CN110522489A - A kind of Clip Applier instrument - Google Patents
A kind of Clip Applier instrument Download PDFInfo
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- CN110522489A CN110522489A CN201910931586.6A CN201910931586A CN110522489A CN 110522489 A CN110522489 A CN 110522489A CN 201910931586 A CN201910931586 A CN 201910931586A CN 110522489 A CN110522489 A CN 110522489A
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- clip
- torsion
- fixed sleeving
- binding clip
- rotation
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- 238000005096 rolling process Methods 0.000 claims description 16
- 238000005452 bending Methods 0.000 claims description 7
- 238000010586 diagram Methods 0.000 description 20
- 210000004204 blood vessel Anatomy 0.000 description 7
- 230000000694 effects Effects 0.000 description 6
- 241000270295 Serpentes Species 0.000 description 4
- 239000011324 bead Substances 0.000 description 4
- 210000000988 bone and bone Anatomy 0.000 description 4
- 210000000078 claw Anatomy 0.000 description 4
- 239000002360 explosive Substances 0.000 description 4
- 230000014759 maintenance of location Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000010276 construction Methods 0.000 description 3
- 238000003756 stirring Methods 0.000 description 3
- 238000012800 visualization Methods 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 239000010959 steel Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 241001661355 Synapsis Species 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 125000004122 cyclic group Chemical group 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 230000003670 easy-to-clean Effects 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 238000003973 irrigation Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- 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
-
- 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
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
-
- 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
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- 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
- A61B17/2909—Handles
- A61B2017/2925—Pistol grips
-
- 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
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of Clip Applier instruments, comprising: to clamp and be closed the binding clip of ligation clip;It is connected with binding clip, the Handleset to drive binding clip closure ligation clip;It is turned round between binding clip and Handleset, to control the rotation of binding clip rotation;It turned round between Handleset set on rotation, curve torsion to control that binding clip curves;When holding Handleset, rotation is turned round with so that the hand operation realization binding clip for holding Handleset rotates, and is curved and is turned round with so that the hand operation for holding Handleset realizes that binding clip curves.Above-mentioned Clip Applier instrument can solve conventional laparoscopic Clip Applier and be difficult to meet the problem of realizing all operating functions on Clip Applier by one hand, above-mentioned Clip Applier is other than having the function of driving binding clip 360 degree rotation, also have the function of that binding clip is made to be bent certain angle, which can be set according to the adjustment of structure.
Description
Technical field
The present invention relates to the field of medical instrument technology, in particular to a kind of Clip Applier instrument.
Background technique
Laparoscopic clip applier is a kind of pliers that can clamp ligation clip in laparoscopic surgery and be closed ligation clip, abdominal cavity
Mirror Clip Applier can protrude into inside of human body from lesser notch, cooperate the operative site of laparoscopic visualization inside of human body, then
Clip Applier binding clip position is adjusted, ligation clip is allowed to be directed at blood vessel, then drives Clip Applier binding clip to be closed ligation clip by close handles.
The claw beam warp architecture for the laparoscopic clip applier that the country uses at present is the snake bone structure part of 9 superpositions by two one on the other
Pulling-on piece passes through hole to pull steering, and there are one the circular hole being used for across steel wire, steel wire, which passes through, to be turned to for snake bone structure part centre
After structure with control binding clip folding pull rod weld, in order to make control snake bone structure two pulling-on pieces up and down direction of motion phase
Instead, it is connected at the top of two pulling-on pieces on positive nut and reverse nut, in this way when realizing flexion torsion function, one
Forward, another pulling-on piece backward, can drive snake bone structure to be bent to pulling-on piece;However, positive and negative two nuts in above structure
And the corresponding stroke distances of each nut, will lead to bending turn round it is very big along claw beam axis direction size, when only use one holding
Stop handle when, be difficult to touch bending with the index finger of the hand or other fingers and turn round, therefore when using bending function, it is necessary to is handy another
One hand is operated, and it is very inconvenient in use to will lead to laparoscopic clip applier in this way.Due to applying in the prior art
The binding clip of clamp is single action binding clip, is so when in use moving only one clamp, when being closed ligation clip, the angle of ligation clip
Bisector is easy to make ligation clip folder partially always in movement, causes ligation not tight, leakage blood oozing phenomenon occurs;Together
Although when Clip Applier claw beam be designed to detachable structure in order to easy to clean, in order to be designed to detachable structure,
Originally just there is the claw beam of very complicated warp architecture to become more complicated, therefore the dead point being more difficult to clean occur, cause
It cleans highly difficult.
Therefore, how to avoid being difficult to meet due to conventional laparoscopic Clip Applier realizing all operations on Clip Applier by one hand
Function is a technical problem that technical personnel in the field need to solve at present.
Summary of the invention
The object of the present invention is to provide a kind of Clip Applier instrument, which can solve conventional laparoscopic Clip Applier
It is difficult to meet the problem of realizing all operating functions on Clip Applier by one hand, curving for the Clip Applier instrument is turned round closer to close
End, and curve torsion and rotation turn round between distance it is close, all operating functions of Clip Applier can be only realized with a hand.
To achieve the above object, the present invention provides a kind of Clip Applier instrument, comprising:
To clamp and be closed the binding clip of ligation clip;
It is connected with the binding clip, the Handleset to drive the binding clip closure ligation clip;
It is turned round between the binding clip and the Handleset, to control the rotation of the binding clip rotation;
It turned round between the Handleset set on the rotation, curve torsion to control that the binding clip curves;
When holding the Handleset, the rotation is turned round with so that the hand for holding the Handleset operates described in realization
Binding clip rotation, described curve are turned round with so that the hand operation for holding the Handleset realizes that the binding clip curves.
Optionally, the Handleset is connected with to be set with the fixed sleeving for curving torsion, the fixed sleeving with
It is equipped between the binding clip with fixed sleeving rotation connection, to the operation set of the axis rotation around the fixed sleeving
Pipe;
The operation casing sets that there are two symmetrically arranged elastic auricle, institutes on the inside of one end of the fixed sleeving
State fixed sleeving close to one end of the operation casing be equipped with along the fixed sleeving it is circumferentially distributed, with for whole bullets
The guiding surface that property auricle is caught in;
When the elastic auricle is caught in the guiding surface, the operation casing can be rotated relative to the fixed sleeving,
And the elastic auricle is moved to limit the operation casing along the fixed sleeving axis.
Optionally, the operation casing is equipped with the threaded hole turned round to install the rotation;
It is described rotation turn round side be equipped with mounting plane and be set to the mounting plane on, to the threaded hole pair
In tapped through hole, further include through the threaded hole and the tapped through hole, to connect the operation casing and the rotation
Turn the bath connector turned round.
Optionally, the fixed sleeving is equipped with:
Slot is curved, it is described to curve slot position in the guiding surface close to the side of the Handleset;
Positioning tooth, the positioning tooth are circumferentially distributed along the fixed sleeving;
It is described to curve torsion and be equipped with:
Two are turned round inside, to limit the arc for curving torsion and moving along the axis of the fixed sleeving positioned at described curve
Shape strip is formed between two arc strips there are two symmetrical notch, is equipped in any notch to stretch
Enter the jacking block curved in slot;
It is multiple to be equipped with along the threaded connection hole for curving and turning round and being arranged radially, any threaded connection hole to be caught in
The positioning tooth curves the thimble structure turned round with fixed sleeving assembly for described.
It optionally, further include being set to described curve between torsion and the operation casing, to curve torsion and institute described in connecting
It states operation casing and can make described to curve the first rolling bearing for turning round stress balance and curve torsion and described solid set on described
Determine between casing, described curve torsion and the fixed sleeving to connect and described curve can be made to turn round the second rolling of stress balance
Dynamic bearing;
It is described curve torsion be equipped with opened up along its axial direction, the first annular slot to install first rolling bearing and with
The first annular slot is oppositely arranged, the second annular groove to install second rolling bearing.
Optionally, it is equipped with the operation casing between the binding clip and the operation casing far from the fixed sleeving
The hinged front end sleeve in one end.
Optionally, the front end sleeve far from it is described operation casing one end set there are two be symmetrical arranged, with for described
The hinged long auricle of binding clip, the binding clip include two and correspond hinged clamping head with two long auricles respectively;
Any clamping head is equipped with the link slot that angle setting is preset with the axis of the fixed sleeving, Ren Yisuo
Screech owl on piece is stated equipped with through slot, further includes perpendicular to the axis setting of the fixed sleeving, to drive two clamping heads
The pin shaft of opening and closing, the either end of the pin shaft is to be each passed through the link slot and the through slot that are located at the same side;
When the contact position of the pin shaft and the link slot is located at the link slot far from the operation casing side, two
A clamping head opens completely, when the contact position of the pin shaft and the link slot is covered to the close operation of the link slot
When pipe side is mobile, two clamping heads are gradually closed.
Optionally, the inside of the operation casing, which is equipped with, curves pipe, and the inside for curving pipe is equipped with pull rod, the pull rod
One end be provided with the first rectangular kerve;
It is arranged in the middle part of the pin shaft and is equipped with and institute with the vertically disposed front end pull rod of the pin shaft, the front end pull rod
The through-hole of pin shaft interference fit connection is stated, the front end pull rod offers the second rectangular kerve far from one end of the pin shaft;
Further include be cooperatively connected with the described first rectangular kerve and the second rectangular kerve, to connect the pull rod and
The pull rod push jack of the front end pull rod, when the pull rod push jack stress, the pull rod push jack can be generated along its thickness direction
Bending motion.
Optionally, the front end sleeve is hinged with close to one end of the operation casing and described curves pipe and institute to connect
The connection block assembly of front end sleeve is stated, the connection block assembly includes:
Both ends are respectively equipped with the first link block of hinged through-hole, and first link block is close to described in the front end sleeve
Hinged through-hole with for the front end sleeve and first link block it is hinged;
Be fixed in it is described curve on pipe, to one end with first link block far from the front end sleeve it is hinged the
Two link blocks;
Wherein, second link block includes:
Set on second link block close to one end of first link block, to hinged with first link block
Pull ring;
It is connect with the pull ring, with so that second link block curves the affixed mounting blocks of pipe with described;
First link block is equipped with the connection slit to install the pull ring far from one end of the front end sleeve.
Optionally, the Handleset include with the fixed sleeving it is affixed, with the fixed handle for palm contacts with
And with the fixed handle it is hinged, to drive the pull rod along the moving handle of the axial movement of the fixed sleeving.
Relative to above-mentioned background technique, the present invention is required for the different of laparoscopic surgery, devises a kind of Clip Applier device
Tool, specifically, above-mentioned Clip Applier instrument include: binding clip, Handleset, rotation torsion and curve torsion, wherein binding clip is for clamping
And it is closed ligation clip;Handleset is connected with binding clip, and Handleset is for driving binding clip to be closed ligation clip;Rotation, which is turned round, is set to binding clip
Between Handleset, rotation is turned round for controlling binding clip rotation;It curves torsion to be set between rotation torsion and Handleset, curves torsion and use
It is curved in control binding clip;Further, when holding Handleset, rotation is turned round to be realized for the hand operation for holding Handleset
The rotation of binding clip curves to turn round and realizes curving for binding clip for the hand operation for holding Handleset.That is, the Clip Applier device
Tool curves the side turned round and the close Handleset of rotation torsion is arranged in, i.e., closer to proximal end, and curves torsion and rotate the spacing of torsion
It is close, it can realize all operating functions of Clip Applier, with a hand only so as to solve conventional laparoscopic Clip Applier
It is difficult to meet the problem of realizing all operating functions on Clip Applier by one hand, above-mentioned Clip Applier is in addition to having driving binding clip 360
It spends outside the function of rotation, also has the function of that binding clip is made to be bent certain angle, which can carry out according to the adjustment of structure
Setting.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below
There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this
The embodiment of invention for those of ordinary skill in the art without creative efforts, can also basis
The attached drawing of offer obtains other attached drawings.
Fig. 1 is structural representation when binding clip is in first position in a kind of Clip Applier instrument disclosed by the embodiments of the present invention
Figure;
Fig. 2 is structural representation when binding clip is in the second position in a kind of Clip Applier instrument disclosed by the embodiments of the present invention
Figure;
Fig. 3 is a kind of explosive view of Clip Applier instrument disclosed by the embodiments of the present invention;
Fig. 4 is the structural schematic diagram of pull rod in Fig. 3;
Fig. 5 is the assembling figure of fixed handle, moving handle and pull rod;
Fig. 6 is the explosive view of binding clip connecting portion;
Fig. 7 is the schematic diagram of the section structure of front end sleeve in Fig. 6;
Fig. 8 is the structural schematic diagram that casing is operated in Fig. 3;
Fig. 9 is fixed sleeving and Handleset assembling figure;
Figure 10 is the structural schematic diagram of jacking block;
Figure 11 is the structural schematic diagram for curving torsion and jacking block assembly;
Figure 12 is the schematic diagram of the section structure for curving torsion and fixed sleeving assembling;
Figure 13 is the structural schematic diagram of fixed crown gear;
Figure 14 is the proximal structure schematic diagram for curving pipe;
Figure 15 is the structural schematic diagram of rear inner tube.
Wherein:
1- fixed handle, 11- first movement handle groove, 2- moving handle, 20- ring portion, 21- mounting bar, 22- pull rod slot,
The first mounting hole of 23-, 24- arc surface, 3- operation casing, 31- elongated slot, the short slot of 32-, 33- third through-hole, 34- First terrace,
35- second step face, 36- guide surface, 37- elasticity auricle, 38- threaded hole, 4- curve pipe, 41- fitting plane, 42- assembly
Hole, 43- through hole, 44- annulus, 5- fixed sleeving, 51- guiding surface, that 52- curves slot, 53- positioning tooth, 54- step, 55- is fixed
Position slot, 6- rotation torsion, 61- mounting plane, 62- tapped through hole, the front end 7- sleeve, 71- long auricle, 72- hinge hole, 73- through slot,
74- circular hole, 75- slit, 76- cropped ear piece, 77- first through hole, the second through-hole of 78-, 79- retention bead, 8- clamping head, 81- connect
Access slot, 9- curve inner tube after torsion, 91- arc strip, 92- threaded connection hole, 100-, 101- spiral prominence race, 102- protrusion,
110- cam plug, the second link block of 120-, 121- pull ring, 122- aperture, 130- pull rod, 131- pull head, the rectangular drawing of 132- first
Slot, 133- seal groove, 140- pull rod push jack, 141- pulling-on piece, the front end 150- pull rod, the rectangular kerve of 151- second, 152- through-hole,
170- pin shaft, the first link block of 180-, the hinged through-hole of 181-, 182- connection slit, 190- bath connector, 200- jacking block, 201-
Mandril, 210- fixed crown gear, the coronal tooth of 211- first, 212- fin, 220- thimble structure, 221- stud, 222- first
Compressed spring, the top 223-, the first rolling bearing of 231-, the second rolling bearing of 232-, 240- seal washer, 250- supporting block,
260- activity crown gear, the second compressed spring of 270-.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other
Embodiment shall fall within the protection scope of the present invention.
Core of the invention is to provide a kind of Clip Applier instrument, which can solve conventional laparoscopic Clip Applier
It is difficult to meet the problem of realizing all operating functions on Clip Applier by one hand, curving for the Clip Applier instrument is turned round closer to close
End, and curve torsion and rotation turn round between distance it is close, all operating functions of Clip Applier can be only realized with a hand.
In order to make those skilled in the art more fully understand the present invention program, with reference to the accompanying drawing and it is embodied
The present invention is described in further detail for mode.
It should be noted that be all based on specification attached for the nouns of locality such as " proximal end, distal end, left side, right side " described below
Defined in figure, proximal end is close to one end of Clip Applier instrument fixed handle, and distal end is far from the fixed hand of Clip Applier instrument
One end of handle.
Fig. 1 to Figure 15 is please referred to, Fig. 1 is that binding clip is in first in a kind of Clip Applier instrument disclosed by the embodiments of the present invention
Structural schematic diagram when setting;Fig. 2 is when binding clip is in the second position in a kind of Clip Applier instrument disclosed by the embodiments of the present invention
Structural schematic diagram;Fig. 3 is a kind of explosive view of Clip Applier instrument disclosed by the embodiments of the present invention;Fig. 4 is the structure of pull rod in Fig. 3
Schematic diagram;Fig. 5 is the assembling figure of fixed handle, moving handle and pull rod;Fig. 6 is the explosive view of binding clip connecting portion;Fig. 7 is figure
The schematic diagram of the section structure of front end sleeve in 6;Fig. 8 is the structural schematic diagram that casing is operated in Fig. 3;Fig. 9 is fixed sleeving and hand
Handle component assembling figure;Figure 10 is the structural schematic diagram of jacking block;Figure 11 is the structural schematic diagram for curving torsion and jacking block assembly;Figure 12 is
Curve the schematic diagram of the section structure of torsion and fixed sleeving assembling;Figure 13 is the structural schematic diagram of fixed crown gear;Figure 14 is curved
The proximal structure schematic diagram of tube;Figure 15 is the structural schematic diagram of rear inner tube.
Clip Applier instrument provided by the embodiment of the present invention, for clamping ligation clip and being closed ligation clip, Clip Applier instrument
Ligation clip can be clamped and protrude into inside of human body from lesser notch, cooperate the operative site of laparoscopic visualization inside of human body, so
The binding clip position for adjusting Clip Applier afterwards, allows ligation clip to be directed at blood vessel, then by close handles, drives Clip Applier binding clip closure knot
Prick folder.The Clip Applier instrument includes: binding clip, Handleset, rotation torsion 6 and curves torsion 9, wherein binding clip is for clamping and being closed
Ligation clip;Handleset is connected with binding clip, when the binding clip position of Clip Applier instrument can allow ligation clip to be directed at blood vessel, handle group
Part is for driving binding clip to be closed ligation clip;Rotation is turned round 6 and is set between binding clip and Handleset, and rotation turns round 6 for controlling binding clip rotation
Turn, so as to so that binding clip has the function of 360 degree rotation;It curves torsion 9 to be set between rotation torsion 6 and Handleset, curves torsion 9
It is curved for controlling binding clip.That is, rotation torsion 6 is arranged in close to the one of Handleset in the torsion 9 that curves of the Clip Applier instrument
Side, i.e., closer to proximal end.
By above-mentioned set-up mode, when holding Handleset, it is real for the hand operation for holding Handleset that rotation turns round 6
The rotation of existing binding clip curves and turns round 9 and realize curving for binding clip for the hand operation for holding Handleset, in other words, when with one
When hand holds Handleset, torsion 9 can be curved by the index finger of this hand or the touching of other fingers, and due to curving torsion 9
Distance is close between rotation torsion 6, can also touch rotation using the same hand and turn round 6.
To sum up, only all operating functions on Clip Applier instrument can be realized with a hand, so as to solve
Conventional laparoscopic Clip Applier is difficult to meet the problem of realizing all operating functions on Clip Applier by one hand, above-mentioned Clip Applier in addition to
Outside the function of having driving binding clip 360 degree rotation, also have the function of that binding clip is made to be bent certain angle, which can basis
The adjustment of structure is set.Relative to traditional Clip Applier, which as much as possible can use metalwork, with this
Increase the service life of Clip Applier instrument, and the Clip Applier instrument does not have latch functions, it is possible to reduce more parts and structure,
Improve the stability of product.
Certainly, according to actual needs, above-mentioned Handleset specifically can be set to include fixed handle 1 and moving handle 2
Component, wherein fixed handle 1 remains stationary and for for palm contacts, moving handle 2 and the rotation of fixed handle 1 to connect
It connects and is used to that binding clip to be driven to be closed ligation clip, the grip position for holding Handleset can be similar to the posture for holding pistol.Such one
Come, in surgical procedure, operator is just as holding pistol, palm contacts fixed handle 1, and index finger or multiple fingers are passed through and moved
The ring portion 20 of fixed handle 2, then finger force pulls moving handle 2 to close to 1 direction of fixed handle, to pass through mobile hand
Handle 2 drives associated components movement, and so as to be closed ligation clip in laparoscopic procedures, blood vessel is clamped not bleeding.
In addition, above-mentioned rotation, which turns round 6 and curves torsion 9, can be set to cyclic structure, rotation, which is turned round 6 and curved, turns round both 9
Can be set on lateral wall convenient for finger touching contact portion, rotation turn round 6 on contact portion can be convenient finger effect for
The rotation of 6 stress is turned round in rotation, and curving the contact portion in torsion 9 can be convenient finger effect to stir to curve and turn round what 9 realization binding clips curved
Function.
Further, Handleset, which is connected with, curves the fixed sleeving 5 for turning round 9 for being set with, between fixed sleeving 5 and binding clip
Equipped with operation casing 3, operation casing 3 and fixed sleeving 5 are rotatablely connected and are used to rotate around the axis of fixed sleeving 5;Such as Fig. 1 institute
Show, fixed sleeving 5 and operation casing 3 are c-axially disposed on an axis A, and 6 proximal ends for being fixed on operation casing 3, operation are turned round in rotation
Casing 3 can turn round 6 by rotation and stir, to rotate relative to fixed casing 5, curve and turn round 9 distal ends for being set in fixed sleeving 5.
9 controllable front end sleeves 7 of torsion are curved by rotation to curve, in Fig. 1, front end sleeve 7 and operation 3 coaxial line A of casing, in Fig. 2
In, the axis A of the axis C of front end sleeve 7 and operation casing 3 is at an angle.Operate distal end and the front end sleeve 7 of casing 3
Proximal hinge, the distal end of front end sleeve 7 are also equipped with two clamping heads 8 that can be used for being closed ligation clip.
In surgical procedure, operator can hold fixed handle 1 and moving handle 2, and operation casing 3 is protruded into abdominal cavity of patients
In, by laparoscopic visualization operative site, then clamping head 8 is extend into the position where the blood vessel for needing to be closed, by dialling
Dynamic rotation turns round the direction of 6 rotation clamping heads 8 and curves 9 drive corresponding constructions of torsion by stirring to swing to front end sleeve 7 suitable
To work as angle, the ligation clip clamped in clamping head 8 is made to be directed at blood vessel, operation moving handle 2 drives corresponding construction movement, so that
Clamping head 8 is closed ligation clip, and ligation clip is clamped on the blood vessel for needing to stop blooding.Operation handle is unclamped, makes clamping head 8 in elastic force
It acts on lower nature to open, until rotation curves torsion 9 and drives corresponding construction movement after clamping head 8 is detached from ligation clip, makes front end sleeve
7 axis C is overlapped with axis A, so that Clip Applier be made to return to first position (shown in Fig. 1 from the second position (position shown in Fig. 2)
Position), so that it may entire Clip Applier is taken out from patient's body and carries out next step and operates.
Fig. 3 is the decomposition view of laparoscopic clip applier, is that will operate in casing 3 and fixed sleeving 5 in Fig. 3 convenient for display
The structure in portion is placed in above operation casing 3, while will be rotated to turn round 6 and curve torsion 9 and also be split the top for being placed in and operating casing 3
Or lower section.
As shown in figure 3, operation casing 3 is internally provided with one and curves pipe 4, curve and be cased with a pull rod 130 in pipe 4, draws
Bar 130 can be moved forward and backward along the direction axis A of operation casing 3, can also be rotated by axis of axis A.
As shown in Figure 3 and Figure 4, one end of pull rod 130 is welded with pull head 131, and pull head 131 is connect with moving handle 2, mobile
Handle 2 can drive pull rod 130 to be moved forward and backward, and the other end of pull rod 130 is provided with the first rectangular kerve 132, the first rectangular kerve
132 connect with pull rod push jack 140, and pull rod 130 is provided with seal groove 133 in proximal end.
It is the assembling figure of fixed handle 1, moving handle 2 and pull rod 130 as shown in Figure 5, as shown in figure 5, on moving handle 2
It is welded with mounting bar 21, the distal face of mounting bar 21 offers pull rod slot 22 close to the side of pull rod 130, pull rod 130 is close
One end of moving handle 2 is connected with pull head 131, and pull rod slot 22 and 131 activity of pull head cooperate, to realize pull rod 130 and mobile hand
The connection of handle 2, pull head 131 can move in pull rod slot 22.
The proximal end face of mounting bar 21, i.e., the side far from pull rod 130 are set as arc surface 24, also pacify in fixed sleeving 5
Equipped with main compressed spring, one end of main compressed spring withstands on the bottom of fixed sleeving 5, and the other end withstands on the circle on moving handle 2
In cambered surface 24, arc surface 24 can effectively be positioned main compressed spring, usually in the case where Clip Applier does not operate, in main pressure
Under the action of contracting spring, direction bias of the moving handle 2 away from fixed handle 1.
Mounting bar 21 is provided with the first mounting hole 23, the first mounting hole 23 and fixed hand in one end far from moving handle 2
Handle 1 is hinged;Fixed handle 1 is equipped with the first movement handle groove 11 for accommodating and being mounted item 21, opens on fixed sleeving 5
The second moving handle slot equipped with being connected to first movement handle groove 11 and for being worn for mounting bar 21, in first movement handle
The upper end of slot 11 is provided with the second mounting hole, and the first mounting hole 23 on the second mounting hole and mounting bar 21 is hinged, so that
Moving handle 2 can be using the axle center of the second mounting hole as center of circle moving in rotation, and the setting of first movement handle groove 11 both can be convenient
The assembly of moving handle 2, moreover it is possible to play the role of limit to the moving in rotation of moving handle 2.
As shown in 6 figures, duplicate pulling-on piece 141, the pulling-on piece 141 of proximal end can be set at the both ends of pull rod push jack 140
It is connect with the first rectangular kerve 132 of 130 distal end of pull rod, the pulling-on piece 141 of distal end is connect with front end pull rod 150;Since pull rod pushes away
The thickness very little of piece 140, pull rod push jack 140 can generate the bending of through-thickness by low-force, and
And it is capable of the part at normal 140 both ends of connecting rod push jack.
As shown in 6 figures, front end pull rod 150 offers the second rectangular kerve 151, the second rectangular kerve 151 and drawing in proximal end
Bar push jack 140 connects, and the distal end of front end pull rod 150 is provided with through-hole 152, and through-hole 152 can be interference fitted with pin shaft 170, pin
The all prominent through-hole 152 in the both ends of axis 170, so, the both ends of pin shaft 170 can be connected with two clamping heads 8 of two sides.
As shown in 6 figures, the distal end of front end sleeve 7, i.e. long auricle 71 there are two one end settings far from operation casing 3, two
A long auricle 71 is symmetrical arranged and for hinged for binding clip, can be with for the ease of the connection of front end sleeve 7 and two clamping heads 8
Hinge hole 72 and through slot 73 are offered on any screech owl piece 71, correspondingly, link slot can be set on any clamping head 8
81, link slot 81 specifically can be set to the axis of fixed sleeving 5 with default angle setting, and two clamping heads 8 are in screech owl
It is hinged at the hinge hole 72 of piece 71;It further, further include the pin shaft 170 being arranged perpendicular to the axis of fixed sleeving 5, pin shaft
170 with two clamping heads 8 are driven for being opened and closed, and one end of pin shaft 170 is each passed through the link slot 81 and through slot positioned at side
73, the other end of pin shaft 170 is each passed through link slot 81 and through slot 73 positioned at the other side.
Preferably, the specific slot that can be set to axis A in 45 ° of strip of above-mentioned link slot 81, such one
Come, two link slots 81 on two clamping heads 8 are angular bisector in 90 ° of angle distributions using axis A.As shown in fig. 6, pin shaft 170
Intersect with axis A vertical and can only be moved forward and backward along the direction of through slot 73, the link slot 81 on clamping head 8 connects with pin shaft 170
Synapsis is located in plane determined by axis A and pin shaft 170.
Usually in the case where Clip Applier does not operate, under the action of main compressed spring, when pin shaft 170 and clamping head 8
On the contact position of link slot 81 be located at the far-end of link slot 81, i.e. contact position is located at link slot 81 far from the operation casing
When 3 side, two clamping heads 8 open completely;When 2 stress of moving handle overcomes the elastic force of main compressed spring to close to fixed handle
When 1 direction is mobile, pin shaft 170 and the contact position of link slot 81 are moved to the near end, then clamping head 8 is closed gradually, at this point, clamping head
The ligation clip clamped in 8 will be interlocked under the shutting of clamping head 8.
It as shown in FIG. 6 and 7, can also be in front end sleeve for the ease of the installation of pull rod push jack 140 and front end pull rod 150
It is provided with circular hole 74 and slit 75 on cylinder 7, front end pull rod 150 is installed in circular hole 74, slit 75 is for installing pull rod push jack
140, and slit 75 has position-limiting action to pull rod push jack 140.In addition, the installation of casing 3 for ease of operation, it can be in front end sleeve
The proximal end of cylinder 7 is provided with cropped ear piece 76, is provided with first through hole 77 and the second through-hole 78 on cropped ear piece 76, and first through hole 77 can be with
Diameter is set as greater than the second through-hole 78, first through hole 77 and operation casing 3 are hinged, the second through-hole 78 and the first link block 180
Hingedly;Further, the top of cropped ear piece 76 can also be provided with retention bead 79, when the binding clip of Clip Applier instrument is in the
When two positions, retention bead 79 is contacted with operation casing 3, and can effectively prevent front end sleeve 7 further becomes the along first position
The direction of two positions rotates.
As shown in fig. 6, being additionally provided with connection block assembly, link block group for the ease of curving the assembly of pipe 4 Yu front end sleeve 7
Part specifically can be set by one end of near operation casing 3 and hinged with front end sleeve 7 in front end sleeve 7, and connection block assembly is used for
Connecting bending tube 4 and front end sleeve 7;Specifically, connection block assembly includes the first link block 180 and the second link block 120,
In, 180 both ends of the first link block are designed with hinged through-hole 181, hinged through-hole 181 of first link block 180 close to front end sleeve 7
For hinged for front end sleeve 7 and the first link block 180;It is additionally provided in the first link block 180 far from one end of front end sleeve 7
Slit 182 is connected, connection slit 182 is for installing the second link block 120, and the first link block 180 is in no connection slit 182
One end and front end sleeve 7 are hinged, when curving the back-and-forth motion of pipe 4, so that it may front end sleeve 7 be driven to have rotated.
The distal end for curving pipe 4 is provided with a fitting plane 41, is also set up in fitting plane 41 there are two pilot hole 42,
The second link block 120 is equipped in fitting plane 41, the second link block 120 is welded with drawing close to one end of the first link block 180
Ring 121, pull ring 121 and the first link block 180 are hinged, are additionally provided with mounting blocks on the second link block 120, can be in mounting blocks
Two apertures 122 of upper setting, two apertures 122 are interference fitted with two pilot holes 42 respectively, are fixed on the second link block 120
It curves on pipe 4.
Pull ring 121 on first link block 180 and the second link block 120 after the assembly is completed, is being located at 3 distal end of operation casing
In elongated slot 31, the distance between first through hole 77 and the second through-hole 78 on front end sleeve 7 can be increased, so that it is long to increase the arm of force
Degree, can also make the first link block 180 have enough structure sizes to increase the intensity of the first link block 180.
As shown in Fig. 6 and Fig. 8, the distal end of operation casing 3 is also provided with elongated slot 31 and short slot 32, short slot 32 and front end
Retention bead 79 on sleeve 7 is used cooperatively, and when the binding clip of Clip Applier instrument goes to the second position, can play position-limiting action.
In addition, operation 3 distal end of casing is also provided with third through-hole 33, third through-hole 33 and the first through hole 77 of front end sleeve 7 are hinged;Behaviour
First terrace 34 and second step face 35 has can be set in the proximal end for making casing 3, is provided with guide flat in First terrace 34
Face 36, there are two symmetrical elastic auricle 37, operation casing 3 is equipped with threaded hole 38 in proximal end for the interior setting in second step face 35.
As shown in figure 3, correspondingly, 6 assembly is turned round in casing 3 and rotation for ease of operation, it can also turn round in rotation and be set on 6
It is equipped with a mounting plane 61, mounting plane 61 to be easier to in when connector 190 is washed by water in assembly, open on mounting plane 61
There is tapped through hole 62, tapped through hole 62 and operation 3 proximal threads hole of casing, 38 centering, such setting can be used for installing bath
Connector 190, after installing bath connector 190, operation casing 3 and rotation turn round 6 by the bath connector 190 through connection.
As shown in Fig. 3, Fig. 9 and Figure 10, the assembly of casing 3 and fixed sleeving 5 for ease of operation can also be in fixing sleeve
The distal end of pipe 5 is provided with guiding surface 51, circumferential direction point of the guiding surface 51 along fixed sleeving 5 by one end of near operation casing 3
Cloth simultaneously is used to cooperate with two elastic auricles 37 on operation casing 3, when operation casing 3 is assembled on fixed sleeving 5, bullet
Property auricle 37 be caught in guiding surface 51 so that operation casing 3 can rotate relative to fixed casing 5, while again limit operate cover
Pipe 3 is moved along axis A's.
In addition, can also be additionally provided in 5 distal end of fixed sleeving curved for the ease of fixed sleeving 5 and the assembly for curving torsion 9
Turn trough 52 and positioning tooth 53, curving slot 52 specifically can be set in guiding surface 51 close to the side of Handleset;Positioning tooth 53
Along the circumferentially distributed of fixed sleeving 5;It positioning tooth 53 and curves and is provided with a step 54 between 52 place cambered surface of slot, in fixing sleeve
Pipe 5 is internally provided with locating slot 55.So, jacking block 200 can be equipped on fixed sleeving 5, jacking block 200 has mandril
201, mandril 201, which can protrude into, to be curved in slot 52, can be made in this way with the cooperation of rear inner tube 100 fitted into inside fixed sleeving 5
With.
As shown in Figure 11,12, correspondingly, arc strip 91 there are two being correspondingly arranged in the inside for curving torsion 9, is clipped in
Two notches between two arc strips 91 are symmetrically assembled there are two jacking block 200, and arc strip 91 withstands on fixing sleeve in proximal end
On the step 54 of pipe 5, arc cassette tape on the end face of operation 3 proximal end of casing, is limited with this in distal tip and curves torsion 9 along axis
The movement in the direction A.
Further, it is also possible to be provided with threaded connection hole 92 on 9 curving to turn round, thimble knot is equipped in threaded connection hole 92
Structure 220, thimble structure 220 include stud 221, the first compressed spring 222 and top 223;Fixed sleeving is assembled to curving torsion 9
On 5, and when loading thimble structure 220, the top 223 of thimble structure 220 can be made to be caught in the positioning tooth 53 on fixed sleeving 5,
When rotation curves torsion 9, to overcome the elastic force of the first compressed spring 222 in thimble structure 220 to be just able to rotate and curve torsion 9.
It, can also be first annular equipped with axially being opened up along it on curving torsion 9 in order to guarantee to curve the stability under loading for turning round 9
Slot and the second annular groove, wherein first annular slot is for installing the first rolling bearing 231, the second annular groove and first annular slot
It is oppositely arranged, for the second annular groove for installing the second rolling bearing 232, the first rolling bearing 231, which is set to, curves torsion 9 and operation set
Torsion 9 and operation casing 3 are curved between pipe 3 and for connecting, the second rolling bearing 232, which is set to, to be curved between torsion 9 and fixed sleeving 5
And torsion 9 and fixed sleeving 5 is curved for connecting, so, i.e., turns round 9 two sides and be respectively charged into the first rolling bearing 231 curving
With the second rolling bearing 232, it can make to curve and turn round 9 stress and more balance, and rotate more smooth.
As shown in figure 3, can also be equipped in the First terrace 34 of operation casing 3 to optimize above-described embodiment
Seal washer 240, supporting block 250, movable crown gear 260, the second compressed spring 270;Wherein seal washer 240, supporting block
250 and movable 260 three of crown gear offer the plane matched with the guide surface 36 in First terrace 34, in this way
Movable crown gear 260 can be prevented from rotating relative to operation casing 3 around axis A, enable seal washer 240 and supporting block 250
It enough fits into First terrace 34;Meanwhile seal washer 240 for seal operation casing 3 and curves the gap between pipe 4,
Supporting block 250 is used to compress seal washer 240, and plays the supporting role to the second compressed spring 270, the second compressed spring
270 one end is withstood in supporting block 250, and the other end of the second compressed spring 270 is withstood on an end face of the coronal tooth of activity, living
Another end face of dynamic crown gear 260 is provided with the second coronal tooth.
Correspondingly, can also there are fixed crown gear 210, fixed hat by elastic conjunction inside the distal face of fixed sleeving 5
One end face of shape gear 210 is provided with the second coronal tooth of coronal tooth mutually matched first with movable crown gear 260
211, the side of fixed crown gear 210 is provided with fin 212, the locating slot 55 in fin 212 and fixed sleeving 5 cooperates,
So as to so that fixed crown gear 210 is more difficult to rotate.
When operation rotation turns round 6, if wanting that rotation is made to turn round 6 rotations, needs to overcome the pressure of the second compressed spring 270, make mutually
The coronal tooth 211 of first matched and the second coronal tooth are detached from cooperation, can provide the locating effect of rotation in this way.
In addition, curving pipe 4 is provided with through hole 43 at the position close to proximal end, as shown in figure 14, after the assembly is completed, pass through
Perforation 43 can be such that the irrigation entered from flush port enters to curve gap between pipe 4 and pull rod 130, to curving pipe 4 and draw
It is cleaned in gap between bar 130.
On the basis of the above, as shown in Figure 12 and 14, annulus can also be welded with by curving pipe 4 in the position of proximal face
44, annulus 44 is clamped between cam plug 110 and rear inner tube 100;Cam plug 110 and rear inner tube 100 are interference fit, for protecting
It is constant to demonstrate,prove the gap folded between cam plug 110 and rear inner tube 100 of annulus 44.
100 surface of inner tube can also offer spiral prominence race 101, the mandril of spiral prominence race 101 and jacking block 200 afterwards
201 match, and mandril 201 can protrude into spiral prominence race 101;Be additionally provided in inner tube 100 afterwards protrusion 102, protrusion 102 with
Guide groove inside fixed sleeving 5 matches, so that rear inner tube 100 can only be moved forward and backward along axis A without being able to rotate.
When rotation curves torsion 9, curves torsion 9 and mandril 201 is driven to rotate around axis A, mandril 201 is simultaneously also in spiral cam
Sliding in slot 101, because hereafter inner tube 100 moves in the axial direction under the drive of mandril 201, rear inner tube 100 and cam plug 110
The clamped annulus 44 curved on pipe 4 also moves.
It should be noted that in the present specification, such as first and second etc relational terms are used merely to one
Entity is distinguished with other several entities, and without necessarily requiring or implying between these entities, there are any this actual
Relationship or sequence.
Clip Applier instrument provided by the present invention is described in detail above.Specific case used herein is to this
The principle and embodiment of invention is expounded, method of the invention that the above embodiments are only used to help understand and
Its core concept.It should be pointed out that for those skilled in the art, in the premise for not departing from the principle of the invention
Under, it can be with several improvements and modifications are made to the present invention, these improvement and modification also fall into the protection of the claims in the present invention
In range.
Claims (10)
1. a kind of Clip Applier instrument characterized by comprising
To clamp and be closed the binding clip of ligation clip;
It is connected with the binding clip, the Handleset to drive the binding clip closure ligation clip;
(6) are turned round between the binding clip and the Handleset, to control the rotation of the binding clip rotation;
It turned round between (6) and the Handleset set on the rotation, curve torsion (9) to control that the binding clip curves;
When holding the Handleset, the rotation turns round (6) with so that the hand for holding the Handleset operates described in realization
Binding clip rotation, it is described to curve torsion (9) with so that the hand operation for holding the Handleset realizes that the binding clip curves.
2. Clip Applier instrument according to claim 1, which is characterized in that the Handleset is connected with described to be set with
The fixed sleeving (5) for curving torsion (9) is equipped between the fixed sleeving (5) and the binding clip and rotates with the fixed sleeving (5)
Connection, the operation casing (3) rotated to the axis around the fixed sleeving (5);
Symmetrically arranged elastic auricle there are two being set on the inside of one end of operation casing (3) close the fixed sleeving (5)
(37), the fixed sleeving (5) close to it is described operation casing (3) one end be equipped with along the fixed sleeving (5) it is circumferentially distributed,
With the guiding surface (51) being caught in for whole elastic auricles (37);
When the elastic auricle (37) is caught in the guiding surface (51), the operation casing (3) can the relatively described fixing sleeve
(5) rotation is managed, and the elastic auricle (37) is mobile along the fixed sleeving (5) axis to limit the operation casing (3).
3. Clip Applier instrument according to claim 2, which is characterized in that the operation casing (3) is equipped with to install
State the threaded hole (38) that (6) are turned round in rotation;
It is described rotation turn round (6) side be equipped with mounting plane (61) and be set to the mounting plane (61) on, to it is described
The tapped through hole (62) of threaded hole (38) centering, further include through the threaded hole (38) and the tapped through hole (62), to
It connects operation casing (3) and the bath connector (190) of (6) is turned round in the rotation.
4. Clip Applier instrument according to claim 3, which is characterized in that the fixed sleeving (5) is equipped with:
It curves slot (52), the side for curving slot (52) and being located at the guiding surface (51) close to the Handleset;
Positioning tooth (53), the positioning tooth (53) is along the circumferentially distributed of the fixed sleeving (5);
It is described to curve torsion (9) and be equipped with:
Two curve torsion (9) inside, to limit the axis shifting for curving torsion (9) along the fixed sleeving (5) positioned at described
Dynamic arc strip (91) is formed between two arc strips (91) there are two symmetrical notch, any described to lack
It is equipped in mouthful to protrude into the jacking block (200) curved in slot (52);
It is multiple to be equipped with along the threaded connection hole (92) for curving torsion (9) and being arranged radially, any threaded connection hole (92)
To be caught in the positioning tooth (53) for the thimble structure (220) for curving torsion (9) and the fixed sleeving (5) assembly.
5. Clip Applier instrument according to claim 4, which is characterized in that further include being set to described to curve torsion (9) and described
Between operation casing (3), to connect it is described curve torsions (9) and the operation casing (3) and curve described in capable of making torsion (9) by
It the first rolling bearing (231) of dynamic balance and curves set on described between torsion (9) and the fixed sleeving (5), to connect
It is described to curve torsion (9) and the fixed sleeving (5) and second rolling bearing for curving torsion (9) stress balance be made
(232);
It is described curve torsion (9) be equipped with opened up along its axial direction, to install the first annular slot of first rolling bearing (231) with
And it is oppositely arranged with the first annular slot, the second annular groove to install second rolling bearing (232).
6. Clip Applier instrument according to any one of claims 2 to 5, which is characterized in that the binding clip and the operation cover
It manages and is equipped with the front end sleeve (7) hinged with the described one end of operation casing (3) far from the fixed sleeving (5) between (3).
7. Clip Applier instrument according to claim 6, which is characterized in that the front end sleeve (7) covers far from the operation
One end of pipe (3) set there are two be symmetrical arranged, with the long auricle (71) hinged for the binding clip, the binding clip includes two points
Hinged clamping head (8) is not corresponded with two long auricles (71);
Any clamping head (8) is equipped with the link slot (81) that angle setting is preset with the axis of the fixed sleeving (5),
Any long auricle (71) is equipped with through slot (73), further includes perpendicular to the axis setting of the fixed sleeving (5), to band
The pin shaft (170) of dynamic two clamping head (8) opening and closings, the either end of the pin shaft (170) is to be each passed through positioned at same
The link slot (81) and the through slot (73) of side;
When the contact position of the pin shaft (170) and the link slot (81) is located at the link slot (81) far from the operation casing
(3) when side, two clamping heads (8) are opened completely, when the pin shaft (170) and the link slot (81) contact position to
When the link slot (81) is mobile close to the operation casing (3) side, two clamping heads (8) are gradually closed.
8. Clip Applier instrument according to claim 7, which is characterized in that the inside of operation casing (3), which is equipped with, to be curved
It manages (4), the inside for curving pipe (4) is equipped with pull rod (130), and one end of the pull rod (130) is provided with the first rectangular kerve
(132);
It is arranged in the middle part of the pin shaft (170) and the vertically disposed front end pull rod (150) of the pin shaft (170), the front end
Pull rod (150) is equipped with the through-hole (152) with the connection of the pin shaft (170) interference fit, and the front end pull rod (150) is far from described
One end of pin shaft (170) offers the second rectangular kerve (151);
It further include being cooperatively connected with the described first rectangular kerve (132) and the second rectangular kerve (151), being described to connect
The pull rod push jack (140) of pull rod (130) and the front end pull rod (150), when pull rod push jack (140) stress, the drawing
Bar push jack (140) can generate the bending motion along its thickness direction.
9. Clip Applier instrument according to claim 8, which is characterized in that the front end sleeve (7) covers close to the operation
One end of pipe (3) is hinged with to connect the connection block assembly for curving pipe (4) and the front end sleeve (7), the connection
Block assembly includes:
Both ends are respectively equipped with the first link block (180) of hinged through-hole (181), and first link block (180) is before described
The hinged through-hole (181) of end cap cylinder (7) with for the front end sleeve (7) and first link block (180) it is hinged;
It is fixed in described curve on pipe (4), to one end with first link block (180) far from the front end sleeve (7)
Hinged the second link block (120);
Wherein, second link block (120) includes:
Set on second link block (120) close to first link block (180) one end, to first link block
(180) hinged pull ring (121);
It is connect with the pull ring (121), with so that second link block (120) curves the affixed mounting blocks of pipe (4) with described;
First link block (180) is equipped with the company to install the pull ring (121) far from one end of the front end sleeve (7)
Connect slit (182).
10. Clip Applier instrument according to claim 9, which is characterized in that the Handleset includes and the fixing sleeve
Manage (5) it is affixed, with for palm contacts fixed handle (1) and with the fixed handle (1) it is hinged, to drive the drawing
Moving handle (2) of the bar (130) along the axial movement of the fixed sleeving (5).
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CN201910931586.6A CN110522489A (en) | 2019-09-29 | 2019-09-29 | A kind of Clip Applier instrument |
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CN201910931586.6A CN110522489A (en) | 2019-09-29 | 2019-09-29 | A kind of Clip Applier instrument |
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Application publication date: 20191203 |