINGS
[0018] Figure 1 A three-dimensional diagram of the electric tubular stapler with a multi-dimensional three-dimensional grasping structure in the utility model;
[0019] Figure 2 It is a partial exploded view of the housing in the utility model;
[0020] Figure 3 An exploded view of the electric tubular stapler with a multi-dimensional three-dimensional grasping structure in the utility model;
[0021] Figure 4 It is a cross-sectional view of the electric tubular stapler with a multi-dimensional three-dimensional grasping structure in the utility model;
[0022] Figure 5 It is a partial schematic diagram of the nail support assembly in the utility model when it is in the released position;
[0023] Figure 6 It is a partial schematic diagram of the nail support assembly in the present invention when it is in the clamping position;
[0024] Figure 7 This is a schematic diagram of the structure when the spring clip and the guide shaft are not connected in the utility model;
[0025] Figure 8 It is a structural schematic diagram of the utility model when the spring clip and the guide shaft are connected.
[0026] In the figure: 1. left support frame; 2. right support frame; 3. compression spring; 4. adjustment nut; 5. adjustment nut cover; 6. fastening ring; 7. adjustment nut pin; 8. firing trigger; 9. firing trigger connecting rod; 10. firing trigger torsion spring; 11. trigger groove pin; 12. safety trigger; 13. safety groove pin; 14. safety trigger connecting rod; 15. indicator needle; 16. motor stop safety; 17. indicator needle paddle; 18. motor output cam; 19. support shaft sleeve; 20. lever pin; 21. lever; 22. firing connecting rod; 23. firing connecting rod sliding pin; 24. small plate assembly; 25. guide shaft; 26. adjustment block; 2 7. Screw; 28. Bend pipe; 29. Long connecting rod; 30. Short connecting rod; 31. Screw; 32. First pull tab; 33. Second pull tab; 34. Screw slot pin; 35. Screw; 36. Knife washer; 37. Nail magazine sleeve; 38. Nail magazine; 39. Ring knife push nail piece assembly; 40. Nail anvil; 41. Nail anvil cover cap; 42. Reed tube; 43. Guide shaft slot pin; 44. Protective cover; 45. Puncturer; 46. Protective cover; 47. Left outer shell; 48. Drive motor; 49. Battery pack; 50. Right outer shell; 51. Display window; 52. Display window; 53. Digestive tract tissue; 54. Nail outlet; 55. Clamp hole. DETAILED DESCRIPTION
[0027] The utility model is further described in detail below in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments of the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.
[0028] It should be noted that the terms "first", "second", etc. are only used for descriptive purposes and cannot be understood as indicating or implying relative importance or implicitly indicating the number of the indicated technical features. Therefore, the features defined as "first" or "second" may explicitly or implicitly include at least one of the features. In the description of the present utility model, the meaning of "plurality" is at least two, such as two, three, etc., unless otherwise clearly and specifically defined.
[0029] In the present invention, unless otherwise clearly specified and limited, the terms "installation", "connection", "fixation" and the like should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection, an electrical connection, or communication with each other; it can be a direct connection, or an indirect connection through an intermediate medium, it can be the internal connection of two elements or the interaction relationship between two elements, unless otherwise clearly defined. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
[0030] In the present utility model, unless otherwise clearly specified and limited, a first feature being "above" or "below" a second feature may mean that the first and second features are in direct contact, or the first and second features are in indirect contact through an intermediate medium. Moreover, a first feature being "above", "above" or "above" a second feature may mean that the first feature is directly above or obliquely above the second feature, or simply means that the first feature is higher in level than the second feature. A first feature being "below", "below" or "below" a second feature may mean that the first feature is directly below or obliquely below the second feature, or simply means that the first feature is lower in level than the second feature.
[0031] In this specification, the schematic representations of the above terms do not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described can be combined in any one or more embodiments or examples in a suitable manner. In addition, those skilled in the art can combine and combine different embodiments or examples described in this specification and the features of different embodiments or examples without contradiction.
[0032] Please refer to Figure 1-4 The present embodiment provides an electric tubular stapler with a multi-dimensional stereoscopic gripping structure, preferably a disposable electric tubular stapler with a multi-dimensional stereoscopic gripping structure, which is particularly suitable for clinical surgery that is disposable and does not require re-sterilization. The electric tubular stapler comprises a housing, a support frame, a kissing assembly, a curved connection assembly, a screw 31, an anvil assembly, a drive motor 48, a firing assembly, an adjustment nut 4, a protective cover 46 and a battery pack 49. The housing is coated on the outside of the support frame to effectively protect the support frame. The kissing assembly is mounted on one end of the support frame. The screw 31 passes through the kissing assembly and is connected to the anvil assembly through the curved connection assembly so that the anvil assembly and the kissing assembly are arranged opposite to each other and can be detached. The drive motor 48 is used to drive the kissing assembly to cut and sew. The firing assembly is used to control the start and stop of the drive motor 48. The battery pack 49 is used to provide the working power of the drive motor 48. The adjustment nut 4 drives the screw 31 to rotate on the support frame so that the anvil assembly moves toward or away from the kissing assembly and can move between the clamping position and the release position.
[0033] Please refer to Figure 2 , 36. The anastomosis assembly is installed on the support frame and can cut the digestive tract tissue 53. The outer shell is provided with an installation cavity, the end of the installation cavity passes through the end surface of the outer shell and a installation port is formed on the end surface of the outer shell. The support frame is installed in the installation cavity, and the anastomosis assembly is passed to the outside of the installation port, so as to effectively cut and suture the digestive tract tissue 53. Specifically, the support frame includes a left support frame 1 and a right support frame 2. The left support frame 1 and the right support frame 2 are assembled into a whole to support the anastomosis assembly, and a small plate assembly 24 is arranged on the support frame. The outer shell includes a left outer shell 47 and a right outer shell 50. The left outer shell 47 has a left handle, and the right outer shell 50 has a right handle. When the left outer shell 47 and the right outer shell 50 are assembled, the left handle and the right handle are assembled into a handle portion.
[0034] Please refer to Figure 1-6 The screw 31 can rotate on the support frame, the anvil seat assembly is arranged relative to the kiss-cutting assembly, and the bent connection assembly is respectively connected to the screw 31 and the anvil seat assembly so that the axes of the screw 31 and the anvil seat assembly intersect. As the screw 31 rotates, the anvil seat assembly can move between the clamping position and the release position so as to cooperate with the kiss-cutting assembly to clamp and release the digestive tract tissue 53. A three-dimensional grasping structure (multi-dimensional three-dimensional grasping structure) for accommodating the digestive tract tissue 53 is arranged between the kiss-cutting assembly and the anvil seat assembly, and the kiss-cutting assembly and the anvil seat assembly are detachably connected. Therefore, by setting a curved connection assembly and making the axes of the screw 31 and the anvil assembly intersect, the curvature of the curved connection assembly can be adapted to the digestive tract such as the esophagus, stomach, and intestines, so that the anvil assembly and the staple assembly can effectively enter the digestive tract; by rotating the screw 31 on the support frame, the relative positions of the staple assembly and the anvil assembly on the support frame are adjusted, so that the digestive tract tissue 53 can enter the three-dimensional grasping structure between the anvil assembly and the staple assembly and clamp the digestive tract tissue 53, and then the anvil assembly and the staple assembly cooperate to cut and suture the digestive tract tissue 53.
[0035] Please refer to Figure 1-6 The stapler also includes an adjusting nut 4, which is used to enable the screw 31 to rotate on the support frame and move the anvil assembly between the clamping position and the release position, so that the rotation of the adjusting nut 4 on the support frame can drive the screw 31 to rotate and provide power for the movement of the anvil assembly. Specifically, a compression spring 3 is arranged between the adjusting nut 4 and the support frame. When the adjusting nut 4 rotates counterclockwise on the support frame, the compression spring 3 is compressed, and the screw 31 drives the anvil assembly to move away from the anastomosis assembly, thereby enabling the anvil assembly to move to the release position; when the adjusting nut 4 rotates clockwise on the support frame, the compression spring 3 is stretched, and the screw 31 drives the anvil assembly to move toward the anastomosis assembly, thereby enabling the anvil assembly to move to the clamping position and clamp the digestive tract tissue 53 in the three-dimensional grasping structure.
[0036] Please refer to Figure 1-4 An adjusting nut cover 5 is provided on the end of the adjusting nut 4 away from the screw rod 31 , one end of the compression spring 3 is connected to the adjusting nut 4 through a fastening ring 6 , and the screw rod 31 is locked on the adjusting nut 4 through an adjusting nut pin 7 .
[0037] Please refer to Figure 3-4 The driving motor 48 is used to control the action of the anastomosis assembly, and the firing assembly is used to control the start and stop of the driving motor 48. The driving motor 48 is used to provide the kinetic energy required for the operation of the anastomosis assembly, and the firing assembly is used to control the start and stop of the driving motor 48, so that when the digestive tract tissue 53 is cut, the cutting speed can be kept constant, which is conducive to improving the neatness of the surface of the cut digestive tract tissue 53. When the digestive tract tissue 53 is sutured, the nail pushing speed is kept constant, which can avoid the phenomenon of poor nail shape.
[0038] Please refer to Figure 3-4 The firing assembly includes a firing trigger 8, a firing trigger connecting rod 9, a firing trigger torsion spring 10 and a firing connecting rod 22. The firing trigger 8 can rotate on the support frame. The firing trigger 8 is provided with a mounting groove for installing the firing trigger torsion spring 10. The firing trigger torsion spring 10 is installed on the mounting groove through a trigger groove pin 11. The two ends of the firing trigger torsion spring 10 are respectively connected to the firing trigger 8 and the firing trigger connecting rod 9. The firing connecting rod 22 slides horizontally on the support frame through the firing connecting rod sliding pin 23. The rotation of the firing trigger 8 can drive the firing connecting rod 22 to slide horizontally on the support frame. The adjusting block 26 is installed on the screw rod 31 through a screw 35, and the adjusting block 26 is connected to the firing connecting rod 22 in transmission.
[0039] Please refer to Figure 5-6 The three-dimensional grasping structure includes a nail outlet 54 and a digestive tract tissue accommodating groove. The nail outlet 54 is formed on the anastomosis assembly, and the digestive tract tissue accommodating groove is formed between the anastomosis assembly and the anvil assembly. In this way, when the anvil assembly moves to the clamping position, the digestive tract tissue 53 can enter the digestive tract tissue accommodating groove and clamp the digestive tract tissue 53. The staples in the anastomosis assembly are pushed out of the nail outlet 54 to cut and suture the digestive tract tissue 53 in the digestive tract tissue accommodating groove. The three-dimensional grasping structure adopts 3D three-dimensional grasping technology, so that the digestive tract tissue 53 to be sutured is in a wavy state, and the digestive tract tissue 53 is not tight, thereby reducing the damage to the digestive tract tissue 53. Specifically, the digestive tract tissue accommodating groove is formed by the end surface of the anvil assembly facing the suturing assembly being recessed toward the end surface of the anvil assembly facing away from the suturing assembly, even if the nail outlet 54 and the digestive tract tissue accommodating groove are respectively formed on the suturing assembly and the anvil assembly, the structures of the anvil assembly and the anvil assembly are reasonably utilized, and more accommodation space is provided for the digestive tract tissue 53, which is conducive to better reducing the damage to the digestive tract tissue 53. More specifically, the nail outlet 54 is preferably an elliptical hole, which is conducive to improving the nail outlet efficiency and suturing effect.
[0040] Please refer to Figure 3-4 The anastomosis assembly includes a staple magazine sleeve 37, a staple magazine 38 and an annular knife pushing staple piece assembly 39. The three-dimensional grasping structure is arranged between the staple magazine 38 and the staple support assembly. The staple magazine sleeve 37 has a receiving cavity for receiving staples. The staple magazine 38 is connected to the staple magazine sleeve 37 to cover the receiving cavity and connect the three-dimensional grasping structure with the receiving cavity. The driving motor 48 is used to drive the action of the annular knife pushing staple piece assembly 39. In this way, the screw rod 31 passes through the staple magazine 38 and the staple magazine sleeve 37 and is connected to the staple support assembly. By rotating the firing trigger 8, the driving motor 48 drives the firing connecting rod 22 to drive the annular knife pushing staple piece assembly 39 to slide on the support frame to push the annular knife and the staples out, thereby completing the effective cutting and suturing of the digestive tract tissue 53.
[0041] Please refer to Figure 3-4 The nail magazine 38 and the nail magazine sleeve 37 are detachably connected. Preferably, the nail magazine 38 and the nail magazine sleeve 37 are clamped together. A clamping block is provided on the nail magazine 38, and a clamping hole 55 is provided on the nail magazine sleeve 37. When the nail magazine 38 is installed on the nail magazine sleeve 37, the clamping block is clamped with the clamping hole 55, thereby realizing the effective connection between the nail magazine 38 and the nail magazine sleeve 37. In another embodiment, the clamping block is provided on the nail magazine sleeve 37, and the clamping hole 55 is provided on the nail magazine 38.
[0042] Please refer to Figure 3 The anvil seat assembly includes an anvil seat 40 and an anvil seat cover cap 41, the washer ring 36 is installed on the anvil seat 40, a retaining spring tube 42 is provided on the anvil seat 40, and the anvil seat cover cap 41 is covered on one end of the anvil seat 40 away from the retaining spring tube 42.
[0043] Please refer to Figure 5 , the staple outlets 54 are formed with two rows of staple outlets 54 around the circumferential direction of the anastomosis assembly, and the staple outlets 54 are arranged staggered. That is, the staple outlets 54 are formed on the staple magazine 38, and are arranged in two rows around the circumferential direction of the staple magazine 38, and the staple outlets 54 are arranged staggered. The digestive tract tissue accommodating groove is formed on the side of the staple support 40 facing the staple magazine 38, so that the staples can be inserted and removed from the digestive tract tissue 53, forming two rows of staggered staples arranged in a circular manner, and the inner digestive tract tissue 53 is cut off with a circular knife, so as to perform a quick and easy anastomosis of the digestive tract tissue 53. The 3D stereoscopic grasping technology provides precise squeezing of the digestive tract tissue 53 that needs to be sutured, reducing the damage to the digestive tract tissue 53. The gentle operation is optimized, and the squeezing force of the digestive tract tissue 53 is effectively reduced to a certain extent.
[0044] Please refer to Figure 3-4The curved connection assembly includes a tab portion and a connecting rod portion. The tab portion is connected to the screw rod 31 and the anvil seat assembly respectively so that the axes of the screw rod 31 and the anvil seat assembly intersect, and the connecting rod portion is sleeved on the tab portion. In this way, when the screw rod 31 rotates, the anvil seat assembly can be driven to move between the clamping position and the release position through the tab portion, and the firing assembly can drive the connecting rod portion to slide on the screw rod 31 to drive the kiss cutting assembly to cooperate with the anvil seat assembly to complete the cutting and suturing of the digestive tract tissue 53. Specifically, the tab portion includes a first tab 32 and a second tab 33, and the connecting rod portion includes a first connecting rod and a second connecting rod. The first connecting rod is set as a long connecting rod 29, and the second connecting rod is set as a short connecting rod 30. More specifically, the first tab 32 and the second tab 33 are as a whole, and their two ends are connected to the screw rod 31 and the guide shaft 25 through the screw groove pin 34 and the guide shaft groove pin 43 respectively. Such a configuration can optimize the structure of the curved connection assembly.
[0045] Please refer to Figure 3-4 The bending connection component also includes a bend pipe 28, which is sleeved on the connecting rod part and connected to the kiss-cutting component and the support frame respectively, so as to protect the pull-tab part and the connecting rod part.
[0046] Please refer to Figure 3-4 The bending connection component is made of a flexible and bendable material, that is, the pull-tab portion, the connecting rod portion, the curved pipe 28 and other components are made of aluminum, thereby making the bending connection component easy to manufacture and achieve a preset curvature.
[0047] Please refer to Figure 3-4 The curved connection assembly passes through the guide shaft 25 to pass through the kiss cutting assembly, and the spring tube 42 on the anvil seat 40 can clamp the guide shaft 25 to achieve a detachable connection between the anvil seat assembly and the screw rod 31. In this way, the anvil seat assembly can be placed in the digestive tract tissue 53 to complete the cutting and suturing of the digestive tract tissue 53 when in use.
[0048] Please refer to Figure 3-4 The driving motor 48 is connected to the anastomosis assembly through a transmission assembly to control the movement of the anastomosis assembly. The transmission assembly includes a lever 21 and a cam mechanism. The lever 21 is rotatably mounted on the support frame. The driving motor 48 is used to drive the cam mechanism to rotate. As the cam mechanism rotates, the lever 21 can rotate on the support frame to drive the anastomosis assembly to cut the digestive tract tissue 53 and cooperate with the anvil assembly to complete the suturing action.
[0049] Please refer to Figure 3 The cam mechanism includes a motor output cam 18 and a support sleeve 19. The motor output cam 18 is connected to the output end of the driving motor 48. The motor output cam 18 rotates on the support frame through the support sleeve 19. The lever 21 is installed on the support frame through the lever pin 20.
[0050] Please refer to Figure 3-4 The transmission assembly also includes a control device and a safety mechanism. The safety mechanism is electrically connected to the control device. The cam mechanism acts on the safety mechanism. The control device receives a signal from the safety mechanism and can control the drive motor 48 to stop working.
[0051] Please refer to Figure 3-4 The safety mechanism includes a safety trigger 12, a safety trigger connecting rod 14 and a motor stop safety 16. The safety trigger 12 is installed on the support frame through a safety groove pin 13 to achieve rotation. The safety trigger 12 is transmission-connected to the firing trigger connecting rod 9 through the safety trigger connecting rod 14. The motor stop safety 16 is used to turn off the drive motor 48.
[0052] Please refer to Figure 2 The stapler further includes a protective cover 46. When the anvil assembly moves to the clamping position, the protective cover 46 can be clamped between the staple cartridge 38 and the knife washer 36. A card slot is provided on the protective cover 46. When in use, the card slot in the protective cover 46 is sleeved on the spring tube 42, and the anvil 40 is driven to move to the clamping position by adjusting the nut 4 to clamp the protective cover 46. When the safety mechanism fails, the protective cover 46 can limit the annular knife, so that the nail pusher that moves synchronously with the annular knife cannot move, so as to achieve the purpose of preventing firing.
[0053] Please refer to Figure 2 The protective cover 46 has a puncture clamping position, and the puncture 45 is detachably mounted on the puncture clamping position. The protective cover 46 also has a guide shaft clamping position and a protective sleeve 44, and the protective sleeve 44 is detachably mounted on the guide shaft clamping position. A guide shaft 25 receiving cavity adapted to the guide shaft 25 is provided in the protective sleeve 44, and the guide shaft 25 is installed in the guide shaft 25 receiving cavity to protect it. The puncture 45 is adapted to the spring tube 42 and the maximum diameter of the puncture 45 is greater than the maximum diameter of the guide shaft 25. When the anvil 40 is removed, the protective sleeve 44 can be sleeved on the guide shaft 25 to protect it and prevent the guide shaft 25 from being contaminated or damaged by collision. When the required penetration hole is large, the puncture 45 is inserted into the spring tube 42, and the puncture 45 can puncture a larger penetration hole.
[0054] Please refer to Figure 2 The stapler further includes a battery pack 49, which is electrically connected to the drive motor 48 to supply power to the drive motor 48. This arrangement makes the stapler easy to carry and use.
[0055] Please refer to Figure 3 An indicator needle 15 is installed on the support frame, an indicator needle paddle 17 is connected to the screw 31, a display window 51 is opened on the support frame, a display window 52 is installed on the display window 51, the indicator needle 15 corresponds to the red indicator line at the display window 51, that is, the movement of the indicator needle 15 corresponds to the stroke of the red indicator line.
[0056] Please refer to Figure 2-4 , install the battery pack 49 on the stapler, turn on the power, open the safety trigger 12, and press the firing trigger 8. The battery pack 49 provides power to rotate the drive motor 48, drive the motor output cam 18 to rotate, push the lever 21 to drive the firing connecting rod 22 to rotate, push the long connecting rod 29 forward, and enable the stapler assembly to achieve the cutting and suturing functions of the stapler. Rotate the adjustment nut 4 counterclockwise, the screw 31 extends to drive the pull tab and the anvil assembly to move, increase the distance between the anvil assembly and the anastomosis assembly, and facilitate preoperative preparation. Rotate the adjustment nut 4 clockwise to retract the anvil 40 puncture shaft component.
[0057] Please refer to Figure 2-4 The fixing part of the driving motor 48, the battery pack 49 and other components are fastened to the support frame by screws 27.
[0058] Here’s how to use it:
[0059] 1. Remove the instrument from its packaging using aseptic techniques.
[0060] 2. Rotate the adjusting nut 4 counterclockwise to open the instrument, remove the protective cover 46 and the anvil 40, and rotate the adjusting nut 4 clockwise to retract the guide shaft 25.
[0061] 3. Place the purse string on the digestive tract tissue 53 to be anastomosed.
[0062] 4. Place the anvil 40 into the digestive tract tissue 53, tighten the purse string, and tie the purse string to the circlip tube 42.
[0063] 5. Insert the instrument into the organ and make the staple cartridge 38 close to the part to be anastomosed. Rotate the adjusting nut 4 counterclockwise, and the guide shaft 25 will slowly extend until it completely penetrates the tissue. Gently push the tissue downward until the preset area is exposed.
[0064] 6. Please refer to Figure 7-8 , insert the spring tube 42 of the anvil seat 40 into the guide shaft 25, and when a crisp click sound is heard, it indicates that the connection is in place.
[0065] 7. Turn the adjusting nut 4 clockwise to close the device and confirm that the red indicator line in the display window 51 is within the green area.
[0066] 8. Open the safety trigger 12, hold the firing trigger 8 to fire the instrument, and the indicator light is green.
[0067] 9. The indicator light turns green when firing. After firing, release the firing trigger 8 to return it to its original position, reset the safety trigger 12, and the indicator light turns blue.
[0068] 10. Rotate the adjusting nut 4 counterclockwise for 1 / 2-3 / 4 turn. To prevent the anvil 40 from entraining the digestive tract tissue 53, rotate the instrument alternately left and right, and slowly withdraw it while rotating.
[0069] 11. Remove the anvil 40 and check whether the two digestive tract tissue 53 specimens at the proximal and distal ends of the guide shaft 25 are complete. The resected stump should be complete and include the entire tissue layer. If the resected stump is incomplete, carefully check whether there is leakage at the anastomosis site and make appropriate repairs.
[0070] The above are only some embodiments of the present invention. For those skilled in the art, several modifications and improvements can be made without departing from the inventive concept of the present invention, which all belong to the protection scope of the present invention.
Claims
1. An electric tubular stapler with a multi-dimensional three-dimensional grasping structure, characterized in that: include: Support frame; A kiss-cutting assembly, mounted on the support frame; A curved connection assembly, a screw rod rotatably connected to the support frame, and an anvil assembly arranged relative to the kiss cutting assembly, wherein the curved connection assembly is respectively connected to the screw rod and the anvil assembly so that the axes of the screw rod and the anvil assembly intersect, and as the screw rod rotates, the anvil assembly can move between a clamping position and a releasing position so as to cooperate with the kiss cutting assembly to clamp and release the digestive tract tissue, a three-dimensional grasping structure for accommodating the digestive tract tissue is arranged between the kiss cutting assembly and the anvil assembly, and the kiss cutting assembly and the anvil assembly are detachably connected; A driving motor and a firing assembly, wherein the driving motor is used to control the action of the kiss cutting assembly, and the firing assembly is used to control the start and stop of the driving motor.
2. The electric tubular stapler with a multi-dimensional gripping structure according to claim 1, characterized in that: The three-dimensional grasping structure includes a nail outlet and a digestive tract tissue accommodating groove, the nail outlet is formed on the anastomosis component, and the digestive tract tissue accommodating groove is formed between the anastomosis component and the nail support component.
3. The electric tubular stapler with a multi-dimensional gripping structure according to claim 2, characterized in that: The digestive tract tissue accommodating groove is formed by the end surface of the anvil assembly facing the anastomosis assembly being recessed toward the end surface of the anvil assembly facing away from the anastomosis assembly.
4. The electric tubular stapler with a multi-dimensional gripping structure according to claim 2, characterized in that: The nail outlet is formed with two nail outlets around the circumferential direction of the kiss-cutting component, and the nail outlets are staggered.
5. The electric tubular stapler with a multi-dimensional gripping structure according to claim 1, characterized in that: The bending connection assembly includes a pull-tab portion and a connecting rod portion. The pull-tab portion is respectively connected to the screw rod and the anvil seat assembly so that the axes of the screw rod and the anvil seat assembly intersect, and the connecting rod portion is sleeved on the pull-tab portion.
6. The electric tubular stapler with a multi-dimensional gripping structure according to claim 5, characterized in that: The bending connection assembly also includes a bent pipe, which is sleeved on the connecting rod part and is respectively connected to the kiss-cutting assembly and the supporting frame.
7. The electric tubular stapler with a multi-dimensional gripping structure according to claim 1, characterized in that: The bending connection component is made of a flexible and bendable material.
8. The electric tubular stapler with a multi-dimensional gripping structure according to claim 1, characterized in that: The anvil seat assembly is provided with a spring clip, and the bending connection assembly is provided with a kiss-cutting assembly through a guide shaft. The spring clip can clamp the guide shaft so that the anvil seat assembly and the screw rod can be detachably connected.
9. The electric tubular stapler with a multi-dimensional gripping structure according to claim 1, characterized in that: A protective cover is also included, which can be clamped between the dowel assembly and the kiss-cut assembly when the dowel assembly moves to the clamping position.
10. The electric tubular stapler with a multi-dimensional gripping structure according to claim 9, characterized in that: The protective cover is detachably provided with a puncture device.
