CN105476690B - One time double fastener cuts off Clip Applier - Google Patents
One time double fastener cuts off Clip Applier Download PDFInfo
- Publication number
- CN105476690B CN105476690B CN201510681311.3A CN201510681311A CN105476690B CN 105476690 B CN105476690 B CN 105476690B CN 201510681311 A CN201510681311 A CN 201510681311A CN 105476690 B CN105476690 B CN 105476690B
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- double
- blood vessel
- double fastener
- cuts
- cutting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B2017/1225—Clamps or clips, e.g. for the umbilical cord for clipping and cutting 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Ophthalmology & Optometry (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses an a kind of double fasteners to cut off Clip Applier, it includes double fastener structure, double collet mechanism, clamp transmission mechanism, cutter blades and cutting transmission mechanism, rotating mechanism and fixed handle mechanism.Double fastener cuts off Clip Applier, can accurately fix blood vessel both ends length, blood vessel both ends is tightened closure simultaneously, and the blood vessel for having tightened closure to both ends is cut off from centre.Blood vessel, more cutting vessels will not be ligatured, hence it is evident that reduce the damage to human health tissue more.Tighten and the cutting of blood vessel be it is same instrument is once completed, do not need operative doctor and first protrude into human body with ligature forceps, blood vessel both ends are tightened into closure, then ligature forceps is taken out out of human body, cutting off apparatus is protruded into human body, cuts off blood vessel.Significant effective improves operative speed, reduces operation risk.In addition used ligation clip is the self-locking plastic clip of back-off, solid and reliable, be will not fall off.With 6~8 months automatic classifyings in human body of ligation clip made of material can be received.
Description
Technical field
The invention belongs to medical instruments fields, and in particular to one kind is suitable for human body surgery and Minimally Invasive Surgery medium vessels
Tighten closure and cutting a double fastener cutting Clip Applier.
Background technique
For a long time, in domestic and international market there are two types of vascular ligation medical instruments, one is reusable lists
The absorbable ligation Clip Applier of hair.In carrying out human intracavity's videoendoscopic surgery, though the absorbable ligation Clip Applier of the single-shot of reuse can
It is reusable after disinfection effectively to ligature blood vessel, but because it is needed in use between operative doctor and nurse
It is transmitted, i.e., after the complete one piece of biology folder of operative doctor clamp, needs to take out Clip Applier from human body, then to remove Clip Applier whole
The clamp component on a head is transmitted to nurse to complete the installation of the new clamp component for being provided with single piece of biology folder, then is transmitted to hand
Clip Applier is protruded into human body again again by art doctor, operative doctor, the other end for needing to cut off blood vessel closure is tightened, specific blood vessel
Other end ligation where, operative doctor can only be felt with range estimation, be substantially the blood vessels that ligatured more.Blood vessel both ends are closed
After conjunction tightens, then Clip Applier taken out out of human body, surgical cutting instrument is protruded into human body, such as operating scissors, both ends have been closed
The blood vessel tightened is closed to cut off from centre.Repeatedly.
Another vascular ligation medical instrument is titanium clamp pincers, and this titanium clamp pincers pass through the conduction of titanium clamp pincers handle during operation to be made
The binding clip of titanium clamp pincers is closed, titanium folder closure, so that vascular ligation be made to be closed.This titanium clamp pincers can achieve several titanium folders and continuously apply
The effect of folder.But blood vessel one tightens where rear other end ligation is being also operative doctor with range estimation and is feeling, Duo Shuoshi
Blood vessel has been ligatured more.The both ends closure of blood vessel tightens rear operative doctor and again protrudes into cutting device in human body, and both ends are closed and are pricked
Tight blood vessel is cut off from centre.
Both vascular ligation medical instruments, every ligation closure and cutting for completing blood vessel, require closure pincers and
Excising forceps two kinds of instruments are completed, and need more times, more manpowers.All pass through longer process, increases various devices
Tool enters bring in human body repeatedly repeatedly to be injured, and increases the amount of bleeding of patient during surgery, or even will cause because going out
Hyperhematosis and cause to suffer a shock, or even it is dead.Operating time is not only extended, surgical procedure is increased, more importantly originally not
The vascular ligation for needing to ligature is cut the blood vessel for not needing cutting originally more, increases the not guilty damage of original healthy human body
Wound, and operation risk occurs.
Summary of the invention
The purpose of the present invention is to provide a kind of safer, more effective, more rapidly, more scientific double fastener cutting clamps
Pincers, it is that an instrument is completed that the closure of blood vessel, which is tightened with cutting,.Once blood vessel both ends are closed at and are tightened, cutting blade is by two
The blood vessel that head closure tightens is cut off from centre.The length science of both ends ligation blood vessel is fixed, few ligation or few ligation.It is used
Ligation clip be the self-locking plastic clip of back-off, ligation is secured.
The purpose of the present invention can be achieved through the following technical solutions：
Double fastener cuts off Clip Applier, it is characterised in that：It includes by upper double fastener slot (21), cutting cutter groove
(22), double fastener locating slot (23) and the upper double collet (20) for pushing the folding slot (24) of folding to form, by lower double fastener slot (31), cut
Breaking slot (32), locating slot (33) and the lower double collet (30) for pushing the folding slot (34) of folding to form, pair of pivot pin (3) composition
Collet (2) mechanism.Double fastener (1) is made of folder I and folder II, and folder I and folder II are connected by interface (59) and (60).Double fastener (1)
Both sides the convex of positioning up and down (57), (58) edge be clipped in inside double collet (2) up and down locating slot (23), inside (33).Clamp
The movement in the slot of folding up and down (24) of double collet, (34) of the head of push rod (4), pushes double collet (2) opening and closing, thus
Blood vessel both ends are simultaneously clamped on into closure.Upper incision of the cutter blades (5) under the action of cutting off handle (11) among double collet
It is moved forward and backward inside breaking slot (22), (32), the closed blood vessel in both ends is cut off from centre.And by the connection on double fastener (1)
Contact (59), (60) cutting, double fastener (1) are divided into two, and become two ligation clips, close to realize that a blood vessel both ends tighten
It closes, blood vessel is cut off in centre.
Double fastener cuts off Clip Applier, it is characterised in that：The double fastener (1) further includes in double collet (2) phase
To under the action of grip force, upper clip arm (50) is buckled to self-locking closure lower clip arm (54), the upper ratcheting lower sawtooth (53) of sawtooth (51), positioning
Fall from power (55) and positioning back-off (56) back-off is self-locking.Such as Figure 10.
Double fastener cuts off Clip Applier, it is characterised in that：The clamp transmission mechanism further includes pushing away with clamp
The clamp connector sleeve (12) of bar (4) connection, pushes the clamp handle (14) of clamp connector sleeve (12) movement.Reset spring (9) begins
Make double collet (2) open configuration eventually.Such as Fig. 7.
Double fastener cuts off Clip Applier, it is characterised in that：The cutting transmission mechanism further includes and cutoff tool
The pushing sleeve (6) of piece (5) connection, cuts off connector sleeve (10), such as Fig. 9, cuts off handle (11).The tension spring for retreating cutter blades
(13).Such as Fig. 8.
Double fastener cuts off Clip Applier, it is characterised in that：The rotating handle (8) drives claw beam (7) can make
Double collet (2) makees 360 degree of rotation, facilitates surgical procedure.
The ligation clip can be chronically implanted in human body, with absorbable material or nonabsorable high molecular synthetic material system
It makes.The present invention does not have specified otherwise, including but not limited to poly- Glycolic acid, poly- glycol carbonic acid and poly- cream to resorbable polymeric materials
One or more of acid or lactic acid-copolyether.The present invention does not have specified otherwise to nonabsorable high molecular material, including
One or more of but be not limited to medical grade PP, medical grade PC, medical grade PE and medical grade PU.
The beneficial remarkable result that the present invention has is：
1. a double fastener of the invention cuts off Clip Applier, blood vessel tighten closure and cutting be it is same instrument is completed, no
It needs that blood vessel should be closed with closure icarceration, cuts off blood vessel with excising forceps again, not only effectively improve operative speed, reduction was performed the operation
Journey shortens operating time, i.e. operative doctor only needs once to protrude into instrument in human body, and first plate moves clamp handle, by the two of blood vessel
Head tightens closure, then the dynamic cutting handle of plate, cutter blades cut off blood vessel from centre.It does not need by surgical doctor repeatedly by instrument
Enter from human body, does not also need the installation ligation clip of nurse one by one, avoid surgical instrument and transmitted between doctor and nurse
And operating time is wasted, it avoids instrument and enters human body repeatedly and bring secondary injury；Reduce operation risk.
2. a double fastener of the invention cuts off Clip Applier, blood vessel both ends ligature simultaneously, and blood vessel both ends length science is fixed, essence
Really ligation blood vessel.Since double fastener is constant spacing point connection arranged side by side, length science arranged side by side is fixed, thus seldom ligation or few ligation
Blood vessel.Cutter blades cut off the blood vessel that both ends have ligatured closure from centre, seldom cut blood vessel, accurately cut off blood vessel, hence it is evident that drop
Injury of the low operation to human body.
3. ligation clip used in the present invention is the self-locking ligation clip of back-off, opening angle is big, not only to larger blood vessel knot
It is masterly to prick closure.It is more easily aligned blood vessel, surgical procedure is more convenient；It is two when this double fastener blood vessel clip ligation closure blood vessel
The fixed parallel clamp of head, clamp are balanced in power, and blood vessel Complete Ligation is closed, and the quality significant effective of ligation closure blood vessel mentions
Height, and it is solid and reliable, permanently it will not fall off.
4. rotation button can make claw beam and binding clip entirety 360 degree rotation, increase surgical field of view, 360 degree of adjustings operation angles can
With comprehensive accurate clamp, surgical procedure is more convenient.
5. this ligation clip is can be chronically implanted in human body, it is made of absorbable and nonabsorable high molecular synthetic material.
Absorbable high molecular synthetic material 6~8 automatic classifying in human body.Obviously it is superior to be left permanently in people made of Titanium silk
Intracorporal titanium folder.
Detailed description of the invention
Fig. 1 is the 3D view of double fastener cutting Clip Applier of the invention；
Fig. 2 is double fastener cutting Clip Applier three-view diagram of the invention.
Fig. 3 is the clamp transmission principle main sectional view of double fastener cutting Clip Applier of the invention；
Fig. 4 is double collet (2) structure chart of the double fastener cutting Clip Applier of invention；
Fig. 5 is the upper grip structure chart of double fastener cutting Clip Applier double collet of the invention；
Fig. 6 is the lower chuck structure figure that a double fastener of the invention cuts off Clip Applier double collet.
Fig. 7 is the clamp drive mechanism figure for pushing double collet transmission.
Fig. 8 is the cutting driver composition of double fastener cutting Clip Applier of the invention.
Fig. 9 is cutting connector sleeve (10) structure chart of double fastener cutting Clip Applier of the invention.
Figure 10 is double fastener (1) structure chart of double fastener cutting Clip Applier of the invention.
In figure：1 is double fastener, double fastener I, double fastener II, 2 be double collet, 3 be pivot pin, 4 be clamp push rod, 5 be cutter blades, 6
For pushing sleeve, 7 be claw beam, 8 be rotating handle, 9 be reset spring, 10 be cutting connector sleeve, 11 be cutting handle, 12 be clamp connect
Female connector, 13 be tension spring, 14 be clamp handle, 15 be fixed handle, 20 be upper double collet, 30 be lower double collet, 50 be upper clip arm,
51 be upper sawtooth, 53 be lower sawtooth, 56 be positioning back-off, 55 be that positioning falls from power, 54 is lower clip arm, 57 is that upper clip arm positioning is prominent
Platform, 59 be upper clip arm interface, 58 be lower clip arm positioning convex, 60 be that lower clip arm connects connection point.
Specific embodiment
Below with reference to embodiment, the invention will be further described, and but the scope of the present invention is not limited thereto：
The structure of a double fastener cutting Clip Applier used in embodiment is as follows：
Use process：
1, the process for changing double fastener is filled out：One time double fastener cuts off Clip Applier, and the ligation clip used is to be installed on more pieces of double fasteners
Double clamping base box in, open double fastener cutting Clip Applier, double collet (2) be directed at the double fastener on double clamping base box, gently one are pushed away,
The locating slot (23) that upper clip arm positioning convex (57) on double fastener just slides into the upper double collet in double collet is inner, the lower folder on double fastener
The locating slot (33) that positioning convex (58) on arm just slides into the lower collet in double collet is inner, as possessed by double fastener itself
Tension, double fastener are just mounted in the double collet of Clip Applier.New double fastener is installed again after being once finished, repeatedly.
2, minimal invasive surgical procedures：
1. blood vessel both ends closure tightens.To be equipped with double fastener (1) a double fastener cutting Clip Applier protrude into it is to be cut in human body
It by disconnected blood vessel, adjusts rotating handle (8), makes the best clamp angle of double fastener, the inner double fastener (1) of double collet (2) is directed at blood
Pipe；Plate moves clamp handle (14), and clamp handle (14) pushes clamp connector sleeve (12), is driven clamp push rod (4), before clamp push rod
The convex of head folding slot (24), (34) interior movement up and down in double collet (2), so that double collet (2) be made to be closed.Double collet makes double
(1) closure is pressed from both sides, the positioning back-off (56) that the positioning on upper clip arm on double fastener is fallen from power on the self-locking lower clip arm of (55) back-off.Double fastener falls
Detain self-locking closure.Blood vessel both ends tighten closure.Because of two ligation clips that double fastener is and column pitch point connects.
2. cutting off blood vessel.Dynamic cutting handle (11) of plate, makes cutting connector sleeve (10), pushing sleeve (6) travel forward, to make to cut
Breaking piece (5) travels forward along the inner cutter groove of cutting up and down (22) of double collet (2), (32), and cutter blades have ligatured both ends
The blood vessel of closure is cut off from centre.Cutter blades cut off double fastener interface (58), (60), and double fastener is divided into two, becomes two
Blood vessel both ends are tightened closure by a ligation clip.
3. unclamping cutting handle (11), clamp handle (14), double fastener is separated with Clip Applier, and blood vessel both ends tighten and cut off.
Reset spring (9), tension spring (13) make to cut off handle (11), clamp handle (14) reset.
Claims (5)
1. an a kind of double fastener cuts off Clip Applier, it is characterised in that：It include by upper double fastener slot (21), upper cutting cutter groove (22),
Upper locating slot (23) and the upper double collet (20) for pushing the upper folding slot (24) of folding to form, by lower double fastener slot (31), lower cutting
Cutter groove (32), lower locating slot (33) and the lower double collet (30) for pushing the lower folding slot (34) of folding to form, pivot pin (3) composition
Double collet (2) mechanism；Double fastener (1) is made of folder I and folder II, and folder I and folder II are connected by interface (59) and (60), double fastener
(1) the upper positioning convex (57) on both sides and it is lower positioning convex (58) respectively edge be clipped in double collet (2) upper locating slot (23) and
Inside lower locating slot (33), the movement in the upper folding slot (24) of double collet and lower folding slot (34) of the head of clamp push rod (4),
Double collet (2) opening and closing are pushed, so that blood vessel both ends are simultaneously clamped on closure；
Upper cutting cutter groove (22) and lower cutoff tool slot of the cutter blades (5) under the action of cutting off handle (11) among double collet
(32) the inside move forward and backward, by the closed blood vessel in both ends from centre cut off, and by double fastener (1) interface (59),
(60) it cuts off, double fastener (1) is divided into two, and becomes two ligation clips, to realize that a blood vessel both ends tighten closure, centre is cut off
Blood vessel.
2. a double fastener according to claim 1 cuts off Clip Applier, it is characterised in that：The double fastener (1) further include
Under the action of the opposite grip force of double collet (2), upper clip arm (50) is buckled to self-locking closure lower clip arm (54), the upper ratcheting lower saw of sawtooth (51)
Tooth (53), positioning is fallen from power (55) and positioning back-off (56) back-off is self-locking.
3. a double fastener according to claim 1 cuts off Clip Applier, it is characterised in that：Clamp transmission mechanism further includes and applies
The clamp connector sleeve (12) of push rod (4) connection is pressed from both sides, the clamp handle (14) of clamp connector sleeve (12) movement is pushed, makes double fastener always
Head (2) is in the reset spring (9) of open configuration.
4. a double fastener according to claim 1 cuts off Clip Applier, it is characterised in that：Cut off transmission mechanism, further include and
The pushing sleeve (6) of cutter blades (5) connection, cuts off connector sleeve (10), cuts off handle (11), the tension spring for retreating cutter blades
(13)。
5. a double fastener according to claim 1 cuts off Clip Applier, it is characterised in that：Rotating handle (8) drives claw beam (7)
Double collet (2) can be made to make 360 degree of rotation.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510681311.3A CN105476690B (en) | 2015-10-14 | 2015-10-14 | One time double fastener cuts off Clip Applier |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510681311.3A CN105476690B (en) | 2015-10-14 | 2015-10-14 | One time double fastener cuts off Clip Applier |
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| Publication Number | Publication Date |
|---|---|
| CN105476690A CN105476690A (en) | 2016-04-13 |
| CN105476690B true CN105476690B (en) | 2018-11-16 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510681311.3A Active CN105476690B (en) | 2015-10-14 | 2015-10-14 | One time double fastener cuts off Clip Applier |
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| Country | Link |
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| CN (1) | CN105476690B (en) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107714130B (en) * | 2017-11-27 | 2024-02-06 | 北京大学第三医院 | Adjustable-distance double-clamp clip applier |
| CN108670347A (en) * | 2018-06-06 | 2018-10-19 | 杭州欧创医疗器械有限公司 | A kind of tiger head applicator |
| CN108720880A (en) * | 2018-06-29 | 2018-11-02 | 杭州圣石科技有限公司 | Disposable applicator |
| CN108852453B (en) * | 2018-08-29 | 2019-12-10 | 华南理工大学 | blood vessel ligation operation device |
| CN110013291A (en) * | 2019-05-07 | 2019-07-16 | 常熟虞星光电科技有限公司 | A kind of medical nucleus pulposus clamp |
| CN112690864B (en) * | 2019-10-23 | 2022-03-22 | 苏州英途康医疗科技有限公司 | Medical instrument and automatic clamp feeding method |
| CN112022288A (en) * | 2020-10-09 | 2020-12-04 | 北京米道斯医疗器械股份有限公司 | Cutting scissors device for saphenous vein collateral branches and using method |
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| US6228097B1 (en) * | 1999-01-22 | 2001-05-08 | Scion International, Inc. | Surgical instrument for clipping and cutting blood vessels and organic structures |
| CN1469725A (en) * | 2000-08-18 | 2004-01-21 | 肯凯普有限公司 | Umbilical cord clamp and cutter |
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| CN103519866A (en) * | 2013-10-29 | 2014-01-22 | 杭州铭众生物科技有限公司 | Laparoscopic clip applier for ligature clip |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7326223B2 (en) * | 2004-01-22 | 2008-02-05 | Teleflex Medical Incorporated | Ligating clip with integral cutting guide |
| US10226273B2 (en) * | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5968054A (en) * | 1998-02-11 | 1999-10-19 | Yeatts, Ii; Stanley D. | Compressible structure clamping and cutting |
| US6228097B1 (en) * | 1999-01-22 | 2001-05-08 | Scion International, Inc. | Surgical instrument for clipping and cutting blood vessels and organic structures |
| CN1469725A (en) * | 2000-08-18 | 2004-01-21 | 肯凯普有限公司 | Umbilical cord clamp and cutter |
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| CN103429170A (en) * | 2011-03-15 | 2013-12-04 | 伊西康内外科公司 | Surgical fastener instruments |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN105476690A (en) | 2016-04-13 |
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