Disclosure of Invention
The application aims to provide a rectal anastomat which can be connected with an intestinal canal through a first magnetic ring and a second magnetic ring, and the first magnetic ring and the second magnetic ring are discharged from a body after the necrotic position and the growing position of the intestinal canal are separated.
Embodiments of the present application are implemented as follows:
the embodiment of the application provides a rectum anastomat, which comprises a sleeve and a first magnetic ring clamped at the distal end of the sleeve, wherein an adjusting mechanism and a magnetic ring disengaging mechanism are further arranged on the sleeve, a second magnetic ring is clamped on the adjusting mechanism, the first magnetic ring and the second magnetic ring are respectively connected with an affected part, an operating part is arranged at the proximal end of the sleeve, the adjusting mechanism is controlled by the operating part to drive the second magnetic ring to be close to or far away from the first magnetic ring, and the operating part is used for controlling the magnetic ring disengaging mechanism to push the first magnetic ring to be disengaged from the sleeve.
Optionally, as an implementation manner, the adjusting mechanism includes a connecting rod disposed in the sleeve and having a distal end clamped with the second magnetic ring, the proximal end of the connecting rod is connected with the operating portion, the operating portion includes a knob in threaded connection with the connecting rod, and the knob is turned to adjust the position of the second magnetic ring relative to the first magnetic ring.
Optionally, as an implementation manner, the magnetic ring disengaging mechanism includes a push rod disposed in the sleeve, and the operating portion further includes a handle rotationally connected with the sleeve through a first rotating shaft, and the handle is rotated toward the sleeve to control the first magnetic ring to disengage from the sleeve.
Optionally, as an implementation manner, the sleeve is rotatably connected with a limiting piece through a second rotating shaft, and the limiting piece can prop against the handle so as to limit the handle to rotate towards the sleeve.
Optionally, as an implementation manner, an end of the push rod away from the handle is connected with a push block, so that the first magnetic ring is pushed out of the sleeve through the push block.
Optionally, as an implementation manner, the sleeve and the connecting rod are provided with clamping grooves, and the first magnetic ring and the second magnetic ring are provided with clamping protrusions clamped with the clamping grooves.
Optionally, as an implementation manner, a reset piece is further arranged between the handle and the sleeve.
Optionally, as an implementation manner, an indicator clamped with the connecting rod is further disposed in the sleeve, the connecting rod drives the indicator to slide in the sleeve, and an indicator window is further disposed on the sleeve, so that the position of the indicator can be observed through the indicator window.
Optionally, as an implementation manner, the connecting rod is provided with a first thread and a second thread, the spiral directions of the first thread and the second thread are consistent, the second thread is connected to two ends of the first thread, and the pitch of the second thread is smaller than that of the first thread.
Optionally, as an implementation manner, the sleeve includes an operation section and a working section that are mutually communicated, the first magnetic ring is clamped at the distal end of the working section, and the working section is arc-shaped.
The beneficial effects of the embodiment of the application include:
The application provides a rectum anastomat, which comprises a sleeve and a first magnetic ring clamped at the distal end of the sleeve, wherein an adjusting mechanism and a magnetic ring disengaging mechanism are further arranged on the sleeve, a second magnetic ring is clamped on the adjusting mechanism, the first magnetic ring and the second magnetic ring are respectively connected with an affected part, an operating part is arranged at the proximal end of the sleeve, the adjusting mechanism is controlled by the operating part to drive the second magnetic ring to be close to or far away from the first magnetic ring, so that an intestinal incision is communicated after the first magnetic ring and the second magnetic ring are magnetically attracted, the operating part is controlled by the magnetic ring disengaging mechanism to push the first magnetic ring to disengage from the sleeve, so that the first magnetic ring and the second magnetic ring are magnetically attracted and disengaged from the rectum anastomat through the magnetic ring disengaging mechanism, the first magnetic ring and the second magnetic ring are connected with the necrotic position of an intestinal tube, and the first magnetic ring and the second magnetic ring are discharged from a body after the necrotic position of the intestinal tube is disengaged from a growing position.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present application more apparent, the technical solutions of the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application, and it is apparent that the described embodiments are some embodiments of the present application, but not all embodiments of the present application. The components of the embodiments of the present application generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the application, as presented in the figures, is not intended to limit the scope of the application, as claimed, but is merely representative of selected embodiments of the application. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
It should be noted that: like reference numerals and letters denote like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures. Furthermore, the terms "first," "second," "third," and the like are used merely to distinguish between descriptions and should not be construed as indicating or implying relative importance.
In the description of the present application, it should also be noted that, unless explicitly specified and limited otherwise, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present application will be understood in specific cases by those of ordinary skill in the art.
Referring to fig. 1 and 2, the present embodiment provides a rectal anastomat 100, which includes a sleeve 110 and a first magnetic ring 120 clamped at a distal end of the sleeve 110, wherein an adjusting mechanism 130 and a magnetic ring detachment mechanism 140 are further provided on the sleeve 110, a second magnetic ring 150 is clamped on the adjusting mechanism 130, the first magnetic ring 120 and the second magnetic ring 150 are respectively connected to affected parts, an operating portion 160 is provided at a proximal end of the sleeve 110, the adjusting mechanism 130 is controlled by the operating portion 160 to drive the second magnetic ring 150 to approach or separate from the first magnetic ring 120, and the operating portion 160 controls the magnetic ring detachment mechanism 140 to push the first magnetic ring 120 to detach from the sleeve 110.
Specifically, when the rectal anastomat 100 is used to connect with a rectal incision, the second magnetic ring 150 is firstly connected with the distal rectum outside the body, then put back into the body, the connecting rod 131 is extended to the longest through the adjusting mechanism 130, the sleeve is extended into the incision, the proximal intestinal canal is connected with the first magnetic ring 120, the connecting rod 131 is clamped with the second magnetic ring 150, then the adjusting mechanism 130 is controlled by the operating part 160 to drive the second magnetic ring 150 to move towards the first magnetic ring 120 until the second magnetic ring 150 reaches the magnetic attraction distance with the first magnetic ring 120, then the magnetic ring disengaging mechanism 140 is controlled by the operating part 160 to push the first magnetic ring 120 to disengage from the sleeve 110 and the second magnetic ring 150, and the second magnetic ring 150 is disengaged from the clamping connection on the adjusting mechanism 130, at this time, the distal intestinal canal connected with the second magnetic ring 150 is communicated with the proximal intestinal canal connected with the first magnetic ring 120, the first magnetic ring 120 and the second magnetic ring 150 are extruded in the communicated intestinal canal, the magnetic attraction intestinal canal is caused to be necrotized and disengaged from the intestinal canal, and the first magnetic ring 120 and the second magnetic ring 150 are also discharged from the body outside the body.
The rectal anastomat 100 provided by the application comprises a sleeve 110 and a first magnetic ring 120 clamped at the distal end of the sleeve 110, wherein an adjusting mechanism 130 and a magnetic ring disengaging mechanism 140 are further arranged on the sleeve 110, a second magnetic ring 150 is clamped on the adjusting mechanism 130, the first magnetic ring 120 and the second magnetic ring 150 are respectively connected with affected parts, an operating part 160 is arranged at the proximal end of the sleeve 110, the adjusting mechanism 130 is controlled by the operating part 160 to drive the second magnetic ring 150 to be close to or far away from the first magnetic ring 120 so as to enable intestinal cuts to be communicated after the first magnetic ring 120 and the second magnetic ring 150 are magnetically attracted, the operating part 160 is controlled by the magnetic ring disengaging mechanism 140 to push the first magnetic ring 120 to disengage from the sleeve 110 so as to enable the first magnetic ring 120 and the second magnetic ring 150 to be magnetically attracted and disengaged from the rectal anastomat 100 through the magnetic ring disengaging mechanism 140, the first magnetic ring 120 and the second magnetic ring 150 are connected with necrotic positions of intestinal tracts, and the first magnetic ring 120 and the second magnetic ring 150 are discharged from bodies after the necrotic positions and the growth positions of the intestinal tracts are disengaged.
Further, the sleeve 110 and the connecting rod 131 are provided with clamping grooves, and the first magnetic ring 120 and the second magnetic ring 150 are provided with clamping protrusions which are clamped with the clamping grooves.
Specifically, the clamping protrusion on the first magnetic ring 120 is clamped with the clamping groove on the sleeve 110, so that the first magnetic ring 120 is guaranteed to be detachably connected to the sleeve 110, and the clamping protrusion on the second magnetic ring 150 is clamped with the clamping groove on the connecting rod 131, so that the second magnetic ring 150 is guaranteed to be detachably connected to the connecting rod 131.
In one possible embodiment of the present application, as shown in fig. 1 and 2, the adjusting mechanism 130 includes a connecting rod 131 disposed within the sleeve 110 and having a distal end thereof engaged with the second magnetic ring 150, the proximal end of the connecting rod 131 being connected to an operating portion 160, the operating portion 160 including a knob 161 threadedly connected to the connecting rod 131, and rotating the knob 161 to adjust the position of the second magnetic ring 150 relative to the first magnetic ring 120.
Specifically, when the position of the second magnetic ring 150 relative to the first magnetic ring 120 needs to be adjusted, the knob 161 is turned to move the connecting rod 131 relative to the knob 161, and the connecting rod 131 moves towards or away from the knob 161 to drive the second magnetic ring 150 to move towards or away from the first magnetic ring 120 through the connecting rod 131.
For example, when the knob 161 is rotated clockwise, the connecting rod 131 moves towards the knob 161, and the connecting rod 131 drives the second magnetic ring 150 to move towards the first magnetic ring 120, and when the knob 161 is rotated counterclockwise, the connecting rod 131 moves away from the knob 161, and the connecting rod 131 drives the second magnetic ring 150 to move away from the first magnetic ring 120. When the rectal stapler 100 is used to connect a rectal incision, the second magnetic ring 150 is first connected to the distal rectum outside the body, then put back in the body, the connecting rod 131 is extended to the longest by rotating the knob 161 counterclockwise, the distal end of the sleeve 110 is extended into the incision, the proximal rectum is connected to the first magnetic ring 120, and then the knob 161 is rotated clockwise to move the second magnetic ring 150 toward the first magnetic ring 120 until the second magnetic ring 150 reaches a magnetic attraction distance from the first magnetic ring 120.
In one possible embodiment of the present application, as shown in fig. 1 and 2, the magnetic ring detachment mechanism 140 includes a push rod 141 disposed within the sleeve 110, and the operating portion 160 further includes a handle 162 rotatably coupled to the sleeve 110 through a first rotation shaft, and rotates the handle 162 toward the sleeve 110 to control detachment of the first magnetic ring 120 from the sleeve 110.
Specifically, when the first magnetic ring 120 and the second magnetic ring 150 reach the magnetic attraction distance, then the handle 162 is pressed to rotate towards the sleeve 110, the push rod 141 moves towards the first magnetic ring 120, so that the first magnetic ring 120 is pushed towards the second magnetic ring 150 by the push rod 141, during the pushing process, the first magnetic ring 120 is separated from the sleeve 110, the second magnetic ring 150 is separated from the connecting rod 131, and then the handle 162 is driven to rotate away from the sleeve 110, so that the push rod 141 is reset. At this time, the sleeve 110 is taken out, and the first magnetic ring 120 and the second magnetic ring 150 remain in the body for a while and then are discharged out of the body along with the necrotic intestinal.
In one possible embodiment of the present application, as shown in fig. 1 and 2, the sleeve 110 is rotatably connected with a limiting member 163 through a second rotation shaft, and the limiting member 163 can abut against the handle 162 to limit the handle 162 from rotating toward the sleeve 110.
Specifically, the limiting member 163 is disposed on the sleeve 110, when the position of the second magnetic ring 150 relative to the first magnetic ring 120 is adjusted by the knob 161, the limiting member 163 is rotated to make the limiting member 163 abut against the handle 162, and at this time, the handle 162 cannot rotate relative to the sleeve 110, so as to ensure that the first magnetic ring 120 cannot be separated from the sleeve 110 due to incorrect operation of the handle 162 before the second magnetic ring 150 magnetically attracts the first magnetic ring 120, but the second magnetic ring 150 cannot be separated from the connecting rod 131.
Therefore, when the position of the second magnetic ring 150 relative to the first magnetic ring 120 is adjusted, the rotation limiting member 163 abuts against the first magnetic ring 120, so as to ensure that the handle 162 cannot rotate at this time, the first magnetic ring 120 cannot be separated from the sleeve 110, and after the first magnetic ring 120 and the second magnetic ring 150 reach the magnetic attraction distance, the limiting member 163 is rotated to separate the handle 162 from the abutment against the limiting member 163, and at this time, the handle 162 is pressed to separate the first magnetic ring 120 from the sleeve 110, and the second magnetic ring 150 is separated from the connecting rod 131.
In one possible embodiment of the present application, as shown in fig. 1 and 2, an end of the push rod 141 away from the handle 162 is connected to the push block 142, so that the first magnetic ring 120 is pushed out of the sleeve 110 by the push block 142 and the second magnetic ring 150 is disengaged from the clamping connection on the adjusting mechanism 130.
Specifically, the pushing block 142 is provided with an annular structure matched with the first magnetic ring 120, and the annular structure of the pushing block 142 abuts against the first magnetic ring 120 to ensure stable pushing out of the first magnetic ring 120. When pushing out, the pushing block 142 provides a pushing force to the first magnetic ring 120, and the first magnetic ring 120 provides a pushing force to the second magnetic ring 150, so that the first magnetic ring 120 is separated from the sleeve 110, and the second magnetic ring 150 is separated from the connecting rod 131.
In one possible embodiment of the present application, as shown in fig. 1 and 2, a reset 1621 is also provided between the handle 162 and the cannula 110.
Specifically, a reset element 1621 is disposed between the handle 162 and the sleeve 110, when the handle 162 is pressed to rotate towards the sleeve 110, the handle 162 drives the push rod 141 to push the push block 142, and then the push block 142 pushes the second magnetic ring 150 to separate from the sleeve 110, so that the second magnetic ring 150 and the first magnetic ring 120 magnetically connected with the second magnetic ring 150 are separated, at this time, the reset element 1621 accumulates a certain elastic potential energy, and then the handle 162 is released, the reset element 1621 can enable the handle 162 to rotate away from the sleeve 110, and further drive the push rod 141 and the push block 142 to reset. Wherein the restoring member 1621 may be provided as a torsion spring.
In one possible embodiment of the present application, as shown in fig. 1 and 2, an indicator 132 that is clamped with the connecting rod 131 is further disposed in the sleeve 110, the connecting rod 131 drives the indicator 132 to slide in the sleeve 110, and an indicator window 111 is further disposed on the sleeve 110 to observe the position of the indicator 132 through the indicator window 111.
Specifically, the position of the indicator 132 is observed through the observation window to observe the position of the second magnetic ring 150 relative to the first magnetic ring 120, so as to ensure that the first magnetic ring 120 and the second magnetic ring 150 reach the magnetic attraction distance.
When the knob 161 is rotated, the connecting rod 131 moves towards or away from the knob 161, and at this time, the connecting rod 131 drives the second magnetic ring 150 to move relative to the first magnetic ring 120, so that the position of the indicator 132 can be observed through the observation window, and the position of the second magnetic ring 150 relative to the first magnetic ring 120 can be accurately known.
When the rectal anastomat 100 is used to connect a rectal incision, the second magnetic ring 150 is firstly connected with the distal rectum outside the body, then put back into the body, the connecting rod 131 is extended to the longest by rotating the knob 161 anticlockwise, the distal end of the sleeve 110 is extended into the incision, the proximal rectum is connected with the first magnetic ring 120, then the knob 161 is rotated clockwise to enable the second magnetic ring 150 to move towards the first magnetic ring 120 until the second magnetic ring 150 reaches the magnetic attraction distance with the first magnetic ring 120, the position of the indicator 132 is observed through the observation window, and the position of the second magnetic ring 150 relative to the first magnetic ring 120 is ensured to reach the magnetic attraction distance, so that the magnetic ring detachment mechanism 140 can be ensured to detach the second magnetic ring 150 from the first magnetic ring 120 simultaneously, and the distal rectum is communicated with the proximal rectum.
After the second magnetic ring 150 and the first magnetic ring 120 reach the magnetic attraction distance through the observation window, the limiting piece 163 is rotated to separate the handle 162 from the abutting of the limiting piece 163, and at this time, the handle 162 is pressed to separate the first magnetic ring 120 from the sleeve 110, and the second magnetic ring 150 magnetically attracted to the first magnetic ring 120 is also separated from the connecting rod 131.
Further, a scale bar is disposed on the observation window, so as to observe whether the second magnetic ring 150 reaches the magnetic attraction distance relative to the first magnetic ring 120 through the scale bar.
In one possible embodiment of the present application, as shown in fig. 1 and 2, the first thread 1311 and the second thread 1312 are provided on the connection rod 131, the spiral directions of the first thread 1311 and the second thread 1312 are identical, the second thread 1312 is connected to both ends of the first thread 1311, and the pitch of the second thread 1312 is smaller than that of the first thread 1311.
Specifically, the pitch of the second thread 1312 is set smaller than the pitch of the first thread 1311, so that the adjustment displacement of the connecting rod 131 can be changed, so that when the second magnetic ring 150 is far away from the first magnetic ring 120, the adjustment distance of the second magnetic ring 150 is reduced, fine adjustment of the second magnetic ring 150 is realized, when the second magnetic ring 150 moves close to the first magnetic ring 120, the displacement adjustment of the second magnetic ring 150 is larger, the second magnetic ring 150 can move rapidly towards the first magnetic ring 120, and when the second magnetic ring 150 and the first magnetic ring 120 are about to reach the magnetic attraction distance, the adjustment distance of the second magnetic ring 150 is reduced, fine adjustment of the second magnetic ring 150 is realized, and further, the position of the second magnetic ring 150 relative to the first magnetic ring 120 is regulated.
In one possible embodiment of the present application, as shown in fig. 1 and 2, the sleeve 110 includes an operation section and a working section that are mutually communicated, and the first magnetic ring 120 is clamped at the distal end of the working section, where the working section is in an arc shape.
Specifically, the working section is arranged in an arc shape, so that the working section can conform to the shape of the intestinal canal, and the rectal anastomat 100 can conform to the shape of the intestinal canal.
According to the rectal anastomat 100 provided by the application, the adjusting mechanism 130 is controlled through the knob 161 at the operating part 160, the second magnetic ring 150 can be driven to be close to or far away from the first magnetic ring 120, so that the intestinal canal incision is communicated after the first magnetic ring 120 and the second magnetic ring 150 are magnetically attracted, the magnetic ring disengaging mechanism 140 is controlled through the handle 162 at the operating part 160 to push the first magnetic ring 120 to disengage from the sleeve 110, so that the first magnetic ring 120 and the second magnetic ring 150 are magnetically attracted and disengaged from the rectal anastomat 100 through the magnetic ring disengaging mechanism 140, the necrotic position of the intestinal canal is connected through the first magnetic ring 120 and the second magnetic ring 150, and the first magnetic ring 120 and the second magnetic ring 150 are discharged from the body after the necrotic position and the growing position of the intestinal canal are disengaged. And a limiting member 163 is disposed on the sleeve 110 to ensure that the first magnetic ring 120 is not separated from the second magnetic ring 150 due to the misoperation of the handle 162, and the position of the first magnetic ring 120 relative to the second magnetic ring 150 is observed at any time through an observation window on the sleeve 110.
The above description is only of the preferred embodiments of the present application and is not intended to limit the present application, but various modifications and variations can be made to the present application by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present application should be included in the protection scope of the present application.