CN103815985A - Recanalization anastomosis apparatus for anal atresia - Google Patents
Recanalization anastomosis apparatus for anal atresia Download PDFInfo
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- CN103815985A CN103815985A CN201410042358.0A CN201410042358A CN103815985A CN 103815985 A CN103815985 A CN 103815985A CN 201410042358 A CN201410042358 A CN 201410042358A CN 103815985 A CN103815985 A CN 103815985A
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Abstract
A Recanalization anastomosis apparatus for anal atresia comprises a puncture steel needle, a hollow dilating catheter, a penetrating catheter center hole, a cylindrical guiding wire, a spindly sub-magnet and a cylindrical mother magnet. The hollow dilating catheter is provided with a conical head end, the penetrating catheter center hole is axially arranged along the dilating catheter, the inner diameter of the catheter center hole is larger than the outer diameter of the puncture steel needle, and the outer diameter of the guiding wire is smaller than the inner diameter of the catheter center hole; a penetrating hole arranged in the center of a long axis along the long axis of the sub-magnet, a guiding catheter made of stainless steel is fittingly matched inside the hole, and the inner diameter of the guiding catheter is larger than the outer diameter of the dilating catheter; the cylindrical mother magnet is provided with a concave surface in the upper end face and a drain hole in the center, the drain hole is connected with the bottom of the concave surface and the lower end face of the cylindrical mother magnetic, the inner diameter of the drain hole is larger than the outer diameter of the guiding catheter, and the radian and size of the concave surface are completely matched with the radian and those of a lower end protrusion of the sub-magnet. Recanalization and anastomosis for the anal stresia can be realized through positioning of the puncture steel needle and the catheter and guiding of the guiding wire and by the aid of two specially-shaped permanent magnets.
Description
Technical field
The present invention relates to a kind of equipment of medical aspect, be specifically related to a kind of logical stapling apparatus again for proctatresia.
Background technology
Proctatresia, as neonate anal canal deformity, mainly relies on surgeon to implement operation at present, then completes the identical reconstruction of anal canal by sutures.But because proctatresia is led to after reconstruction again, anastomotic position is subject to fecal pollution serious, in addition the pollutant that the foreign body stimulation that sutures brings and feces, intestinal juice etc. contain a large amount of antibacterials can immerse in surrounding tissue along the gap between sutures and tissue, further increase the weight of tissue infection, have a strong impact on patient's prognosis.Now, also not for the logical stapling apparatus again of proctatresia.
Summary of the invention
The deficiency existing in order to overcome above-mentioned prior art, the object of the present invention is to provide a logical stapling apparatus again for proctatresia, by puncture draw point, the location of conduit and the guiding of seal wire, utilize the permanent magnet of two special shapes can realize the logical and identical again of locking anus.Adopt this device, simple to operate, minimum to anal external sphincter damage, more logical and match result is reliable, and at anal canal under serious contaminated environment, more can embody the advantage of this device.
In order to achieve the above object, the technical solution adopted in the present invention is:
For a logical stapling apparatus again for proctatresia, comprising:
Head end is the dilating catheter 2 of conical hollow, is axially provided with the conduit medium pore 21 of perforation along dilating catheter 2, and the internal diameter of conduit medium pore 21 is greater than the external diameter of the draw point 1 that punctures, and to allow to puncture, draw point 1 passes; The outer dia of dilating catheter 2 need to be designed with different size according to clinical.
Columned guiding seal wire 3, guiding seal wire 3 is made up of rustless steel steel wire and the polytetrafluoroethylene floor that is coated on outside rustless steel steel wire, and guiding seal wire 3 external diameters are less than the internal diameter of conduit medium pore 21, to allow guiding seal wire 3 to pass;
Fusiform sub-magnet 4, is provided with the hole 41 of running through in the central along the major axis of sub-magnet 4, in hole 41, interior close-fitting has guiding tube 42, and guiding tube 42 is rustless steel, and the internal diameter of guiding tube 42 is greater than the external diameter of dilating catheter 2;
There is columniform female magnet 5 of porus excretorius 52 upper surface with concave surface 51, central authorities, porus excretorius 52 connects the end of concave surface 51 and the lower surface of columniform female magnet 5, the internal diameter of porus excretorius 52 is greater than the external diameter of guiding tube 42, and the radian of concave surface 51 and size are mated identical with radian and the size of sub-magnet 4 lower end projections completely.
Described dilating catheter 2 is prepared by medical macromolecular materials.
Described guiding tube 42 leads to the outside of fusiform sub-magnet 4.
Described sub-magnet 4 and female magnet 5 can adopt different permanent magnet materials to carry out machine-shaping as magnetic materials such as Ferrite Material, samarium-cobalt material, NdFeB material, aluminum nickel cobalts, and magnet surface can adopt the various surface treatment methods such as nickel plating, zinc-plated, nickel-clad copper nickel, titanium-nitride, coating diamond-like, plating politef.
By puncture draw point, the location of conduit and the guiding of seal wire, utilize the permanent magnet of two special shapes can realize the logical and identical again of locking anus.Adopt this device, simple to operate, minimum to anal external sphincter damage, more logical and match result is reliable, and at anal canal under serious contaminated environment, more can embody the advantage of this device.
Accompanying drawing explanation
Fig. 1 is the structural representation of puncture draw point of the present invention.
Fig. 2 is the structural representation of dilating catheter of the present invention.
Fig. 3 is the structural representation of guiding seal wire of the present invention.
Fig. 4 is the structural representation of sub-magnet of the present invention.
Fig. 5 is the structural representation of female magnet of the present invention.
Fig. 6 is the profile after sub-magnet of the present invention and female magnet para-position adhesive.
Fig. 7 is the view that puncture draw point of the present invention penetrates blind end of rectum.
Fig. 8 is the view that dilating catheter of the present invention is expanded puncturing hole.
Fig. 9 is guiding seal wire of the present invention enters rectum view through dilating catheter.
Figure 10 is the view that sub-magnet of the present invention is about to enter rectum under the guiding of guiding seal wire.
Figure 11 is the view that sub-magnet of the present invention enters rectum under the guiding of guiding seal wire.
Figure 12 is female magnet of the present invention view close with sub-magnet under the guiding of guiding seal wire.
Figure 13 is the view of sub-magnet of the present invention and female magnet para-position adhesive.
Figure 14 is after primary and secondary magnet of the present invention exits, the view of the anus of foundation.
The specific embodiment
Below in conjunction with drawings and Examples, the present invention will be described in more detail.
As shown in Figure 1, the conical puncture draw point 1 that logical stapling apparatus uses again of proctatresia, it is processed by rustless steel.
As shown in Figure 2, the dilating catheter 2 that the head end that logical stapling apparatus uses again of proctatresia is conical hollow, axially be provided with the conduit medium pore 21 of perforation along dilating catheter 2, the internal diameter of conduit medium pore 21 is greater than the external diameter of the draw point 1 that punctures, and to allow to puncture, draw point 1 passes; The outer dia of dilating catheter 2 need to be designed with different size according to clinical.
As shown in Figure 3, the guiding seal wire 3 of logical stapling apparatus again of proctatresia, guiding seal wire 3 is made up of rustless steel steel wire and the polytetrafluoroethylene floor that is coated on outside rustless steel steel wire, and guiding seal wire 3 external diameters are less than the internal diameter of conduit medium pore 21, to allow guiding seal wire 3 to pass.
As shown in Figure 4, with the sub-magnet 4 of spindle of guiding tube 42, be provided with in the central the hole 41 of running through along the major axis of sub-magnet 4, in hole 41, interior close-fitting has guiding tube 42, and guiding tube 42 is rustless steel, and the internal diameter of guiding tube 42 is greater than the external diameter of dilating catheter 2.
As shown in Figure 5, female magnet 5, main body is cylindrical, there is porus excretorius 52 upper surface with concave surface 51, central authorities, porus excretorius 52 connects the end and the columniform lower surface of concave surface 51, the internal diameter of porus excretorius 52 is greater than the external diameter of guiding tube 42, and the radian of concave surface 51 and size are mated identical with radian and the size of sub-magnet 4 lower end projections completely.
As shown in Figure 6, the state profile after sub-magnet 4 and the 5 para-position adhesives of female magnet.Guiding tube 42 is inserted in porus excretorius 52.
Operation principle of the present invention is: as shown in Figure 7, first puncture into the cecum of rectum 7 through skin 6 by puncture draw point 1, then, as shown in Figure 8, dilating catheter 2 is inserted in to the outer puncture path of facing of puncture draw point 1 to be expanded, again as shown in Figure 9, keep dilating catheter 2 invariant positions, exit puncture draw point 1, send into the cecum of guiding seal wire 3 to rectum 7 through the conduit medium pore 21 of dilating catheter 2, then as shown in figure 10, exit dilating catheter 2, send into sub-magnet 4 along guiding seal wire 3, then as shown in figure 11, sub-magnet 4 is delivered to rectum 7 lower ends, send into female magnet 5 along guiding seal wire 3 as shown in figure 12, sub-magnet 4 and the 5 para-position adhesives of female magnet, then as shown in figure 13, pull out guiding seal wire 3, internal rectum feces 8 can excrete by the guiding tube 42 on sub-magnet 4, finally, as shown in figure 14, sub-magnet 4 comes off after inhaling mutually squeezing a period of time with female magnet 5 naturally, anus 9 can be set up.
By puncture draw point, the location of conduit and the guiding of seal wire, utilize the permanent magnet of two special shapes can realize the logical and identical again of locking anus.Adopt this device, simple to operate, minimum to anal external sphincter damage, more logical and match result is reliable, and at anal canal under serious contaminated environment, more can embody the advantage of this device.In addition, because the existence of guiding tube 42 can realize after operation defecation immediately, and can expand voluntarily in early days after surgery anus.
Claims (6)
1. for a logical stapling apparatus again for proctatresia, it is characterized in that, comprising:
Puncture draw point (1), is processed by rustless steel;
Head end is the dilating catheter (2) of conical hollow, is axially provided with the conduit medium pore (21) of perforation along dilating catheter (2), and the internal diameter of conduit medium pore (21) is greater than the external diameter of puncture draw point (1);
Columned guiding seal wire (3), guiding seal wire (3) is made up of rustless steel steel wire and the polytetrafluoroethylene floor that is coated on outside rustless steel steel wire, and guiding seal wire (3) external diameter is less than the internal diameter of conduit medium pore (21);
Fusiform sub-magnet (4), be provided with in the central the hole (41) of running through along the major axis of sub-magnet (4), in hole (41), close-fitting has guiding tube (42), and guiding tube (42) is rustless steel, and the internal diameter of guiding tube (42) is greater than the external diameter of dilating catheter (2);
There is columniform female magnet (5) of porus excretorius (52) upper surface with concave surface (51), central authorities, porus excretorius (52) connects the end of concave surface (51) and the lower surface of columniform female magnet (5), the internal diameter of porus excretorius (52) is greater than the external diameter of guiding tube (42), and the radian of concave surface (51) and size are mated identical with radian and the size of sub-magnet (4) lower end projection completely.
2. according to claim 1 for the logical stapling apparatus again of proctatresia, it is characterized in that, described dilating catheter (2) is prepared by medical macromolecular materials.
3. according to claim 1 for the logical stapling apparatus again of proctatresia, it is characterized in that, described sub-magnet (4) and female magnet (5) adopt different permanent magnet material machine-shaping.
4. according to claim 3 for the logical stapling apparatus again of proctatresia, it is characterized in that, described permanent magnet material is the magnetic materials such as Ferrite Material, samarium-cobalt material, NdFeB material or aluminum nickel cobalt.
5. according to the logical stapling apparatus again for proctatresia described in claim 3 or 4, it is characterized in that, described sub-magnet (4) and female magnet (5) adopt nickel plating, zinc-plated, nickel-clad copper nickel, titanium-nitride, coating diamond-like or plating politef to carry out surface treatment.
6. according to claim 1 for the logical stapling apparatus again of proctatresia, it is characterized in that, described guiding tube (42) leads to the outside of fusiform sub-magnet (4).
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CN201410042358.0A CN103815985B (en) | 2014-01-28 | 2014-01-28 | A kind of logical again stapling apparatus for proctatresia |
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CN201410042358.0A CN103815985B (en) | 2014-01-28 | 2014-01-28 | A kind of logical again stapling apparatus for proctatresia |
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CN103815985B CN103815985B (en) | 2015-08-26 |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109223129A (en) * | 2018-10-09 | 2019-01-18 | 西安交通大学医学院第附属医院 | A kind of magnetic anchoring piercing assembly coincideing for scope lower digestive tract |
CN110269657A (en) * | 2019-06-12 | 2019-09-24 | 西安交通大学医学院第一附属医院 | A kind of high position gallbladder intestines magnetism stapling apparatus |
CN112741657A (en) * | 2020-12-28 | 2021-05-04 | 华中科技大学 | Magnetic traction anastomosis device |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109223129A (en) * | 2018-10-09 | 2019-01-18 | 西安交通大学医学院第附属医院 | A kind of magnetic anchoring piercing assembly coincideing for scope lower digestive tract |
CN109223129B (en) * | 2018-10-09 | 2020-11-10 | 西安交通大学医学院第一附属医院 | Magnetic anchoring puncture assembly for endoscopic lower gastrointestinal anastomosis |
CN110269657A (en) * | 2019-06-12 | 2019-09-24 | 西安交通大学医学院第一附属医院 | A kind of high position gallbladder intestines magnetism stapling apparatus |
CN112741657A (en) * | 2020-12-28 | 2021-05-04 | 华中科技大学 | Magnetic traction anastomosis device |
CN112741657B (en) * | 2020-12-28 | 2021-10-08 | 华中科技大学 | Magnetic traction anastomosis device |
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