CN113303855B - Medical minimally invasive vascular anastomat - Google Patents
Medical minimally invasive vascular anastomat Download PDFInfo
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- CN113303855B CN113303855B CN202110757973.XA CN202110757973A CN113303855B CN 113303855 B CN113303855 B CN 113303855B CN 202110757973 A CN202110757973 A CN 202110757973A CN 113303855 B CN113303855 B CN 113303855B
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- Prior art keywords
- sleeve
- telescopic
- air bag
- iron core
- vascular
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- 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.)
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- 230000002792 vascular Effects 0.000 title claims abstract description 39
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical group [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims abstract description 22
- 230000003872 anastomosis Effects 0.000 claims abstract description 17
- 210000004204 blood vessel Anatomy 0.000 claims description 10
- 210000001105 femoral artery Anatomy 0.000 claims description 2
- 210000002321 radial artery Anatomy 0.000 claims description 2
- 230000009286 beneficial effect Effects 0.000 abstract description 5
- 230000006378 damage Effects 0.000 abstract description 5
- 208000032843 Hemorrhage Diseases 0.000 abstract description 3
- 206010028851 Necrosis Diseases 0.000 abstract description 3
- 208000007536 Thrombosis Diseases 0.000 abstract description 3
- 208000034158 bleeding Diseases 0.000 abstract description 3
- 230000000740 bleeding effect Effects 0.000 abstract description 3
- 208000015181 infectious disease Diseases 0.000 abstract description 3
- 230000017074 necrotic cell death Effects 0.000 abstract description 3
- 230000001737 promoting effect Effects 0.000 abstract description 3
- 238000000034 method Methods 0.000 description 6
- 210000003437 trachea Anatomy 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 5
- 208000035965 Postoperative Complications Diseases 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 208000032544 Cicatrix Diseases 0.000 description 1
- 206010047163 Vasospasm Diseases 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000012806 monitoring device Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000006798 recombination Effects 0.000 description 1
- 238000005215 recombination Methods 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 208000037816 tissue injury Diseases 0.000 description 1
- 210000004026 tunica intima Anatomy 0.000 description 1
- 210000005167 vascular cell Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a medical minimally invasive vascular anastomat. Including first sleeve, second sleeve and seal wire device, the inside of first sleeve is provided with first spout, the inside sliding connection of first spout has first flexible piece, the slide opening has been seted up to the inside of first flexible piece, the inside of slide opening is provided with first iron core, the inside of second sleeve is provided with the second spout, the inside sliding connection of second spout has the flexible piece of second, the standing groove has been seted up to the inside of the flexible piece of second, the inside of standing groove is provided with the second iron core. The medical minimally invasive vascular anastomat provided by the invention reduces the design of an anvil in a common anastomat, saves the economic cost, realizes minimally invasive vascular anastomosis, simplifies the operation difficulty, shortens the operation time, reduces the damage of a wound area, reduces the occurrence of complications such as bleeding, infection, necrosis, thrombosis and the like at an anastomotic stoma after operation, and is beneficial to promoting the rehabilitation of patients.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to a medical minimally invasive vascular anastomat.
Background
At present, most of clinically common vascular anastomosis methods are needle and line anastomosis under a microscope, including end-to-end anastomosis, end-to-side anastomosis, side-to-side anastomosis and sleeving anastomosis, wherein two anastomosis ports are clamped by a vascular clamp at first, and then are closed for intermittent suturing, and the existing vascular anastomosis mode has the following problems: firstly, the manual vascular anastomosis method is complex in operation, requires alignment of vascular intima, keeps suture knot flat, and in the suturing process, the suture needle puncture and suture tension are excessive, so that the intima is possibly damaged, vascular spasm is caused, a lumen is blocked, needle insertion and needle extraction are difficult, thus the requirement on a clinician is high, time consumption is long, and secondly, the existing vascular anastomat also has some defects, such as a vascular anastomosis wheel method, the vascular is required to be everted, the vascular wall is extremely vulnerable to damage, and the lumen is narrow, so that the application range is greatly limited, and in addition, most of the vascular anastomat on the market needs to open a wound surface, and the pain of patients is increased.
Therefore, it is necessary to provide a medical minimally invasive vascular anastomat to solve the above technical problems.
Disclosure of Invention
The invention provides a medical minimally invasive vascular anastomat, which solves the problems that a manual vascular anastomosis method is complex in operation, long in time consumption and extremely vulnerable to damage to vascular walls.
In order to solve the technical problems, the medical minimally invasive vascular anastomat comprises a first sleeve, a second sleeve and a guide wire device, wherein a first sliding groove is formed in the first sleeve, a first telescopic block is connected in the first sliding groove in a sliding mode, a first telescopic air bag is arranged at the bottom of the first telescopic block, a sliding hole is formed in the first telescopic block, a first iron core is arranged in the sliding hole, a pushing block is connected in the sliding hole in a sliding mode, a second telescopic air bag is arranged outside the pushing block, a second sliding groove is formed in the second sleeve, a second telescopic block is connected in the second sliding groove in a sliding mode, a placing groove is formed in the second telescopic block, a second iron core is arranged in the placing groove, and a third telescopic air bag is arranged at the bottom of the second telescopic block.
Preferably, the guide wire device comprises a first guide wire and a second guide wire, wherein a hook is fixedly connected to the first guide wire, and a loop device is fixedly connected to the second guide wire.
Preferably, the first sleeve is provided with a first matching hole, the second sleeve is provided with a second matching hole, and the inner diameters of the first matching hole and the second matching hole are the same.
Preferably, the outside of first telescopic is provided with the go-between, has seted up annular spread groove on the second telescopic, and the both ends of second telescopic all are provided with annular spread groove, go-between and annular spread groove mutually support, and the cooperation mode of both is interference fit.
Preferably, the outside intercommunication of first flexible gasbag has first trachea, and the outside intercommunication of second flexible gasbag has the second trachea, and the outside intercommunication of third flexible gasbag has the third trachea, and first trachea, second trachea and third trachea all communicate with outside air pump.
Preferably, the first telescopic block and the first iron core are symmetrically arranged, and the second telescopic block and the second iron core are symmetrically arranged.
Compared with the related art, the medical minimally invasive vascular anastomat provided by the invention has the following beneficial effects:
The invention provides a medical minimally invasive vascular anastomat, which reduces the design of an anvil in a common anastomat, uses fewer components, saves economic cost, realizes minimally invasive vascular anastomosis by a recombination mode that a first sleeve and a second sleeve pass through a guide wire device, simplifies operation difficulty, shortens operation time, reduces injury of a wound area, greatly reduces complications such as bleeding, infection, necrosis, thrombosis and the like at an anastomotic stoma after operation, is beneficial to promoting recovery of patients, returns to society production and life in the early days, and reduces the occurrence of postoperative complications.
Drawings
FIG. 1 is a left side view of a first sleeve;
FIG. 2 is a schematic elevational cross-section of a first sleeve;
FIG. 3 is an enlarged schematic view of FIG. 2 at A;
FIG. 4 is a left side view of the second sleeve;
FIG. 5 is a schematic elevational cross-sectional view of a second sleeve;
FIG. 6 is a schematic view of a guide wire device;
FIG. 7 is a schematic view of a first type of stitching;
FIG. 8 is a schematic diagram of a second type of stitching.
Reference numerals in the drawings: 1. the first sleeve, 101, the first matching hole, 102, the connecting ring, 103, the first sliding groove, 104, the first telescopic block, 105, the first telescopic airbag, 106, the first air pipe, 107, the sliding hole, 108, the first iron core, 109, the push block, 110, the second telescopic airbag, 111, the second air pipe, 2, the second sleeve, 201, the second matching hole, 202, the annular connecting groove, 203, the second sliding groove, 204, the second telescopic block, 205, the placing groove, 206, the second iron core, 207, the third telescopic airbag, 208, the third air pipe, 3, the wire guiding device, 301, the first wire guiding, 302, the second wire guiding, 303, the hook, 304 and the ferrule device.
Detailed Description
The invention will be further described with reference to the drawings and embodiments.
Referring to fig. 1-8 in combination, fig. 1 is a left side view of a first sleeve; FIG. 2 is a schematic elevational cross-section of a first sleeve; FIG. 3 is an enlarged schematic view of FIG. 2 at A; FIG. 4 is a left side view of the second sleeve; FIG. 5 is a schematic elevational cross-sectional view of a second sleeve; FIG. 6 is a schematic view of a guide wire device; FIG. 7 is a schematic view of a first type of stitching; FIG. 8 is a schematic diagram of a second type of stitching. The utility model provides a medical wicresoft vascular anastomat, including first sleeve 1, second sleeve 2 and seal wire device 3, the inside of first sleeve 1 is provided with first spout 103, the inside sliding connection of first spout 103 has first flexible piece 104, the bottom of first flexible piece 104 is provided with first flexible gasbag 105, slide hole 107 has been seted up to the inside of first flexible piece 104, the inside of slide hole 107 is provided with first iron core 108, the inside sliding connection of slide hole 107 has ejector pad 109, the outside of ejector pad 109 is provided with second flexible gasbag 110, the inside of second sleeve is provided with second spout 203, the inside sliding connection of second spout 203 has second flexible piece 204, standing groove 205 has been seted up to the inside of second flexible piece 204, the inside of standing groove 205 is provided with second iron core 206, the bottom of second flexible piece 204 is provided with third flexible gasbag 207.
The wire guiding device 3 comprises a first wire guiding 301 and a second wire guiding 302, wherein a hook 303 is fixedly connected to the first wire guiding 301, a loop device 304 is fixedly connected to the second wire guiding 302, a first matching hole 101 is formed in the first sleeve 1, a second matching hole 201 is formed in the second sleeve 2, the inner diameters of the first matching hole 101 and the second matching hole 201 are the same, a connecting ring 102 is arranged outside the first sleeve 1, an annular connecting groove 202 is formed in the second sleeve 2, annular connecting grooves 202 are formed in two ends of the second sleeve 2, the connecting ring 102 and the annular connecting groove 202 are matched with each other, interference fit is adopted in the matching mode of the connecting ring 102 and the annular connecting groove 202, a first air pipe 106 is communicated with the outside of the first telescopic air bag 105, a second air pipe 111 is communicated with the outside of the second telescopic air bag 110, a third air pipe 207 is communicated with the outside of the third telescopic air bag 207, the first air pipe 106, the second air pipe 111 and the third air pipe 207 are all communicated with an external air pump, the first telescopic block 104 and the first iron core 108 are both symmetrically arranged, and the second telescopic block 204 and the second iron core 206 are both symmetrically arranged.
The working principle of the medical minimally invasive vascular anastomat provided by the invention is as follows:
firstly, a femoral artery is punctured, a first guide wire 301 with a hook 303 at the front end is placed, then a radial artery is punctured, a second guide wire 302 connected with a loop device 304 is placed, the hook 303 is captured by the loop device 304, a first sleeve 1 and a second sleeve 2 are combined in a mode that the first sleeve 1 and the second sleeve 2 are connected with an annular connecting groove 202 through a connecting ring 102, then a combined body of the first sleeve 1 and the second sleeve 2 and a single first sleeve 1 are respectively placed from two puncture ends along the guide wire and are connected and matched at a vascular fracture, a blood flow monitoring device is arranged outside the first sleeve 1 and is used for monitoring the blood flow speed in the blood vessel in real time, medicines are carried in the first sleeve 1 and the second sleeve 2 and can be released automatically, the growth and differentiation of vascular cells are promoted, the vascular anastomosis at the matched position is accelerated, the generation of scars is reduced, the tissue injury is reduced to the greatest extent, when the first type of suturing mode is needed, the first telescopic air bag 105 is inflated through the first air pipe 106 by the external air pump, the first telescopic air bag 105 is inflated to enable the first telescopic blocks 104 at two ends of the first sleeve 1 to extend, then the second telescopic air bag 110 is inflated through the second air pipe 111 by the external air pump, the second telescopic air bag 110 is inflated to drive the pushing block 109 to push out the first iron core 108, the blood vessel is penetrated and the broken end of the blood vessel is fixed, the first telescopic air bag 105 and the second telescopic air bag 110 are contracted through the external air pump after the fixing is finished, the first telescopic block 104 is retracted into the first sleeve 1, then the combination of the wire guide device 3, the two first sleeves 1 and the second sleeve 2 is pushed out of the blood vessel, when the second type of suturing mode is needed, the third telescopic air bag 207 is inflated through the third air pipe 208 by the external air pump, the second telescopic block 204 inside the second sleeve 2 is pushed out, so that the second iron core 206 fixes the blood vessel, the cutting board is used for flattening and ejecting the second iron core 206 around the blood vessel to perform vascular end-breaking anastomosis, and then the combination of the wire guiding device 3, the two first sleeves 1 and one second sleeve 2 is pushed out of the blood vessel.
Compared with the related art, the medical minimally invasive vascular anastomat provided by the invention has the following beneficial effects:
The medical minimally invasive vascular anastomat provided by the invention reduces the design of an anvil in a common anastomat, uses fewer components, saves economic cost, realizes minimally invasive vascular anastomosis by a way that the first sleeve 1 and the second sleeve 2 pass through the guide wire device 3 to be recombined, simplifies operation difficulty, shortens operation time, reduces injury of a wound area, greatly reduces complications such as bleeding, infection, necrosis, thrombosis and the like at an anastomotic stoma after operation, is beneficial to promoting recovery of patients, returns to society production and life in the early days, and reduces the occurrence of postoperative complications.
The foregoing description is only illustrative of the present invention and is not intended to limit the scope of the invention, and all equivalent structures or equivalent processes or direct or indirect application in other related technical fields are included in the scope of the present invention.
Claims (3)
1. The utility model provides a medical wicresoft vascular anastomat, its characterized in that includes first sleeve (1), second sleeve (2) and seal wire device (3), the inside of first sleeve (1) is provided with first spout (103), the inside sliding connection of first spout (103) has first flexible piece (104), the bottom of first flexible piece (104) is provided with first flexible gasbag (105), slide hole (107) have been seted up to the inside of first flexible piece (104), the inside of slide hole (107) is provided with first iron core (108), the inside sliding connection of slide hole (107) has ejector pad (109), the outside of ejector pad (109) is provided with second flexible gasbag (110), the inside of second sleeve is provided with second spout (203), the inside sliding connection of second spout (203) has second flexible piece (204), the inside of second flexible piece (204) has been seted up standing groove (205), the inside of standing groove (205) is provided with second iron core (206), the bottom of second flexible piece (204) has flexible gasbag (207);
the first sleeve (1) is provided with a first matching hole (101), the second sleeve (2) is provided with a second matching hole (201), and the inner diameters of the first matching hole (101) and the second matching hole (201) are the same;
The connecting device comprises a first sleeve (1), a second sleeve (2) and a connecting ring (102), wherein the first sleeve (1) is externally provided with the connecting ring, the second sleeve (2) is provided with an annular connecting groove (202), the two ends of the second sleeve (2) are respectively provided with the annular connecting groove (202), the connecting ring (102) and the annular connecting groove (202) are mutually matched, and the two are in interference fit;
The first telescopic airbag (105) is communicated with a first air pipe (106), the second telescopic airbag (110) is communicated with a second air pipe (111), the third telescopic airbag (207) is communicated with a third air pipe (208), and the first air pipe (106), the second air pipe (111) and the third air pipe (208) are all communicated with an external air pump;
Wherein, firstly, puncture the femoral artery, put into the guide wire device (3), then puncture the radial artery, put into the guide wire device (3), combine a first sleeve (1) and a second sleeve (2) through the way that the connecting ring (102) is connected with the annular connecting groove (202), then put the combined body of the first sleeve (1) and the second sleeve (2) and a single first sleeve (1) into the guide wire from two puncture ends respectively, and make it connect and involute at the vascular fracture, when a first suturing mode is needed, through the first air pipe (106) to the inside of the first telescopic air bag (105) through the external air pump, the first telescopic air bag (105) is expanded to enable the first telescopic blocks (104) at two ends of the first sleeve (1) to extend out, then through the external air pump to the inside of the second telescopic air bag (110), the second telescopic air bag (110) is expanded, the push block (109) is driven to push the first iron core (108) out of the vascular, and the vascular fracture is pushed out, and the vascular fracture is fixed through the first air pump (106) to enable the first telescopic air bag (1) to be fixed to the first telescopic air bag (110) to be retracted, when the first sleeve (1) and the first telescopic air bag (2) are required to be retracted through the first telescopic air bag (1) and the first telescopic air bag (110) to be fixed, the third telescopic air bag (207) is inflated through the third air pipe (208) through the external air pump, the second telescopic block (204) in the second sleeve (2) is pushed out, the second iron core (206) is used for fixing a blood vessel, the cutting board is used for flattening and ejecting the second iron core (206) around the blood vessel to perform vascular end-breaking anastomosis, and then the combination of the wire guiding device (3), the two first sleeves (1) and the second sleeve (2) is pushed out of the blood vessel.
2. The medical minimally invasive vascular anastomat according to claim 1, wherein the guide wire device (3) comprises a first guide wire (301) and a second guide wire (302), a hook (303) is fixedly connected to the first guide wire (301), and a loop device (304) is fixedly connected to the second guide wire (302).
3. The medical minimally invasive vascular anastomat according to claim 1, wherein the first telescopic block (104) and the first iron core (108) are symmetrically arranged, and the second telescopic block (204) and the second iron core (206) are symmetrically arranged.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110757973.XA CN113303855B (en) | 2021-07-05 | 2021-07-05 | Medical minimally invasive vascular anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110757973.XA CN113303855B (en) | 2021-07-05 | 2021-07-05 | Medical minimally invasive vascular anastomat |
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| Publication Number | Publication Date |
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| CN113303855A CN113303855A (en) | 2021-08-27 |
| CN113303855B true CN113303855B (en) | 2024-08-09 |
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| CN202110757973.XA Active CN113303855B (en) | 2021-07-05 | 2021-07-05 | Medical minimally invasive vascular anastomat |
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Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN217853133U (en) * | 2021-07-05 | 2022-11-22 | 上海市第六人民医院 | Medical minimally invasive vascular anastomat |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4893622A (en) * | 1986-10-17 | 1990-01-16 | United States Surgical Corporation | Method of stapling tubular body organs |
| US6623494B1 (en) * | 1999-04-16 | 2003-09-23 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | Methods and systems for intraluminally directed vascular anastomosis |
| KR20180038052A (en) * | 2015-09-04 | 2018-04-13 | 더 리젠츠 오브 더 유니버시티 오브 미시간 | Device for assisting arterial microvascular anastomosis |
| US10130368B2 (en) * | 2016-04-01 | 2018-11-20 | Ethicon, Inc. | Expandable compression rings for improved anastomotic joining of tissues |
| JP2020527095A (en) * | 2017-07-13 | 2020-09-03 | マイトリックス， インコーポレイテッド | Devices and methods for accessing the left atrium for heart surgery |
| CN110200670B (en) * | 2019-07-01 | 2021-06-25 | 中南大学湘雅三医院 | Vascular anastomosis device for vascular surgery |
| CN210722079U (en) * | 2019-09-20 | 2020-06-09 | 张家港市振兴科学仪器有限公司 | Teaching model for simulating blood circulation |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN217853133U (en) * | 2021-07-05 | 2022-11-22 | 上海市第六人民医院 | Medical minimally invasive vascular anastomat |
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