CN104758022A - Nail pushing block in nail bin assembly of linear anastomat in surgical department - Google Patents
Nail pushing block in nail bin assembly of linear anastomat in surgical department Download PDFInfo
- Publication number
- CN104758022A CN104758022A CN201410001249.4A CN201410001249A CN104758022A CN 104758022 A CN104758022 A CN 104758022A CN 201410001249 A CN201410001249 A CN 201410001249A CN 104758022 A CN104758022 A CN 104758022A
- Authority
- CN
- China
- Prior art keywords
- nail
- nail bin
- ejector pin
- pin block
- anastomosis staple
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections
Abstract
The invention relates to a nail pushing block in a nail bin assembly of a linear anastomat in the surgical department. Anastomoses nails installed in a nail bin are divided into initially-installed anastomoses nails and standby anastomoses nails. When an operating mechanism pushes nail pushing block bodies so as to push out the initially-installed anastomoses nails from nail holes of the nail bin, nail legs of the standby anastomoses nails in nail storage holes are driven by the operation mechanism through nail containing grooves of nail driving rods to move; one standby anastomoses nail in each nail storage hole is contained in the position above the end face of the corresponding nail pushing block in the corresponding nail hole of the nail bin, and the other standby anastomoses nails are sequentially moved to the original positions of the previous standby anastomoses nails and are then sequentially pushed out of the nail holes of the nail bin through the nail pushing block bodies.
Description
Technical field
The present invention relates to the ejector pin block installed in various surgical linear anastomat, be related specifically to the ejector pin block installed in the straight shape stiching instrument of surgery, also the ejector pin block installed in the straight shape Endo-GIA of surgery is related specifically to, also be related specifically to the ejector pin block installed in surgery arc-shaped cutting anastomat, also be related specifically to the ejector pin block installed in the mirror surgical linear Endo-GIA of chamber, relate more specifically to the ejector pin block installed in the linear anastomat of various Motorized surgical.
Background technology
Various surgical linear anastomat adopts the free-hand anastomosis procedure of needlework for replacing in surgical operation, be widely used in the operations such as the end end of human body alimentary canal organ, respiratory tract organ and apparatus urogenitalis official rank Organ and tissue, side and side to side anastomosis, form the operation of the operation of passage, the operation of close incisions and clamping or cutting, be specially adapted to appear the anastomosis operation with the Organ and tissue of operating difficulties, can operating time be reduced, improve surgical quality.
The straight shape Endo-GIA of surgery as United States Patent (USP) publicity 20050222616, the surgery arc-shaped cutting anastomat of United States Patent (USP) publicity 20050247753, the straight shape anastomat of small-sized surgery of United States Patent (USP) publicity 20060219752, the chamber mirror surgical incision anastomat of United States Patent (USP) publicity 20100200639, the straight shape stiching instrument of surgery of United States Patent (USP) publicity 20130015230, the various electronic surgical linear anastomat of United States Patent (USP) publicity 20130018361 and other are various manually, or it is electronic, or surge, or introduce in pneumatic surgical linear anastomat: surgical linear anastomat is by nail bin groupware, nail-anvil assembly and operating mechanism composition.The anastomosis staple having nail bin in nail bin groupware and be arranged in nail bin and ejector pin block, and can need cutter are installed according to use.The nail anvil grooving formed after the surface of the nail anvil in nail-anvil assembly having indent.Nail anvil grooving on nail anvil surface is mutually corresponding with the position of the anastomosis staple in nail bin.When operating mechanism is by after clamp tissue to be anastomosed is between the nail anvil mutually drawn close and nail bin, operating mechanism performs percussion operation, promote ejector pin block anastomosis staple is released in nail bin, after making the nail tip of anastomosis staple penetrate clamped tissue to be anastomosed, flexural deformation on the nail anvil grooving of anastomosis staple on nail anvil, by anastomosis staple bending forming, reach the operation object of engaging tissue.The content of the various surgical linear anastomat of above-mentioned United States Patent (USP) publicity is incorporated to this description by reference.
The unsatisfactory place of above-mentioned various surgical linear anastomat is, after anastomosis staple is released anastomosed tissue by each promotion ejector pin block in nail bin, due in nail bin without anastomosis staple, therefore need replacing one nail bin of anastomosis staple is only housed or changes the nail bin that is equipped with anastomosis staple and cutter, the operation of anastomosed tissue next time could be continued.On the one hand, frequently surgical linear anastomat is taken out from field of operation in operation process and change nail bin, again the surgical linear anastomat after replacing nail bin is put into field of operation to continue to use, pollution in operating time length, operation mistake, art, instrumentation high in cost of production problem can be caused.On the other hand, but the operation itself changing nail bin also easily occur to change mistake nail bin, change once used nail bin, forgotten to change nail bin and the mistake causing malpractice such as continue to use, therefore the insurance institution of a set of complexity is all installed in various surgical linear anastomat, to prevent above-mentioned accident.Again on the one hand, owing to needing repeatedly to use various surgical linear anastomat in most of surgical operation, the labor intensity of operative doctor is very large, and affect quality of medical care, therefore the value of the clinical practice of various electronic surgical linear anastomat is very large.If need repeatedly to change nail bin in operation, cause frequent starting and the braking of the linear anastomat of Motorized surgical, the starting current of motor and starting power are the rated current of motor and several times of rated power, thus need to configure jumbo battery, the volume making the linear anastomat of Motorized surgical is larger, weight is heavier, cost is higher, seriously hinders the clinical practice of various electronic surgical linear anastomat.A kind of surgical linear anastomat is introduced in United States Patent (USP) publicity 20130056522: be installed in series several nail bins in surgical linear anastomat, is taken out after nail bin above uses, then the nail bin of is below released use, changes nail bin successively.The unsatisfactory place of this surgical linear anastomat is, although be convenient to change nail bin, but still need take out from surgical linear anastomat the nail bin be replaced.A kind of surgical linear anastomat is introduced in United States Patent (USP) publicity 20110284613: in surgical linear anastomat, install conveyer belt, and conveyer belt is inserted with anastomosis staple; After anastomosis staple is released in nail bin, rotate conveyer belt, the anastomosis staple inserted on a moving belt is sent into nail bin.The unsatisfactory place of this surgical linear anastomat is, inserts anastomosis staple position on a moving belt built on the sand, affects location when anastomosis staple is admitted to nail bin; Conveyer belt occupies larger apparatus inner space, makes the number of times of conveyer belt transmission anastomosis staple limited, also affects the working effect of other parts.Therefore surgical linear anastomat also needs to improve.
As can be seen from obviously above-mentioned, devise now a large amount of not surgical linear anastomat in specie, and the development work of new surgical linear anastomat is still in continuation, to be improved further annual a large amount of surgical linear anastomat used in the world, both minimizing operating time had been reached, operation mistake, pollute in art, the object of instrumentation cost, reach again the nail bin avoiding occurring to change mistake, change once used nail bin, but forget to change the object that nail bin continues the malpracticees such as use, also to reach the Clinical practice cost significantly reducing the linear anastomat of Motorized surgical, to expand scope and the quantity of the Clinical practice of the linear anastomat of Motorized surgical, reach the labor intensity alleviating operative doctor, improve the object of quality of medical care.
Summary of the invention
The object of the invention is to the ejector pin block proposed in a kind of nail bin groupware of surgical linear anastomat, the anastomosis staple realizing installing in nail bin is divided into just dress anastomosis staple and many anastomosis staples for subsequent use, to just fill after anastomosis staple releases in the nail of nail bin when the driving mechanism in nail bin groupware promotes ejector pin block, driving mechanism drives the nail lower limb of the anastomosis staple for subsequent use in storage nail to move by the nail groove that drives driving nail bar, an anastomosis staple for subsequent use in each storage nail is loaded above the end face of the ejector pin block in each corresponding nail of nail bin, other anastomosis staples for subsequent use then move to original position of last anastomosis staple for subsequent use successively, released in the nail of nail bin by ejector pin block successively again, reach and can use repeatedly continuously in field of operation and the technique effect changing nail bin need not be taken out in field of operation, its use cost is starkly lower than existing surgical linear anastomat, even if low also than the linear anastomat of existing manual surgical of the use cost of the linear anastomat of Motorized surgical.Therefore, the surgical linear anastomat with self-chambering anastomosis staple function of the present invention had both reached the object reducing pollution in operating time, operation mistake, art, instrumentation cost, but reach again avoid occurring to change mistake nail bin, change once used nail bin, forgotten to change the object that nail bin continues the malpracticees such as use, also reach the Clinical practice cost significantly reducing the linear anastomat of Motorized surgical, to expand scope and the quantity of the Clinical practice of the linear anastomat of Motorized surgical, reach the labor intensity alleviating operative doctor, the object improving quality of medical care.
The object of the invention is to be achieved through the following technical solutions:
Ejector pin block in the nail bin groupware of surgical linear anastomat of the present invention, wherein nail bin groupware is made up of nail bin, nail bin frame and driving mechanism.Nail bin and driving mechanism are arranged in nail bin frame.Nail bin is linear, both can be rectilinear, also can be curved.At least be staggered two dog holeses in nail bin.In nail bin, be provided with ejector pin block and anastomosis staple, anastomosis staple is positioned at above the end face of ejector pin block.Anastomosis staple is made up of a nail beam and two nail lower limbs.The middle part of the nail beam of anastomosis staple can be protruded to the direction of the nail tip of two nail lower limbs, makes anastomosis staple nail beam and two nail lower limbs be W shape.The nail beam of anastomosis staple also can be straight, and anastomosis staple nail beam and two nail lower limbs are taken the shape of the letter U.Nail beam and the nail lower limb of anastomosis staple also can be other shapes.The cross section of the nail silk of anastomosis staple can be circle, polygon or other geometries.Be provided with in nail bin groupware and tiltedly carve.Tiltedly carve and be constrained in nail bin groupware and can move forward and backward under the drive of driving mechanism.
The ejector pin block installed in nail bin of the present invention there is stairstepping projection.Stairstepping projection the near-end of ejector pin block be stairstepping projection lower rank, be the upper rank of stairstepping projection at the far-end of ejector pin block.The upper rank of stairstepping projection are stretched out to extreme direction before ejector pin block.
When each ejector pin block is positioned at the bottom of nail bin, the extension on the upper rank of the stairstepping projection of each ejector pin block covers successively on the lower rank of the stairstepping projection of last adjacent ejector pin block.
When driving mechanism drive tiltedly carving reach promote ejector pin block anastomosis staple is released successively in the nail of nail bin time, each ejector pin block is moved upwards up to the top of nail bin successively.
Depression bar can be had in driving mechanism of the present invention.Depression bar can have forearm and postbrachium, and depression bar can rotate in nail bin groupware.Front bevel and back bevel are tiltedly carved.
When above anastomosis staple is positioned at the end face of ejector pin block, the lower rank of the stairstepping projection of the ejector pin block of the most proximal end of nail bin are pressed onto the bottom of nail bin by the forearm of depression bar, the extension on the upper rank of the stairstepping projection of each ejector pin block covers successively on the lower rank of the stairstepping projection of adjacent ejector pin block, makes whole ejector pin block be positioned at the bottom of nail bin.
When driving mechanism drive tiltedly carve start to move forward time, the front bevel tiltedly carved is lifted on the forearm of depression bar, makes the forearm of depression bar depart from the lower rank of stairstepping projection of the ejector pin block of the most proximal end of nail bin.Then tiltedly carve and continue reach, promote ejector pin block and anastomosis staple is released in the nail of nail bin, make each ejector pin block be moved upwards up to the top of nail bin successively.
The near-end of nail bin groupware is moved on to after carving with retreading, the back bevel tiltedly carved is lifted on the postbrachium of depression bar, make the forearm of depression bar that the lower rank of the stairstepping projection of the ejector pin block of the most proximal end of nail bin are pressed onto the bottom of nail bin, simultaneously, the extension on the upper rank of the stairstepping projection of the ejector pin block of most proximal end is pressed on the lower rank of the stairstepping projection of adjacent ejector pin block, the extension on the upper rank of the stairstepping projection of all the other each ejector pin blocks is also pressed on the lower rank of the stairstepping projection of adjacent ejector pin block successively, the depression bar of the whole ejector pin blocks in nail bin all in driven-mechanism is made to push back the bottom of nail bin from the top of nail bin.
The anastomosis staple installed in nail bin of the present invention can be divided into just dress anastomosis staple and anastomosis staple for subsequent use.First dress anastomosis staple is arranged in the nail of nail bin, its nail beam is positioned on the end face of ejector pin block.Respectively there is storage nail in the side of each nail in nail bin, a described anastomosis staple for subsequent use is at least installed in each described storage nail.In nail bin, at least install two drive oncomelania bar.Each nail lower limb of anastomosis staple is inserted in each screw channel driving nail screw flight respectively.
To just fill after anastomosis staple releases in the nail of nail bin when driving mechanism promotes ejector pin block, ejector pin block is first pushed back the bottom of nail bin by the depression bar in driving mechanism from the top of nail bin, then drive and drive nail bolt rotary, make to drive oncomelania bar moves the anastomosis staple for subsequent use in storage nail nail lower limb by the screw channel of screw thread, be contained in each storage nail above the end face of the ejector pin block in each corresponding nail of nail bin to the anastomosis staple for subsequent use just filling anastomosis staple adjacent.If install many anastomosis staples for subsequent use in each storage nail, then other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively, driving mechanism first promotes ejector pin block again and is released in the nail of nail bin by anastomosis staple for subsequent use, then ejector pin block is pushed back the bottom of nail bin from the top of nail bin, rotate again and drive oncomelania bar, the screw channel driving nail screw flight then drives the nail lower limb of the anastomosis staple for subsequent use in storage nail to move again, another anastomosis staple for subsequent use in each storage nail is loaded above the end face of the ejector pin block in each corresponding nail of nail bin, other anastomosis staples for subsequent use then move to original position of last anastomosis staple for subsequent use more successively.Anastomosis staple for subsequent use in each storage nail has an anastomosis staple for subsequent use to be loaded into above the end face of the ejector pin block in each corresponding nail of nail bin in the above described manner at every turn, then is released in the nail of nail bin by ejector pin block successively.
Drive the screw channel of nail screw flight between the adjacent nail lower limb of adjacent two anastomosis staples, the nail lower limb adjacent each other of two adjacent anastomosis staples is inserted in the same screw channel driving the screw thread of oncomelania bar both sides respectively.
Nail bin can be closed up by left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin and form.At least respectively be staggered two dog holeses in left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin.Two sides of left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin arrange the storage nail of the side of multiple each nail straight-through respectively.An anastomosis staple for subsequent use is at least installed in each storage nail.Be arranged in nail bin frame after left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin close up.Tool slot is had between left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin.
Drive on oncomelania bar and can be fixed with gear.Driving mechanism is by rotating the gear driven on oncomelania bar, make to drive oncomelania bar moves the anastomosis staple for subsequent use in storage nail nail lower limb by the screw channel of screw thread, loaded above the end face of the ejector pin block in each corresponding nail of nail bin by an anastomosis staple for subsequent use in each storage nail, other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively at every turn.
Accompanying drawing explanation
Fig. 1 is the outside drawing of the nail bin groupware represented in surgical linear anastomat of the present invention;
Fig. 2 be represent the nail bin groupware of Fig. 1 remove nail bin frame after outside drawing;
Fig. 3 be represent the nail bin groupware of Fig. 2 remove right slit bamboo or chopped wood nail bin and in-built part thereof after outside drawing;
Fig. 4 represents that the nail bin groupware of Fig. 3 removes left slit bamboo or chopped wood nail bin, cutter storehouse and the outside drawing after tiltedly carving;
Fig. 5 is the outside drawing representing left slit bamboo or chopped wood nail bin;
Fig. 6 is the outside drawing representing right slit bamboo or chopped wood nail bin;
Fig. 7 be represent anastomosis staple, drive the local of oncomelania bar and ejector pin block install outside drawing;
Fig. 8 represents the single outside drawing driving oncomelania bar;
Fig. 9 is the outside drawing representing single ejector pin block;
Figure 10 represents the outside drawing with row's ejector pin block;
Figure 11 represents that the nail bin groupware of Fig. 4 prepares right side outside drawing when the first percussion operates;
Figure 12 represents that the nail bin groupware of Figure 11 prepares left side outside drawing when the first percussion operates;
Figure 13 represents that the nail bin groupware of Fig. 4 completes right side outside drawing when the first percussion operates;
Figure 14 represents that the nail bin groupware of Figure 13 completes left side outside drawing when the first percussion operates;
Figure 15 represents that the nail bin groupware of Fig. 4 prepares right side outside drawing when the second percussion operates;
Figure 16 represents that the nail bin groupware of Figure 15 prepares left side outside drawing when the second percussion operates;
Figure 17 represents that the nail bin groupware of Fig. 4 completes right side outside drawing when the second percussion operates;
Figure 18 represents that the nail bin groupware of Figure 17 completes left side outside drawing when the second percussion operates;
Figure 19 represents the inclined-plane push pedal rotating disk mechanism of Figure 11 and the right side outside drawing of sheave intermittent indexing mechanism;
Figure 20 represents the inclined-plane push pedal rotating disk mechanism of Figure 19 and the left side outside drawing of sheave intermittent indexing mechanism;
Figure 21 be represent part complete first time binding and tool changing time inclined-plane push pedal rotating disk mechanism and the right side outside drawing of sheave intermittent indexing mechanism;
Figure 22 represents the inclined-plane push pedal rotating disk mechanism of Figure 21 and the left side outside drawing of sheave intermittent indexing mechanism;
Figure 23 is the right side outside drawing of inclined-plane push pedal rotating disk mechanism and sheave intermittent indexing mechanism when having represented binding and tool changing for the first time;
Figure 24 represents the inclined-plane push pedal rotating disk mechanism of Figure 23 and the left side outside drawing of sheave intermittent indexing mechanism;
Figure 25 represents the gear of sheave intermittent indexing mechanism and drives the intermeshing outside drawing of gear of oncomelania bar;
Figure 26 represents that the sheave of sheave intermittent indexing mechanism is fixed on the outside drawing driven on oncomelania bar;
Figure 27 represents the gear of sheave intermittent indexing mechanism and drives the intermeshing outside drawing of gear of cutter screw rod;
Figure 28 represents that the sheave of sheave intermittent motion mechanism is fixed on the outside drawing driven on cutter screw rod;
Figure 29 represents the gear of inclined-plane push pedal rotating disk mechanism and drives the intermeshing outside drawing of gear of cutter screw rod.
Detailed description of the invention
Use way of example below, state the most preferred embodiment of the ejector pin block in the nail bin groupware of surgical linear anastomat of the present invention by reference to the accompanying drawings.Scope of the present invention will be pointed out in the claims.Will be appreciated that some or all accompanying drawing is all the explanation sketch in order to most preferred embodiment of the present invention is described, and the full-size(d) of part shown in not depicting.With reference to the describing in detail of most preferred embodiment, understand with will be more readily apparent from reach the present invention above-mentioned with the practical ways of other objects and advantages.
For the ease of illustrating the technical characteristic of the ejector pin block in the nail bin groupware of the surgical linear anastomat of various embodiments of the invention, technical scheme and technique effect, only mainly illustrate the driving mechanism part that nail bin groupware in surgical linear anastomat is relevant to nail bin groupware with operating mechanism below in various embodiment, concrete structure in various surgical linear anastomat of nail-anvil assembly and operating mechanism and function can with reference to the contents in each section United States Patent (USP) publicity of quoting in the background technology of this description.
In the the accompanying drawings and the following description, term " near-end " refers to surgical linear anastomat one end near operator, and term " far-end " refers to surgical linear anastomat one end away from operator.Other directional terminology can be understood in description with reference to the accompanying drawings and below.As shown in Figure 1, direction 1 represent near or after, direction 2 represents far away or front, and direction 3 represents left, and direction 4 represents right, and direction 5 represents upper or top, and direction 6 represents lower or the end.
Fig. 1 to Fig. 5 represents the nail bin groupware 7 in surgical linear anastomat of the present invention.Nail bin groupware 7 is made up of nail bin 8, nail bin frame 9 and driving mechanism 10.Nail bin 8 and driving mechanism 10 are arranged in nail bin frame 9.Respectively be staggered in the both sides of the tool slot 11 of nail bin 8 two dog holeses 12.Ejector pin block 13 and anastomosis staple 14 are installed in nail bin 8.
As shown in Fig. 2 to Figure 12, the anastomosis staple 14 installed in nail bin 8 is divided into just dress anastomosis staple 15 and three anastomosis staples 16,17 and 18 for subsequent use.First dress anastomosis staple 15 is arranged in the nail 12 of nail bin 8, its nail beam 19 is positioned at above the end face 20 of ejector pin block 13.Storage nail 21 is respectively had in the side of each nail 12 in nail bin 8.Each installation three anastomosis staples 16,17 and 18 for subsequent use in each storage nail 21.Install in nail bin 8 and drive oncomelania bar 22.The nail lower limb 23 and 24 of first dress anastomosis staple 15 and the nail lower limb 25,26,27,28,29 and 30 of anastomosis staple for subsequent use 16,17 and 18 are inserted in each screw channel 31 driving the screw thread of oncomelania bar 22 respectively.
As shown in Figure 13 to Figure 18, to just fill after anastomosis staple 15 releases in the nail 12 of nail bin 8 when driving mechanism 10 promotes ejector pin block 13, ejector pin block 13 is first withdrawn into the bottom of nail bin 8 by driving mechanism 10 from the top of nail bin 8, then drive and drive oncomelania bar 22 and rotate, make to drive oncomelania bar 22 and moved the anastomosis staple for subsequent use 16 stored up in nail 21 by the screw channel 31 of screw thread, the nail lower limb 25 of 17 and 18, 26, 27, 28, 29 and 30, to be contained in above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 to the anastomosis staple 16 for subsequent use just filling anastomosis staple 15 adjacent in each storage nail 21, other anastomosis staples 17 and 18 for subsequent use move to original position of last anastomosis staple for subsequent use successively.Driving mechanism 10 first promotes ejector pin block 13 again and is released in the nail 12 of nail bin 8 by anastomosis staple 16 for subsequent use, then ejector pin block 13 is withdrawn into the bottom of nail bin 8 from the top of nail bin 8, rotate again and drive oncomelania bar 22, the screw channel 31 driving the screw thread of oncomelania bar 22 drives the nail lower limb 27 of the anastomosis staple for subsequent use 17 and 18 in storage nail 21 again, 28, 29 and 30 move, another anastomosis staple for subsequent use 17 in each storage nail 21 is loaded above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8, other anastomosis staples for subsequent use 18 move to original position of last anastomosis staple for subsequent use more successively.Anastomosis staple for subsequent use 16,17 and 18 in each storage nail 21 respectively has an anastomosis staple for subsequent use to be loaded into above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 in the above described manner at every turn, then is released in the nail 12 of nail bin 8 by ejector pin block 13 successively.
As shown in Figures 1 to 8, nail bin 8 is closed up by left slit bamboo or chopped wood nail bin 32 and right slit bamboo or chopped wood nail bin 33 and forms.Respectively be staggered two dog holeses 34 and 35 in left slit bamboo or chopped wood nail bin 32 and right slit bamboo or chopped wood nail bin 33.Two sides of left slit bamboo or chopped wood nail bin 32 and right slit bamboo or chopped wood nail bin 33 arrange the storage nail 36 and 37 of the side of multiple each nail 34 and 35 straight-through respectively.Each installation three anastomosis staples 16,17 and 18 for subsequent use in each storage nail 36 or 37.Be arranged in nail bin frame 9 after left slit bamboo or chopped wood nail bin 32 and right slit bamboo or chopped wood nail bin 33 close up, between left slit bamboo or chopped wood nail bin 32 and right slit bamboo or chopped wood nail bin 33, have tool slot 11.
As shown in Figure 7 and Figure 8, drive the screw channel 31 of the screw thread of oncomelania bar 22 between the adjacent nail lower limb 40 and 41 of adjacent two anastomosis staples 38 and 39, the adjacent nail lower limb 40 and 41 of adjacent two anastomosis staples 38 and 39 is inserted in the same screw channel 31 driving the double thread of oncomelania bar 22 both sides respectively.
As shown in Figure 11 to Figure 18, drive on oncomelania bar 22 and be fixed with gear 44.Driving mechanism 10 is by rotating the gear 44 driven on oncomelania bar 22, make to drive oncomelania bar 22 moves the anastomosis staple for subsequent use 16,17 and 18 in storage nail 21 nail lower limb 25,26,27,28,29 and 30 by the screw channel 31 of screw thread, loaded above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 by an anastomosis staple for subsequent use in each storage nail 21, other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively at every turn.Each gear 44 driven on oncomelania bar 22 with row engages each other with same tooth bar 45.Driving mechanism 10 rotates the gear 44 driven on oncomelania bar 22 with row by mobile rack 45, make to drive oncomelania bar 22 moves the anastomosis staple for subsequent use 16,17 and 18 in storage nail 21 nail lower limb 25,26,27,28,29 and 30 by the screw channel 31 of screw thread, loaded above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 by an anastomosis staple for subsequent use in each storage nail 21, other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively at every turn.
As shown in Figure 19 to Figure 24, in driving mechanism 10, there are inclined-plane push pedal rotating disk mechanism 46 and sheave intermittent indexing mechanism 47.Inclined-plane push pedal rotating disk mechanism 46 is made up of the skewback 48 of tandem movement in nail bin groupware 7 and the rotating disk 52 of the projection 49,50 and 51 that distributes on end face.Sheave intermittent indexing mechanism 47 is made up of the active driver plate 53 and driven sheave 54 being constrained on rotation in nail bin groupware 7.The circumference of driver plate 53 end face is distributed with round pin 55,56 and 57 and evagination circular arc 58,59 and 60.Sheave 52 there are radial slot 61,62,63 and 64 and Locking arc 65,66,67 and 68 and the gear 69 of circumference distribution.The rotating disk 52 of inclined-plane push pedal rotating disk mechanism 46 is combined into one with the driver plate 53 of sheave intermittent indexing mechanism 47.
Gear 69 on the sheave 54 of sheave intermittent motion mechanism 47 and the gear 44 driven on oncomelania bar 22 engage each other with same toothed rack 45 respectively.The gear 44 that gear 69 on the sheave 54 of sheave intermittent motion mechanism 47 is driven on oncomelania bar 22 by tooth bar 44 rotates.
When driving mechanism 10 drives the skewback 48 of inclined-plane push pedal rotating disk mechanism 46 to start to move forward in nail bin groupware 7, the projection 51 that skewback 48 departs from rotating disk 52 moves forward (see Figure 19), now, the evagination circular arc 58 of driver plate 53 in the Locking arc 65 of sheave 54, sheave 54 pins (see Figure 20) by the round pin 55 of driver plate 53 exit of staying the radial slot 61 of sheave 54.Driving mechanism 10 promotes ejector pin block 13 and releases just filling anastomosis staple 15 in the nail 12 of nail bin 8.
To just fill after anastomosis staple 15 releases in the nail 12 of nail bin 8 when driving mechanism 10 promotes ejector pin block 13, move after driving mechanism 10, first ejector pin block 13 is withdrawn into the bottom of nail bin 8 from the top of nail bin 8, then skewback 48 is driven to move backward in nail bin groupware 7 when terminal, the projection 49 that skewback 48 promotes rotating disk 52 slides along the ramp 71 of skewback 48, thus drive driver plate 53 to rotate, drive the projection 50 on rotating disk 52 end face to forward resting state (see Figure 21) to.When driving mechanism 10 drives skewback 48 to move backward in nail bin groupware 7 near terminal, sheave 54 pins (see Figure 22) by the import department that the evagination circular arc 58 of driver plate 53 is stayed in the Locking arc 65 of sheave 54, the round pin 56 of driver plate 53 enters the radial slot 62 of sheave 54.
When driving mechanism 10 drives the skewback 48 of inclined-plane push pedal rotating disk mechanism 46 to start again to move forward in nail bin groupware 7, the projection 50 that skewback 48 promotes rotating disk 52 slides (see Figure 21 and 23) along the lower inclined plane 70 of skewback 48, thus drive driver plate 53 to rotate in nail bin groupware 7, the evagination circular arc 58 of driver plate 53 unclamps the Locking arc 65 of sheave 54, and the radial slot 62 that the round pin 56 of driver plate 53 enters sheave 54 drives sheave 54 to rotate (see Figure 22) in nail bin groupware 7.Gear 69 on sheave 54 is by rotating the gear 44 driven on oncomelania bar 22, make to drive oncomelania bar 22 moves the anastomosis staple for subsequent use 16,17 and 18 in storage nail 21 nail lower limb 25,26,27,28,29 and 30 by the screw channel 31 of screw thread, an anastomosis staple for subsequent use in each storage nail 21 is loaded above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 at every turn, other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively
When the projection 50 that skewback 48 departs from rotating disk 52 continues again to move forward, sheave 54 pins (see Figure 24) by the exit that the evagination circular arc 59 of driver plate 53 has entered in the Locking arc 66 of sheave 54, the round pin 56 of driver plate 53 stays the radial slot 62 of sheave 54.
When driving mechanism 10 drives skewback 48 to move backward in nail bin groupware 7 near terminal again, the projection 51 that skewback 48 promotes rotating disk 52 slides along the ramp 71 of skewback 48, thus drive driver plate 53 to rotate, drive the projection 49 on rotating disk 52 end face to forward resting state to.When driving mechanism 10 drives skewback 48 to move backward in nail bin groupware 7 near terminal, sheave 54 pins by the import department that the evagination circular arc 59 of driver plate 53 is stayed in the Locking arc 66 of sheave 54, the round pin 57 of driver plate 53 enters the radial slot 63 of sheave 54.
As shown in figure 25, the gear 69 on the sheave 54 of sheave intermittent motion mechanism 47 also can be engaged with the gear driven on oncomelania bar 22 44 by idler gear 42, and the adjacent gear 44 driven on oncomelania bar 22 also can engage each other.Driving mechanism 10 is rotated to drive the intermeshing gear 44 driven on oncomelania bar 22 together by the gear 72 driven on oncomelania bar 72 rotating nail bin 8 near-end, make to drive oncomelania bar 22 moves the anastomosis staple for subsequent use 16,17 and 18 in storage nail 21 nail lower limb 25,26,27,28,29 and 30 by the screw channel 31 of screw thread, loaded above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 by an anastomosis staple for subsequent use in each storage nail 21, other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively at every turn.
As shown in figure 26, the sheave 54 of sheave intermittent motion mechanism 47 also can be fixed on and drive on oncomelania bar 22, and the adjacent gear 44 driven on oncomelania bar 22 also can engage each other.Driving mechanism 10 is rotated to drive the intermeshing gear 44 driven on oncomelania bar 22 together by the gear 72 driven on oncomelania bar 72 rotating nail bin 8 near-end, make to drive oncomelania bar 22 moves the anastomosis staple for subsequent use 16,17 and 18 in storage nail 21 nail lower limb 25,26,27,28,29 and 30 by the screw channel 31 of screw thread, loaded above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 by an anastomosis staple for subsequent use in each storage nail 21, other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively at every turn.
As shown in Figure 11 to Figure 24, be provided with in nail bin groupware 7 of the present invention and tiltedly carve 74, cutter storehouse 75, knife rest 76 and cutter 77.Tiltedly carve 74 and knife rest 76 be constrained in nail bin groupware 7 and can move forward and backward.Cutter storehouse 75 is constrained in nail bin groupware 7 and can moves to side.Cutter storehouse 75 there is the cutter groove 78 of separation.Cutter 77 are divided into just dress cutter 79 and cutter for subsequent use 80,81 and 82.First dress cutter 79 and cutter for subsequent use 80,81 and 82 are arranged in the cutter groove 78 in cutter storehouse 75, and wherein just dress cutter 79 are now arranged on knife rest 76.
When driving mechanism 10 promotes tiltedly to carve 74 and knife rest 76 moves forward in nail bin groupware 8, tiltedly carve 74 promotion ejector pin blocks 13 anastomosis staple 14 is released in the nail 12 of nail bin 8, meanwhile, just dress cutter 79 are released by knife rest 76, are followed knife rest 76 and move forward together in the cutter groove 78 in cutter storehouse 75.
When driving mechanism 10 with move after movable knife rack 76 is in nail bin groupware 7 by just fill cutter 79 and reload cutter storehouse 75 cutter groove 78 in after, driving mechanism 10 is with moving knife storehouse 75 to move to side in nail bin groupware 7 again, just dress cutter 79 are followed together with cutter storehouse 75 with cutter 80,81 for subsequent use and 82 move to side, knife rest 76 is taken away by just filling cutter 79, cutter storehouse 75 is arranged on the first cutter 80 for subsequent use just filling cutter 79 contiguous on knife rest 76 simultaneously, completes the action changing cutter 77 first.
When driving mechanism 10 promotes tiltedly to carve 74 again and knife rest 76 moves forward in nail bin groupware 7, tiltedly carve 74 promotion ejector pin blocks 13 anastomosis staple 14 is released in the nail 12 of nail bin 8, simultaneously, cutter 80 for subsequent use for the first are released by knife rest 76 in the cutter groove 78 in cutter storehouse 75, make first cutter 80 for subsequent use follow knife rest 76 and move forward together.When moving after driving mechanism 10 is with movable knife rack 76 again in nail bin groupware 7 after in the cutter groove 78 cutter 80 for subsequent use for the first being reloaded cutter storehouse 75, driving mechanism 10 is with moving knife storehouse 75 to move to side in nail bin groupware 7 again, just dress cutter 79 are followed together with cutter storehouse 75 with cutter 80,81 for subsequent use and 82 move to side, cutter 80 for subsequent use for the first are taken away knife rest 76, the second for subsequent use cutter 81 contiguous with first cutter for subsequent use 80 are arranged on knife rest 76 by cutter storehouse 75 simultaneously, again complete 77 actions changing cutter.The cutter for subsequent use 80,81 and 82 be arranged in the cutter groove 78 in cutter storehouse 75 have the cutter for subsequent use of a vicinity to be arranged on knife rest 76 by cutter storehouse 75 in the above described manner successively, again released in the cutter groove 78 in cutter storehouse 75 by knife rest 76, again to be reloaded in the cutter groove 78 in cutter storehouse 75 by knife rest 76, again by cutter storehouse 75 moving belt from knife rest 76, complete the action changing cutter 77 successively.
Cutter storehouse 75 there is screw mechanism 83.Driving mechanism 10 is with moving knife storehouse 75 to move to side in nail bin groupware 7 by driving the screw mechanism 83 on cutter storehouse 75, completes the action changing cutter 77.
Screw mechanism 83 on cutter storehouse 75 is made up of screw rod 84 and nut 85, and wherein nut 85 is positioned at cutter storehouse 75.Screw rod 84 is screwed in the nut 85 in cutter storehouse 75.Driving mechanism 10 by driving cutter storehouse 75 drives the nut 85 of cutter screw rod 84 with moving knife storehouse 75, cutter storehouse 75 is moved to side nail bin groupware 7 in, completes the action of replacing cutter 77.
The sheave 54 of sheave intermittent motion mechanism 47 is fixed with gear 69, and driving on cutter screw rod 84 of the screw mechanism 83 on cutter storehouse 75 is fixed with gear 86.The gear 86 driven on cutter screw rod 84 on gear 69 on the sheave 54 of sheave intermittent motion mechanism 47 and cutter storehouse 75 engages each other with same toothed rack 44 respectively.Gear 69 on the sheave 54 of sheave intermittent motion mechanism 47 drives the nut 85 of gear 86 with moving knife storehouse 75 driven on cutter screw rod 84 on cutter storehouse 75 by tooth bar 44, cutter storehouse 75 is moved to side in nail bin groupware 7, completes the action changing cutter 77.
When driving mechanism 10 drives the skewback 48 of inclined-plane push pedal rotating disk mechanism 46 to start to move forward in nail bin groupware 7, skewback 48 promotes the projection 49 on rotating disk 52 end face and slides along the lower inclined plane 70 of skewback 48, thus drive driver plate 53 to rotate in nail bin groupware 7, driver plate 53 drives sheave 54 to rotate in nail bin groupware 7 again, gear 69 on sheave 54 is by rotating the gear 86 driven on cutter screw rod 84, drive the cutter screw rod 84 that drives on cutter storehouse 75 to be with moving knife storehouse 75 to move to side in nail bin groupware 7, complete the action changing cutter 77.
When driving mechanism 10 drives skewback 48 to move backward in nail bin groupware 7 near terminal, skewback 48 promotes the projection 50 on rotating disk 52 end face and slides along the ramp 71 of skewback 48, thus drive driver plate 53 to rotate in nail bin groupware 7, driver plate 53 drives sheave 54 to rotate in nail bin groupware 7 again, and sheave 54 drives the cutter screw rod 84 that drives on cutter storehouse 75 to be with moving knife storehouse 75 to move to side in nail bin groupware 7 again.
As shown in figure 27, the sheave 54 of sheave intermittent motion mechanism 47 can be fixed with gear 87, driving on cutter screw rod 84 on cutter storehouse 75 can be fixed with gear 88.Gear 87 on the sheave 54 of sheave intermittent motion mechanism 47 engages each other with the gear 88 driven on cutter screw rod 84.Gear 87 on sheave 54, by rotating the gear 88 driven on cutter screw rod 84, drives the cutter screw rod 84 that drives on cutter storehouse 75 to be with moving knife storehouse 75 to move to side in nail bin groupware 7, completes the action changing cutter 77.
As shown in figure 28, the sheave 54 of sheave intermittent motion mechanism 47 is fixed on driving on cutter screw rod 84 of screw mechanism 83 on cutter storehouse 75.The sheave 54 of sheave intermittent motion mechanism 47 by driving cutter storehouse 75 drives the nut 85 of cutter screw rod 84 with moving knife storehouse 75, cutter storehouse 75 is moved to side nail bin groupware 7 in, completes the action of replacing cutter 77.
As shown in figure 29, the gear 43 of inclined-plane push pedal rotating disk mechanism 46 engages each other with the gear 88 driving cutter screw rod 84.The gear 43 of inclined-plane push pedal rotating disk mechanism 46 is by driving the gear 88 driving cutter screw rod 84 on cutter storehouse 75, and the nut 85 in band moving knife storehouse 75, makes cutter storehouse 75 move to side in nail bin groupware 7, completes the action changing cutter 77.
As shown in Figures 9 and 10, the ejector pin block 13 installed in nail bin 8 of the present invention there is stairstepping projection 89.Stairstepping projection 89 the near-end of ejector pin block 13 be stairstepping projection 89 lower rank 90, be the upper rank 91 of stairstepping projection 89 at the far-end of ejector pin block 13.The upper rank 91 of stairstepping projection 89 are stretched out to extreme direction before ejector pin block 13.
When above anastomosis staple 14 is positioned at the end face 20 of ejector pin block 13, each ejector pin block 13 is positioned at the bottom of nail bin 8, and the extension on the upper rank 91 of the stairstepping projection 89 of each ejector pin block 13 covers successively on the lower rank 90 of the stairstepping projection 89 of last adjacent ejector pin block 13.
As shown in Figure 13 and 14, Figure 17 and 18, when driving mechanism 10 drive tiltedly carve 74 reaches promote ejector pin blocks 13 anastomosis staple 14 is released successively in the nail 12 of nail bin 8 time, each ejector pin block 13 is moved upwards up to the top of nail bin 8 successively.
As shown in Figure 11 to Figure 18, in driving mechanism 10, there is depression bar 92.Depression bar 92 there are forearm 93 and postbrachium 94.Depression bar 92 can rotate in nail bin groupware 7.Tiltedly carve 74 and have front bevel 95 and back bevel 96.
When above anastomosis staple 14 is positioned at the end face 20 of ejector pin block 13, each ejector pin block 13 is positioned at the bottom of nail bin 8, and the extension on the upper rank 91 of the stairstepping projection 89 of each ejector pin block 13 covers successively on the lower rank 90 of the stairstepping projection 89 of adjacent ejector pin block 13.
Tiltedly carve 74 reaches promote after anastomosis staple 14 releases successively by ejector pin blocks 13 in the nail 12 of nail bin 8 when driving mechanism 10 drives, each ejector pin block 13 is moved upwards up to the top of nail bin 8 successively.
The near-end moving on to nail bin groupware 7 after 74 is carved with retreading, the lower rank 99 of the stairstepping projection 98 of the ejector pin block 97 of the most proximal end of nail bin 8 are pushed back the bottom of nail bin 8 by the depression bar 92 in driving mechanism 10, simultaneously, the extension on the upper rank 100 of the stairstepping projection 98 of the ejector pin block 97 of most proximal end is pressed on the lower rank 103 of the stairstepping projection 102 of adjacent ejector pin block 101, the lower rank 103 of the stairstepping projection 102 of adjacent ejector pin block 101 are pushed back the bottom of nail bin 8, the extension on the upper rank 91 of the stairstepping projection 89 of all the other each ejector pin blocks 13 is also pressed on the lower rank 90 of the stairstepping projection 89 of adjacent ejector pin block 13 successively, the depression bar 92 of the whole ejector pin blocks 13 in nail bin 8 all in driven-mechanism 10 is made to push back the bottom of nail bin 8 from the top of nail bin 8.
When above anastomosis staple 14 is positioned at the end face 20 of ejector pin block 13, the lower rank 99 of the stairstepping projection 98 of the ejector pin block 97 of the most proximal end of nail bin 8 are pressed onto the bottom of nail bin 8 by the forearm 93 of depression bar 92, the extension on the upper rank 91 of the stairstepping projection 89 of each ejector pin block 13 covers successively on the lower rank 90 of the stairstepping projection 89 of adjacent ejector pin block 13, makes whole ejector pin block 13 be positioned at the bottom of nail bin 8.
When driving mechanism 10 drive tiltedly carve 74 start to move forward time, the front bevel 95 tiltedly carving 74 is lifted on the forearm 93 of depression bar 92, makes the forearm 93 of depression bar 92 depart from the lower rank 99 of the stairstepping projection 98 of the ejector pin block 97 of the most proximal end of nail bin 8.Then tiltedly carve 74 continuation reaches, promote ejector pin block 13 and anastomosis staple 14 is released in the nail 12 of nail bin 8, make each ejector pin block 13 be moved upwards up to the top of nail bin 8 successively.
The near-end moving on to nail bin groupware 7 after 74 is carved with retreading, the back bevel 96 tiltedly carving 74 is lifted on the postbrachium 94 of depression bar 92, make the forearm 93 of depression bar 92 that the lower rank 99 of the stairstepping projection 98 of the ejector pin block 97 of the most proximal end of nail bin 8 are pressed onto the bottom of nail bin 8, simultaneously, the extension on the upper rank 100 of the stairstepping projection 98 of the ejector pin block 97 of most proximal end is pressed on the lower rank 90 of the stairstepping projection 89 of adjacent ejector pin block 13, the extension on the upper rank 91 of the stairstepping projection 89 of all the other each ejector pin blocks 13 is also pressed on the lower rank 90 of the stairstepping projection 89 of adjacent ejector pin block 13 successively, the depression bar 92 of the whole ejector pin blocks 13 in nail bin 8 all in driven-mechanism 10 is made to push back the bottom of nail bin 8 from the top of nail bin 8.
To just fill after anastomosis staple 15 releases in the nail 12 of nail bin 8 when driving mechanism 10 promotes ejector pin block 13, ejector pin block 13 is first pushed back the bottom of nail bin 8 by the depression bar 92 in driving mechanism 10 from the top of nail bin 8, then drive and drive oncomelania bar 22 and rotate, make to drive oncomelania bar 22 and moved the anastomosis staple for subsequent use 16 stored up in nail 21 by the screw channel 31 of screw thread, the nail lower limb 25 of 17 and 18, 26, 27, 28, 29 and 30, to be contained in above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 to the anastomosis staple 16 for subsequent use just filling anastomosis staple 15 adjacent in each storage nail 21, anastomosis staple 17 and 18 for subsequent use moves to original position of last anastomosis staple for subsequent use successively, driving mechanism 10 first promotes ejector pin block 13 again and is released in the nail 12 of nail bin 8 by anastomosis staple 16 for subsequent use, then ejector pin block 13 is pushed back the bottom of nail bin 8 from the top of nail bin 8, rotate again and drive oncomelania bar 22, the screw channel 31 driving the screw thread of oncomelania bar 22 drives the nail lower limb 27 of the anastomosis staple for subsequent use 17 and 18 in storage nail 21 again, 28, 29 and 30 move, another anastomosis staple for subsequent use 17 in each storage nail 21 is loaded above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8, anastomosis staple for subsequent use 18 moves to original position of last anastomosis staple 17 for subsequent use more successively.Anastomosis staple for subsequent use 16,17 and 18 in each storage nail 21 has an anastomosis staple for subsequent use to be loaded into above the end face 20 of the ejector pin block 13 in each corresponding nail 12 of nail bin 8 in the above described manner at every turn, then is released in the nail 12 of nail bin 8 by ejector pin block 13 successively.
According to above-mentioned introduce in detail known, ejector pin block in the nail bin groupware of surgical linear anastomat of the present invention, the anastomosis staple realizing installing in nail bin is divided into just dress anastomosis staple and many anastomosis staples for subsequent use, to just fill after anastomosis staple releases in the nail of nail bin when the driving mechanism in nail bin groupware promotes ejector pin block, driving mechanism drives the nail lower limb of the anastomosis staple for subsequent use in storage nail to move by the nail groove that drives driving nail bar, an anastomosis staple for subsequent use in each storage nail is loaded above the end face of the ejector pin block in each corresponding nail of nail bin, other anastomosis staples for subsequent use then move to original position of last anastomosis staple for subsequent use successively, released in the nail of nail bin by ejector pin block successively again, reach and can use repeatedly continuously in field of operation and the technique effect changing nail bin need not be taken out in field of operation, its use cost is starkly lower than existing surgical linear anastomat, even if low also than the linear anastomat of existing manual surgical of the use cost of the linear anastomat of Motorized surgical.Therefore, the surgical linear anastomat with self-chambering anastomosis staple function of the present invention had both reached the object reducing pollution in operating time, operation mistake, art, instrumentation cost, but reach again avoid occurring to change mistake nail bin, change once used nail bin, forgotten to change the object that nail bin continues the malpracticees such as use, also reach the Clinical practice cost significantly reducing the linear anastomat of Motorized surgical, to expand scope and the quantity of the Clinical practice of the linear anastomat of Motorized surgical, reach the labor intensity alleviating operative doctor, the object improving quality of medical care.
So can find out, above-mentioned stated target, comprises by illustrating that those shown targets have been effectively achieved above.The typical best form of implementation of the present patent application that described here is only, can do some change also without prejudice to the spirit and scope of the present invention to said structure.The present invention is not limited to stated detail here, and should to retain as stated in the restriction of claim concerning affiliated field secondary technology personnel be apparent any improvement or remodeling.
Claims (7)
1. the ejector pin block in the nail bin groupware of a surgical linear anastomat:
Described nail bin groupware is made up of nail bin, nail bin frame and driving mechanism, described nail bin and driving mechanism are arranged in described nail bin frame, nail bin is linear, at least be staggered two dog holeses in nail bin, ejector pin block and anastomosis staple are installed in described nail bin, described anastomosis staple is arranged on above the end face of the described ejector pin block in the nail of described nail bin, is provided with and tiltedly carves in described nail bin groupware, and described tiltedly carving is constrained in nail bin groupware and can moves forward and backward under the drive of described driving mechanism;
It is characterized in that: the described ejector pin block installed in described nail bin has stairstepping projection, described stairstepping projection the near-end of ejector pin block be stairstepping projection lower rank, be the upper rank of stairstepping projection at the far-end of ejector pin block, the upper rank of described stairstepping projection are stretched out to extreme direction before ejector pin block;
When each ejector pin block is positioned at the bottom of nail bin, the extension on the upper rank of the stairstepping projection of each ejector pin block covers successively on the lower rank of the described stairstepping projection of last adjacent ejector pin block;
When described driving mechanism drive tiltedly carving reach promote ejector pin block anastomosis staple is released successively in the nail of described nail bin time, each ejector pin block is moved upwards up to the top of nail bin successively.
2. the ejector pin block in the nail bin groupware of surgical linear anastomat according to claim 1, is characterized in that,
Depression bar is had in described driving mechanism;
When above described anastomosis staple is positioned at the end face of described ejector pin block, describedly tiltedly carve the near-end being positioned at described nail bin groupware, the lower rank of the stairstepping projection of the ejector pin block of the most proximal end of described nail bin are pressed in the bottom of nail bin by described depression bar, make each ejector pin block be positioned at the bottom of nail bin, the extension on the upper rank of the stairstepping projection of ejector pin block described in each covers successively on the lower rank of the stairstepping projection of adjacent described ejector pin block;
Reach lifts depression bar when described driving mechanism drives tiltedly to carve and promotes after anastomosis staple releases successively by ejector pin block in the nail of nail bin, each ejector pin block is moved upwards up to the top of nail bin successively;
The near-end of nail bin groupware is moved on to after carving with retreading, the lower rank of the stairstepping projection of the ejector pin block of the most proximal end of nail bin are pushed back the bottom of nail bin by the depression bar in described driving mechanism, simultaneously, the extension on the upper rank of the stairstepping projection of the ejector pin block of most proximal end is pressed on the lower rank of the stairstepping projection of adjacent described ejector pin block, the lower rank of the stairstepping projection of adjacent ejector pin block are pushed back the bottom of nail bin, the extension on the upper rank of the stairstepping projection of all the other each ejector pin blocks is also pressed on the lower rank of the stairstepping projection of adjacent ejector pin block successively, the depression bar of the whole ejector pin blocks in nail bin all in driven-mechanism is made to push back the bottom of nail bin from the top of nail bin.
3. the ejector pin block in the nail bin groupware of surgical linear anastomat according to claim 2, it is characterized in that the depression bar in described driving mechanism having forearm and postbrachium, depression bar can rotate in described nail bin groupware, has describedly tiltedly carved front bevel and back bevel;
When above described anastomosis staple is positioned at the end face of described ejector pin block, the lower rank of the described stairstepping projection of the ejector pin block of the most proximal end of described nail bin are pressed onto the bottom of nail bin by the forearm of described depression bar, the extension on the upper rank of the described stairstepping projection of each ejector pin block covers successively on the lower rank of the described stairstepping projection of adjacent ejector pin block, makes whole ejector pin block be positioned at the bottom of nail bin;
When described driving mechanism drive tiltedly carve start to move forward time, the described front bevel tiltedly carved is lifted on the forearm of depression bar, makes the forearm of depression bar depart from the lower rank of the stairstepping projection of the ejector pin block of the most proximal end of nail bin; Then tiltedly carve and continue reach, promote ejector pin block and anastomosis staple is released in the nail of described nail bin, make each ejector pin block be moved upwards up to the top of nail bin successively;
The near-end of nail bin groupware is moved on to after carving with retreading, the described back bevel tiltedly carved is lifted on the postbrachium of depression bar, make the forearm of depression bar that the lower rank of the stairstepping projection of the ejector pin block of the most proximal end of nail bin are pressed onto the bottom of nail bin, simultaneously, the extension on the upper rank of the stairstepping projection of the ejector pin block of most proximal end is pressed on the lower rank of the stairstepping projection of adjacent described ejector pin block, the extension on the upper rank of the stairstepping projection of all the other each ejector pin blocks is also pressed on the lower rank of the stairstepping projection of adjacent ejector pin block successively, the depression bar of the whole ejector pin blocks in nail bin all in driven-mechanism is made to push back the bottom of nail bin from the top of nail bin.
4. the ejector pin block in the nail bin groupware of surgical linear anastomat according to claim 2, it is characterized in that, described anastomosis staple is made up of a nail beam and two nail lower limbs, the anastomosis staple installed in described nail bin is divided into just dress anastomosis staple and anastomosis staple for subsequent use, described just dress anastomosis staple is arranged in the nail of described nail bin, its nail beam is positioned on the end face of described ejector pin block, storage nail is respectively had in the side of each nail in described nail bin, a described anastomosis staple for subsequent use is at least installed in each described storage nail, in described nail bin, at least install two drive oncomelania bar, each nail lower limb of described anastomosis staple be inserted in respectively to drive nail screw flight described in each screw channel in,
To just fill after anastomosis staple releases in the nail of nail bin when described driving mechanism promotes ejector pin block, ejector pin block is first pushed back the bottom of nail bin by the depression bar in driving mechanism from the top of nail bin, then drive and drive nail bolt rotary, make to drive oncomelania bar moves the anastomosis staple described for subsequent use in described storage nail nail lower limb by the screw channel of screw thread, fill an adjacent anastomosis staple for subsequent use of anastomosis staple by each storage nail be contained in above the end face of the ejector pin block in each corresponding nail of nail bin with first, if install many anastomosis staples for subsequent use in each storage nail, then other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively, driving mechanism first promotes ejector pin block again and is released in the nail of nail bin by anastomosis staple for subsequent use, then ejector pin block is pushed back the bottom of nail bin from the top of nail bin, rotate again and drive oncomelania bar, the screw channel driving nail screw flight then drives the nail lower limb of the anastomosis staple for subsequent use in storage nail to move again, another anastomosis staple for subsequent use in each storage nail is loaded above the end face of the ejector pin block in each corresponding nail of nail bin, other anastomosis staples for subsequent use then move to original position of last anastomosis staple for subsequent use more successively, anastomosis staple for subsequent use in each storage nail has an anastomosis staple for subsequent use to be loaded into above the end face of the ejector pin block in each corresponding nail of nail bin in the above described manner at every turn, then is released in the nail of nail bin by ejector pin block successively.
5. the ejector pin block in the nail bin groupware of surgical linear anastomat according to claim 4, it is characterized in that, described drive nail screw flight screw channel between the adjacent nail lower limb of adjacent two described anastomosis staples, the nail lower limb adjacent each other of two adjacent anastomosis staples is inserted in the same screw channel driving the screw thread of oncomelania bar both sides respectively.
6. the ejector pin block in the nail bin groupware of surgical linear anastomat according to claim 4, it is characterized in that, described nail bin is closed up by left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin and forms, at least respectively be staggered two dog holeses in described left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin, two sides of left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin arrange the storage nail of the side of multiple straight-through nail described in each respectively, a described anastomosis staple for subsequent use is at least installed in each described storage nail, be arranged on after left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin close up in described nail bin frame, tool slot is had between left slit bamboo or chopped wood nail bin and right slit bamboo or chopped wood nail bin.
7. the ejector pin block in the nail bin groupware of surgical linear anastomat according to claim 4, it is characterized in that, described driving on oncomelania bar is fixed with gear, described driving mechanism is by driving the gear on oncomelania bar described in rotation, make to drive oncomelania bar moves the anastomosis staple described for subsequent use in described storage nail nail lower limb by the screw channel of screw thread, loaded above the end face of the described ejector pin block in each corresponding nail of described nail bin by an anastomosis staple for subsequent use in each storage nail, other anastomosis staples for subsequent use move to original position of last anastomosis staple for subsequent use successively at every turn.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410001249.4A CN104758022A (en) | 2014-01-02 | 2014-01-02 | Nail pushing block in nail bin assembly of linear anastomat in surgical department |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410001249.4A CN104758022A (en) | 2014-01-02 | 2014-01-02 | Nail pushing block in nail bin assembly of linear anastomat in surgical department |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN104758022A true CN104758022A (en) | 2015-07-08 |
Family
ID=53640372
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410001249.4A Pending CN104758022A (en) | 2014-01-02 | 2014-01-02 | Nail pushing block in nail bin assembly of linear anastomat in surgical department |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104758022A (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106923879A (en) * | 2017-04-13 | 2017-07-07 | 常州健瑞宝医疗器械有限公司 | Ejector pin component and the linear cutting anastomat with it |
| CN108065982A (en) * | 2016-11-10 | 2018-05-25 | 亚培高利控股有限公司 | Clip nail pushing structure of clip applier |
| CN109310430A (en) * | 2016-06-24 | 2019-02-05 | 伊西康有限责任公司 | Nail bin with overdrive nail |
| CN110480300A (en) * | 2019-09-06 | 2019-11-22 | 常州市赫铭自动化科技有限公司 | Intracavitary Endo-GIA pushing slice of nail automatic assembling machine |
| CN110480303A (en) * | 2019-09-06 | 2019-11-22 | 常州市赫铭自动化科技有限公司 | Intracavitary Endo-GIA nail bin self-binder |
| CN113069163A (en) * | 2021-04-02 | 2021-07-06 | 苏州优脉瑞医疗科技有限公司 | Multi-direction rotary anastomat capable of repeatedly discharging nails |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5762255A (en) * | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
| US20080099530A1 (en) * | 2002-10-04 | 2008-05-01 | Olson Lee A | Surgical stapler with universal articulation and tissue pre-calmp |
| CN101502429A (en) * | 2007-08-30 | 2009-08-12 | Tyco医疗健康集团 | Staple drive assembly |
| CN103690212A (en) * | 2013-12-31 | 2014-04-02 | 上海创亿医疗器械技术有限公司 | Surgical linear stapler with automatic cutter knife changing function |
| CN103690213A (en) * | 2013-12-31 | 2014-04-02 | 上海创亿医疗器械技术有限公司 | Surgical linear anastomat with automatic anastomosis nail loading function |
-
2014
- 2014-01-02 CN CN201410001249.4A patent/CN104758022A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5762255A (en) * | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
| US20080099530A1 (en) * | 2002-10-04 | 2008-05-01 | Olson Lee A | Surgical stapler with universal articulation and tissue pre-calmp |
| CN101502429A (en) * | 2007-08-30 | 2009-08-12 | Tyco医疗健康集团 | Staple drive assembly |
| CN103690212A (en) * | 2013-12-31 | 2014-04-02 | 上海创亿医疗器械技术有限公司 | Surgical linear stapler with automatic cutter knife changing function |
| CN103690213A (en) * | 2013-12-31 | 2014-04-02 | 上海创亿医疗器械技术有限公司 | Surgical linear anastomat with automatic anastomosis nail loading function |
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109310430A (en) * | 2016-06-24 | 2019-02-05 | 伊西康有限责任公司 | Nail bin with overdrive nail |
| CN109310430B (en) * | 2016-06-24 | 2021-11-12 | 伊西康有限责任公司 | Nail bin with overdrive nails |
| CN108065982A (en) * | 2016-11-10 | 2018-05-25 | 亚培高利控股有限公司 | Clip nail pushing structure of clip applier |
| CN106923879A (en) * | 2017-04-13 | 2017-07-07 | 常州健瑞宝医疗器械有限公司 | Ejector pin component and the linear cutting anastomat with it |
| CN106923879B (en) * | 2017-04-13 | 2023-04-07 | 江苏健瑞宝医疗科技股份有限公司 | Push away nail subassembly and have its straight line cutting anastomat |
| CN110480300A (en) * | 2019-09-06 | 2019-11-22 | 常州市赫铭自动化科技有限公司 | Intracavitary Endo-GIA pushing slice of nail automatic assembling machine |
| CN110480303A (en) * | 2019-09-06 | 2019-11-22 | 常州市赫铭自动化科技有限公司 | Intracavitary Endo-GIA nail bin self-binder |
| CN113069163A (en) * | 2021-04-02 | 2021-07-06 | 苏州优脉瑞医疗科技有限公司 | Multi-direction rotary anastomat capable of repeatedly discharging nails |
| CN113069163B (en) * | 2021-04-02 | 2022-08-26 | 苏州优脉瑞医疗科技有限公司 | Multi-direction rotary anastomat capable of repeatedly discharging nails |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN103690212B (en) | There is the surgical linear anastomat from changing cutter function | |
| CN104758022A (en) | Nail pushing block in nail bin assembly of linear anastomat in surgical department | |
| JP6389007B2 (en) | Staple cartridge unit and medical stapler using the staple cartridge unit | |
| CN105232102B (en) | Composite drive beam for surgical stapling | |
| RU2678360C2 (en) | Surgical staple and staple cartridge | |
| EP1550410A3 (en) | Surgical cutter stapler with slotted pins guiding knife | |
| US3889683A (en) | Surgical apparatus for suturing soft tissues | |
| CN112869808B (en) | Skin anastomat with differential structure | |
| CN105919641B (en) | A kind of electronic hysteroscope stapler | |
| CN106923875A (en) | A kind of operation anastomat | |
| WO2022116510A1 (en) | Automatic advancing and retracting mechanism of electric endoscopic stapler and method therefor | |
| CN104873239A (en) | Electric firing and tool withdrawal mechanism of incision anastomat | |
| CN103690213B (en) | There is the surgical linear anastomat of self-chambering anastomosis staple function | |
| CN204364052U (en) | A kind of nail-head component and there is the chamber mirror Endo-GIA of this nail-head component | |
| CN204106084U (en) | End effector and nail kit assembly, surgical operating instrument | |
| CN103381100A (en) | Electric linear type cutter stapler | |
| CN203564293U (en) | End effector, surgical operating instrument and purse-string forceps | |
| CN104856735B (en) | The drive system of Endo-GIA | |
| CN101856252A (en) | Anastomat for minimally invasive surgery | |
| CN203777000U (en) | Circumcision cutter stapler | |
| CN104434241A (en) | End effector, surgical operating instrument and purse-string forceps | |
| US6158205A (en) | Guide for inserting articles into cartridges | |
| US20200390445A1 (en) | Handle assembly and stapler including the same | |
| CN113367753B (en) | Anastomat with nail bin replacing function | |
| CN202568355U (en) | Nail-bin component of surgical linear cutting anastomat |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| EXSB | Decision made by sipo to initiate substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20150708 |
|
| WD01 | Invention patent application deemed withdrawn after publication |