CN112690863A - Clamping device and surgical operation instrument - Google Patents

Clamping device and surgical operation instrument Download PDF

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Publication number
CN112690863A
CN112690863A CN201911012295.3A CN201911012295A CN112690863A CN 112690863 A CN112690863 A CN 112690863A CN 201911012295 A CN201911012295 A CN 201911012295A CN 112690863 A CN112690863 A CN 112690863A
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CN
China
Prior art keywords
bin
cartridge
pushing
push
clamping
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Granted
Application number
CN201911012295.3A
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Chinese (zh)
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CN112690863B (en
Inventor
张翚
沈清
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Suzhou IntoCare Medical Technology Co Ltd
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Suzhou IntoCare Medical Technology Co Ltd
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Priority to CN201911012295.3A priority Critical patent/CN112690863B/en
Priority to PCT/CN2020/121364 priority patent/WO2021078068A1/en
Publication of CN112690863A publication Critical patent/CN112690863A/en
Application granted granted Critical
Publication of CN112690863B publication Critical patent/CN112690863B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical 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
    • A61B17/1285Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1222Packages or dispensers therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical 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

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a bin clamping device and a surgical operation instrument, wherein the bin clamping device comprises a bin clamping shell, at least two bin bodies which are arranged in the bin clamping shell in a stacking manner, and a plurality of ligation clamps and a plurality of pushing components which are arranged in partial bin bodies; at least two stacked bin bodies are sequentially pushed by external force to be unfolded, and after the two bin bodies are unfolded, the two adjacent bin bodies are in end-to-end butt joint; the storehouse body is including the first storehouse body that is used for accomodating the ligature and presss from both sides the second storehouse body that the subassembly was pressed from both sides in order to accomodate, wherein, expandes the front side that the first storehouse body in the second storehouse body in back, and expandes the back, and the ligature presss from both sides and pushes away the subassembly and move forward in proper order in the rear side under the effect of external force in the storehouse in order to realize sending the clamp. The cartridge device of the application is simple and small in structure, thereby being beneficial to reducing the pressure for storing medical instruments.

Description

Clamping device and surgical operation instrument
Technical Field
The invention relates to a bin clamping device and a surgical operation instrument, and belongs to the technical field of medical instruments.
Background
To fully expose the surgical field during surgery, ligation of blood vessels around the target tissue is required to prevent bleeding. Hemostasis technology has become one of the cores of basic operation technology of surgical operation, and the surgical operation of any part of human body involves bleeding and hemostasis almost without exception, and generally the hemostasis is closed by using a clip applying and ligating clip. However, in the operation process, due to the limitation of the number of clamps, an operator needs to carry out clamp application operation for many times, so that the working efficiency is reduced, the operation time is increased, the bleeding amount of a patient is increased, the recovery time of the patient is prolonged, and the economic pressure of the patient is increased. Accordingly, clip appliers capable of continuous clip feeding have come to work, but the clip magazine devices capable of continuous clip feeding in the prior art have a large volume, thereby increasing the pressure for storing medical instruments.
Disclosure of Invention
The invention aims to provide a clamping cabin device and a surgical operation instrument, the clamping cabin device and the surgical operation instrument, wherein the clamping cabin device is small in size and capable of realizing continuous clip feeding, and the problem of pressure of a storage clamping cabin device in the prior art is solved.
In order to achieve the purpose, the invention provides the following technical scheme: a bin clamping device comprises a bin clamping shell, at least two bin bodies stacked in the bin clamping shell, and a plurality of ligation clamps and a plurality of pushing and clamping assemblies which are arranged in part of the bin bodies, wherein when the bin bodies positioned at the bottom layer are pushed by external force to move along the longitudinal direction of the bin bodies so as to be staggered with the adjacent upper bin bodies, the adjacent upper bin bodies move downwards by one layer; the at least two stacked bin bodies are sequentially pushed by external force to be unfolded, and after the two bin bodies are unfolded, the two adjacent bin bodies are in end-to-end butt joint; the storehouse body is including being used for accomodating the first storehouse body of ligature clamp and being used for accomodating the second storehouse body of push away the clamp subassembly, wherein, expandes the back first storehouse body is located the front side in the second storehouse body, and expandes the back, the ligature clamp with push away the clamp subassembly under the effect of external force at the internal portion of storehouse in the rear side move forward in proper order and realize sending the clamp.
Furthermore, the bin clamping device also comprises an elastic component which is arranged on the top layer of the bin body in a stacking manner, the elastic component comprises a pressing plate and an elastic piece which is arranged between the pressing plate and the bin clamping shell and is in a compression state, and when the bin body which is positioned at the bottom layer is pushed by external force to move along the longitudinal direction of the bin body so as to be staggered with the adjacent upper bin body, the elastic piece pushes the pressing plate under the elastic action of the elastic piece so as to push the rest bin bodies which are arranged in the stacking manner to move down by one layer.
Further, each bin body is provided with a rack plate matched with external force, and the external force pushes the rack plate to move so as to push the bin body to move.
Furthermore, two ends of each bin body are respectively provided with a first hook and a first groove matched with the first hook, and every two adjacent bin bodies are connected through the first hooks and the first grooves in a clamped mode after being staggered under the pushing of external force.
Further, the first bin body and the ligating clip form a first bin clamping assembly, and the first bin clamping assembly positioned on the foremost side further comprises a clamp connected with the bin body.
Furthermore, each pushing and clamping assembly comprises a moving part which moves relative to the bin body under the action of external force and a pushing and clamping piece which is pushed by the moving part to move forward relative to the bin body, every two adjacent moving parts are fixedly clamped after being unfolded, at least two first long notches are formed in the pushing and clamping pieces, first ratchets which are used for abutting against the first long notches to push the pushing and clamping pieces to move forward relative to the bin body are arranged on the moving parts, a stopping structure is arranged between the bin body and the pushing and clamping pieces, and when the moving parts are pulled back by the external force, the moving parts can move backward relative to the pushing and clamping pieces and the stopping structure abuts against the pushing and clamping pieces to prevent the pushing and clamping pieces from moving backward relative to the bin body.
Further, the position stopping structure comprises a second ratchet and a second long notch which is arranged in parallel with the first long notch and is arranged in a staggered mode with the first long notch, the second long notch is arranged on one of the bin body and the push clamping piece, and the second ratchet is arranged on the other of the bin body and the push clamping piece.
Furthermore, only the push-clamp assembly is arranged in the second bin body, and the second bin body and the push-clamp assembly form a second bin clamping assembly.
Further, the bin body further comprises a third bin body arranged between the first bin body and the second bin body, the third bin body is positioned between the first bin body and the second bin body and connected with the first bin body and the second bin body after being unfolded, and the third bin body, the ligation clamp and the push-clamp assembly form a third bin clamping assembly.
Furthermore, the bin body further comprises a fourth bin body arranged on the top layer, the fourth bin body is positioned on the rear side of the second bin body after being unfolded, the bin clamping device further comprises a push rod which is arranged in one of the bin bodies and one of the push rods is connected with the push-clamp assembly, and the fourth bin body, the push-clamp assembly and the push rod form a fourth bin clamping assembly.
Furthermore, a first pushing block and a second pushing block are further arranged in the bin clamping shell, the first pushing block is fixedly arranged on one side of the push rod, the second pushing block is arranged on the push rod in a sliding mode, and meshing teeth are arranged on the first pushing block and the second pushing block.
The invention also provides a surgical operation instrument, which comprises a holding part provided with a driving device and a working part connected with the holding part, wherein the working part comprises a shell with an inner cavity, a firing force application part arranged in the inner cavity and connected with the driving device, a firing sleeve connected with the firing force application part, and the cartridge clamping device driven by the driving device; and a mounting opening is formed in a shell on one side of the cavity, and the bin clamping device is detachably connected with the working part through the mounting opening.
The invention has the beneficial effects that: at least two bin bodies are arranged in a bin clamping shell in a stacking mode, a plurality of ligation clamps and a plurality of pushing and clamping assemblies are arranged in part of the bin bodies, and when the bin bodies positioned at the bottom layer are pushed by external force to move along the longitudinal direction of the bin bodies so as to be staggered with the adjacent bin bodies at the upper layer, the adjacently arranged bin bodies at the upper layer move downwards by one layer; the storehouse body of two at least range upon range of settings is promoted in proper order by external force and is launched and two adjacent storehouse body end to end joints in back, and the storehouse body setting that is provided with the push-type clamp subassembly is in the storehouse body rear that is provided with the ligature clamp in order to promote the ligature and press from both sides the antedisplacement and realize sending the clamp for the overall structure of pressing from both sides the storehouse device becomes small and exquisite and light, when realizing sending the clamp in succession, still helps reducing the pressure of storage apparatus.
The foregoing description is only an overview of the technical solutions of the present invention, and in order to make the technical solutions of the present invention more clearly understood and to implement them in accordance with the contents of the description, the following detailed description is given with reference to the preferred embodiments of the present invention and the accompanying drawings.
Drawings
Fig. 1 is a schematic view showing the overall structure of the surgical instrument of the present invention.
Fig. 2 is another overall structural schematic view of the surgical instrument of the present invention.
Fig. 3 is a schematic view of the internal structure of the surgical instrument of the present invention.
Fig. 4 is a cross-sectional schematic view of the surgical instrument of the present invention.
Fig. 5 is a schematic cross-sectional view of the cartridge device of fig. 1.
FIG. 6 is a schematic view of the first cartridge assembly.
Fig. 7 is an exploded view of fig. 6.
FIG. 8 is a schematic structural view of a fourth cartridge assembly.
Fig. 9 is an exploded view of fig. 8.
FIG. 10 is a schematic view of a third cartridge assembly.
Fig. 11 is an exploded view of fig. 10.
FIG. 12 is a schematic view of the second cartridge assembly.
Fig. 13 is an exploded view of fig. 12.
Detailed Description
The following detailed description of embodiments of the present invention is provided in connection with the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
Referring to fig. 1 and 4, the surgical instrument in a preferred embodiment of the present invention includes a holding portion 100 provided with a driving device 2 and a working portion 200 connected to the holding portion 100, wherein the working portion 200 includes a housing 1 formed with an inner cavity, a firing force application member 3 disposed in the inner cavity and connected to the driving device 2, a firing sleeve 4 connected to the firing force application member 3, and a cartridge device 5 driven by the driving device 2. Wherein, a mounting opening is arranged on the shell 1 at one side of the cavity, and the bin clamping device 5 is detachably connected with the working part 200 through the mounting opening. The purpose of so setting is: the whole cabin clamping device 5 and the surgical operation instrument are detachably arranged, when the ligation clamp 53 in the cabin clamping device 5 is used up, the cabin clamping device 5 can be taken out from the mounting opening to be replaced by a new cabin clamping device 5, the repeated utilization of the holding part 100 and the working part 200 is realized, and the effects of saving resources and cost are achieved.
Referring to fig. 5 and 13, the magazine clamping device 5 includes a magazine clamping housing 51, at least two magazine bodies 52 stacked in the magazine clamping housing 51, and a plurality of ligation clips 53 and clip pushing assemblies 54 disposed in a part of the magazine bodies 52, wherein when the magazine body 52 on the bottom layer is pushed by external force to move along the longitudinal direction of the magazine body 52 to be staggered with the magazine body 52 on the adjacent upper layer, the magazine body 52 on the adjacent upper layer moves downward by one layer; at least two stacked cabin bodies 52 are sequentially pushed by external force to be unfolded, and after the two cabin bodies 52 are unfolded, the two adjacent cabin bodies 52 are in end-to-end butt joint; the cabin 52 comprises a first cabin 523 for accommodating the ligating clip 53 and a second cabin 524 for accommodating the pushing and clamping assembly 54, wherein the first cabin 523 is located at the front side of the second cabin 524 after being unfolded, and after being unfolded, the ligating clip 53 and the pushing and clamping assembly 54 sequentially move forward at the rear side in the cabin 52 under the action of external force to realize clip feeding. The cartridge device 5 further comprises an elastic assembly 55 stacked on the top layer of the cartridge body 52, the elastic assembly 55 comprises a pressing plate 551 and an elastic member 552 which is arranged between the pressing plate 551 and the cartridge housing 51 and is in a compressed state, and when the cartridge body 52 on the bottom layer is pushed by external force to move along the longitudinal direction of the cartridge body 52 to be staggered with the adjacent cartridge body 52 on the upper layer, the elastic member 552 pushes the pressing plate 551 under the elastic action thereof to push the remaining cartridge bodies 52 stacked one layer below the other. The elastic member 552 is a spring, but the elastic member 552 may be other members as long as the same effect is achieved.
Each bin body 52 is provided with a rack plate 522 matched with external force, and the external force pushes the rack plate 522 to move so as to push the bin body 52 to move. The bin body 52 can be integrally arranged or separately arranged, and in the embodiment, the bin body 52 is arranged in a split manner for the convenience of production and assembly. The bin body 52 further comprises a bin plate 521 covering the rack plate 522 to form a cavity with the rack plate 522, and in the moving direction of the bin body 52, the front side and the rear side of the bin body 52 are provided with opening portions for the ligature clamp 53 and the push-clamp assembly 54 arranged in the bin body 52 to move out of the bin body 52 and enter the bin body 52 adjacent to the bin body 52. The bin plate 521 is provided with a baffle 5211 extending from two sides of the bin plate 521 to the rack plate 522, and the rack plate 522 is provided with a projection 5221 clamped with the baffle 5211. In the present embodiment, the rack plate 522 is provided with four protrusions 5221, and the four protrusions 5221 are respectively disposed two by two on both sides of the rack plate 522. The width of the rack plate 522 is equal to the distance between the two baffles 5211, and the two lugs 5221 are just clamped with the baffles 5211 along the width direction of the bin body 52.
The two ends of each bin body 52 are respectively provided with a first hook 5212 and a first groove 5213 matched with the first hook 5212, the first hooks 5212 and the first grooves 5213 are respectively arranged at the two ends of the bin plate 521, and each two adjacent bin bodies 52 are connected by being clamped with the first grooves 5213 through the first hooks 5212 after being dislocated under the pushing of external force. It should be noted that only the first hook 5212 is disposed on the bottom bin plate 521, only the first groove 5213 is disposed on the top bin plate 521, and the first hooks 5212 and the first grooves 5213 of the two adjacent bin plates 521 are disposed adjacent to each other, that is, in the moving direction of the bin body 52, the first hook 5212 of the front bin plate 521 and the first groove 5213 of the rear bin plate 521 are disposed adjacent to each other. In order to facilitate the connection between the first hooks 5212 and the first grooves 5213 when the two adjacent storage plates 521 are dislocated, the first hooks 5212 are upwardly arranged to be directly engaged with the first grooves 5213. In order to facilitate the movement of the ligation clip 53 and the clip pushing assembly 54 in the cavity, the first notch 5414 and the first hook 5212 are disposed at two ends of the storage plate 521, and the first notch 5414 and the first hook 5212 are disposed on the same side.
The direction of the pliers 59 is defined as the front, each pushing and clamping assembly 54 includes a moving member which moves relative to the bin 52 under the action of an external force and a pushing and clamping piece 543 which is pushed by the moving member to move forward relative to the bin 52, two adjacent moving members are connected in a clamping manner after being unfolded, each moving member is provided with a first ratchet 5422, and at least two first long notches 5431 which are abutted against the first ratchet 5422 are arranged on the pushing and clamping piece 543. More specifically, the moving member includes a first moving portion 541 and a second moving portion 542 which are stacked, the push-clamp piece 543 is disposed below the second moving portion 542, an opening 5411 which is formed along the width direction of the first moving portion 541 is disposed on the first moving portion 541, and a clamp piece 5421 which is clamped with the opening 5411 is disposed on the second moving portion 542. It should be noted that two ends of the first moving portion 541 protrude out of the cavity, so that two adjacent first moving portions 541 are better connected. The first moving part 541 is provided with a second hook 5412 and a second groove 5413 matched with the second hook 5412, and the second hook 5412 and the second groove 5413 are respectively arranged at two sides of the first moving part 541. When every two adjacent bin bodies 52 are dislocated under the pushing of an external force and then are connected by the first hooks 5212 and the first grooves 5213 in a clamping manner, every two adjacent push-clamp assemblies 54 are connected by the second hooks 5412 and the second grooves 5413 arranged on the two sides of the first moving portion 541. As above, the second hook 5412 is upwardly disposed to be better connected with the second groove 5413.
A stopping structure (not shown) is arranged between the bin body 52 and the pushing-clamping piece 543, and the stopping structure includes a second ratchet and a second long notch which is parallel to the first long notch 5431 and is staggered with the first long notch 5431. The rear end face of the first long notch 5431 and the front end face of the second long notch which are arranged in a staggered manner are located on the same axis, that is, the first long notch 5431 and the second long notch have no overlapping part. The second long notch is arranged on one of the bin body 52 and the push-clip 543, and the second ratchet is arranged on the other of the bin body 52 and the push-clip 543. When the second long notch is arranged on the push-clip 543 and the second ratchet is arranged on the bin body 52, the first ratchet 5422 and the second ratchet are arranged radially; when the second long notch is arranged on the bin body 52 and the second ratchet is arranged on the push-clip piece 543, the first ratchet 5422 and the second ratchet are arranged in parallel. In the moving direction of the ligating clip 53, two adjacent first long notches 5431 are a front first long notch and a rear first long notch respectively, the front first long notch and the rear first long notch both have abutting surfaces abutting against the first ratchet 5422, the moving member moves forward under the action of external force to push the pushing and clamping piece 543 to move forward, and the first ratchet 5422 abuts against the abutting surfaces of the front first long notch to push the pushing and clamping piece 543 to move forward; the moving member moves backward under the action of external force, the pushing and clamping piece 543 is fixed with the bin body 52 due to the matching of the second long notch and the second ratchet, and the first ratchet 5422 moves backward to the first long notch at the rear side and abuts against the abutting surface.
The push-clamp assembly 54 of the present invention may be provided with only one or a plurality of members. In the present embodiment, there are three pusher-clamp assemblies 54 depending on the length of the firing sleeve 4, and indeed, in other embodiments, the number of pusher-clamp assemblies 54 may be other, and is not limited herein according to the actual situation.
To better distinguish the three pusher-clamp assemblies 54, the three pusher-clamp assemblies 54 are respectively referred to as a first pusher-clamp assembly 544, a second pusher-clamp assembly 545 and a third pusher-clamp assembly 546, the first pusher-clamp assembly 544 directly contacts the ligating clip 53 to push the ligating clip 53 forward, the second pusher-clamp assembly 545 is connected to the first pusher-clamp assembly 544, and the third pusher-clamp assembly 546 is connected to the second pusher-clamp assembly 545, and has substantially the same structure, except for a first movable portion 541 and a pusher-clamp piece 543. Only one end of the first moving portion 541 of the first push-clip component 544 is provided with a second hook 5412 engaged with the second groove 5413, and the push-clip piece 543 of the first push-clip component 544 is provided with a protruding block abutted against the ligation clip 53, so as to push the ligation clip 53 forward better under the pushing of the first moving portion 541 and the second moving portion 542. The cartridge housing 51 is further provided with a push rod 56 connected to the push-clamp assembly 54, in this embodiment, the push rod 56 is connected to the third push-clamp assembly 546, specifically, the first moving portion 541 of the third push-clamp assembly 546 is connected to the push rod 56, one end of the first moving portion 541 is provided with a second groove 5413 engaged with the second hook 5412, the other end is provided with a notch 5414, and one end of the push rod 56 is provided with a protrusion 561 engaged with the notch 5414. The first moving portion 541 of the second push clamp assembly 545 is provided at one end with a second hook 5412 and at the other end with a second groove 5413 to connect the first push clamp assembly 544 with the third push clamp assembly 546.
In the present invention, the first magazine body 523 and the ligating clip 53 form a first magazine clamping assembly 527, the first magazine clamping assembly 527 located at the frontmost side further includes a clamp 59 connected to the magazine body 52, and the clamp 59 is disposed at the front side of the first magazine clamping assembly 527 in the moving direction of the first magazine clamping assembly 527. In this embodiment, only one first magazine clamping assembly 527 is provided, and the number of the first magazine clamping assemblies 527 is not specifically limited in this embodiment. Only the push clamp assembly 54 is disposed within the second cartridge body 524, the push clamp assembly 54 is a second push clamp assembly 545, and the second cartridge body 524 and the second push clamp assembly 545 form a second cartridge assembly 528. The cartridge body 52 further comprises a third cartridge body 525 disposed between the first cartridge body 523 and the second cartridge body 524, the third cartridge body 525 is located between the first cartridge body 523 and the second cartridge body 524 after being deployed and is connected to the first cartridge body 523 and the second cartridge body 524, the third cartridge body 525, the ligation clip 53 and the clip pushing assembly 54 form a third cartridge assembly 529, and the clip pushing assembly 54 is a first clip pushing assembly 544. The cartridge body 52 further comprises a fourth cartridge body 526 disposed on the top layer, the fourth cartridge body 526 is located at the rear side of the second cartridge body 524 after being unfolded, the cartridge device 5 further comprises a push rod 56 disposed in one of the cartridge bodies 52 and one of the push rod 56 is connected to the push-clamp assembly 54, the push-clamp assembly 54 is a third push-clamp assembly 546, and the fourth cartridge body 526, the third push-clamp assembly 546 and the push rod 56 form a fourth cartridge assembly 520. The bin clamping shell is further internally provided with a first pushing block 57 and a second pushing block 58, the first pushing block 57 is fixedly arranged on one side of the pushing rod 56, the second pushing block 58 is arranged on the pushing rod 56 in a sliding mode, and the first pushing block 57 and the second pushing block 58 are both provided with meshing teeth. The sum of the maximum distance between the first push block 57 and the second push block 58 and the total length of the push clip 543 is equal to or greater than the sum of the total length of the ligation clip 53, and the second push block 58 allows for better deployment of the cartridge body 52 within the firing sleeve 4.
The drive device 2 comprises a motor 21, a bevel gear 22 connected with the motor 21, a rack assembly 23 connected with the firing sleeve 4, a first gear 24 and a second gear 25, wherein the second gear 25 is engaged with the rack assembly 23. The firing force applying component 3 comprises a firing shaft 31 connected with a bevel gear 22, a rack component 23 is connected with the firing shaft 31, and a first gear 24 is arranged in front of a second gear 25 in the moving direction of the bin body 52. A third gear 27 connected with the first gear 24 is also arranged in the shell 1, and the third gear 27 is always meshed with the firing shaft 26, so that the cartridge body 52 is better pushed into the firing sleeve 4 in the process of deploying the inner cavity. The motor 21 rotates to drive the bevel gear 22 to rotate so as to drive the firing shaft 26 to move backwards, until the rack assembly 23 is meshed with the second gear 25 to drive the second gear 25 to rotate anticlockwise, the second gear 25 rotates anticlockwise to drive the first push block 57 to move forwards, and then the clamp pushing assembly 54 moves forwards to deliver the clamp; the motor 21 is then reversed to rotate the bevel gear 22 to advance the firing shaft 26, and the firing shaft 26 is advanced to advance the rack assembly 23 to advance the firing sleeve 4 to close the jaws 59 for firing.
The housing 1 is further provided with a switching button 6 connected with the firing shaft 26, and the switching button 6 is pushed to the left to enable the rack assembly 23 to be meshed with the first gear 24, so as to convey a first bin clamping assembly 527, a fourth bin clamping assembly 520, a third bin clamping assembly 529 and a second bin clamping assembly 528 in the bin clamping device 5 to a nozzle of the firing sleeve 4, until when the first bin clamping assembly 527, the fourth bin clamping assembly 520, the third bin clamping assembly 529 and the second bin clamping assembly 528 are located on the same horizontal plane and connected end to end, for better connection with the first gear 24, a first rack meshed with the first gear 24 is arranged on one side, facing the first gear 24, of the bin clamping lower plate. When all the cartridge assemblies are located on the same horizontal plane, the switching button 6 is toggled to the right, so that the push rod 56 of the second cartridge assembly 528 is connected with the first gear 24 and the second gear 25. As described above, the first gear 24 is engaged with the second push block 58, and the second gear 25 is engaged with the first push block 57. The surgical operation instrument and the firing process of the invention are as follows: the motor 21 rotates to drive the bevel gear 22 to rotate so as to drive the rack assembly 23 to retreat, the rack assembly 23 retreats until being meshed with the second gear 25 so as to drive the second gear 25 to rotate anticlockwise, the second gear 25 rotates anticlockwise to drive the first push block 57 to move towards the clamp 59 so as to drive the push rod 56 to move forwards, the push rod 56 extends into the cavity so as to push the moving piece to move, and the moving piece drives the push clamping piece 543 to move forwards so as to drive the ligation clamp 53 to move forwards; the motor 21 rotates to drive the bevel gear 22 to rotate so as to drive the rack assembly 23 to move forwards, the second rack retreats until being meshed with the second gear 25 so as to drive the second gear 25 to rotate clockwise, the second gear 25 rotates clockwise to drive the first push block 57 to move backwards so as to drive the push rod 56 to move backwards, the push rod 56 drives the moving piece to move backwards, and due to the fact that the ratchet 5422 is matched with the sliding groove, the ratchet 5422 cannot abut against the sliding groove in the retreating process, and therefore when the moving piece moves backwards, the push clamping piece 543 is kept still; the second rack continues to advance the firing sleeve 4 until the jaws 59 are closed to complete firing.
The grip portion 100 includes a grip housing 101, and the grip housing 101 is formed with a housing cavity in which the driving device 2 is disposed, for the sake of the rationality of the layout of internal devices and the aesthetic appearance. The holding portion 100 further includes a control circuit disposed in the accommodating cavity and electrically connected to the driving device 2, and a first switch 102 and a second switch 103 disposed on the holding housing 101 and coupled to the control circuit, wherein the first switch 102 is used for driving the cartridge device 5 to implement clip feeding, and the second switch 103 is used for driving the percussion force applying member 3 to further drive the percussion sleeve 4 to move compared with the cartridge device 5 so as to ligate the target tissue. It is needless to say that the driving device 2, the control circuit, the first switch 102, and the second switch 103 may be provided in the working unit 200, and are not particularly limited herein depending on the actual situation.
In summary, the following steps: by arranging at least two bin bodies 52 in a bin clamping shell 51 in a stacking manner, and arranging a plurality of ligation clamps 53 and a plurality of pushing and clamping assemblies 54 in part of the bin bodies 52, when the bin bodies 52 positioned at the bottom layer are pushed by external force to move along the longitudinal direction of the bin bodies 52 to be staggered with the adjacent bin bodies 52 at the upper layer, the adjacently arranged bin bodies 52 at the upper layer move downwards by one layer; at least two storehouse bodies 52 that range upon range of setting are promoted in proper order by external force and are expanded two adjacent storehouse bodies 52 end to end, and the storehouse body 52 setting that is provided with push-clamp subassembly 54 is in the storehouse body 52 rear that is provided with the ligature clamp 53 in order to promote the antedisplacement of ligature clamp 53 and realize sending the clamp for the overall structure of pressing from both sides storehouse device 5 becomes small and exquisite and light, when realizing sending the clamp in succession, still helps reducing the pressure of storage apparatus.
The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (12)

1. A bin clamping device is characterized by comprising a bin clamping shell, at least two bin bodies stacked in the bin clamping shell, a plurality of ligation clamps and a plurality of pushing and clamping assemblies, wherein when the bin body on the bottom layer is pushed by external force to move along the longitudinal direction of the bin body to be staggered with the bin body on the adjacent upper layer, the bin body on the adjacent upper layer moves downwards by one layer; the at least two stacked bin bodies are sequentially pushed by external force to be unfolded, and after the two bin bodies are unfolded, the two adjacent bin bodies are in end-to-end butt joint; the storehouse body is including being used for accomodating the first storehouse body of ligature clamp and being used for accomodating the second storehouse body of push away the clamp subassembly, wherein, expandes the back first storehouse body is located the front side in the second storehouse body, and expandes the back, the ligature clamp with push away the clamp subassembly under the effect of external force at the internal portion of storehouse in the rear side move forward in proper order and realize sending the clamp.
2. The bin clamping device according to claim 1, further comprising an elastic component stacked on the top layer of the bin body, wherein the elastic component comprises a pressing plate and an elastic member arranged between the pressing plate and the bin clamping shell and in a compressed state, and when the bin body on the bottom layer is pushed by an external force to move along the longitudinal direction of the bin body to be staggered with the adjacent upper bin body, the elastic member pushes the pressing plate under the elastic force of the elastic member to push the rest of the stacked bin bodies to move down one layer.
3. The bin clamping device according to claim 1, wherein each bin body is provided with a rack plate matched with external force, and the external force pushes the rack plate to move so as to push the bin body to move.
4. The bin clamping device according to claim 3, wherein two ends of each bin body are respectively provided with a first hook and a first groove matched with the first hook, and each two adjacent bin bodies are dislocated under the pushing of an external force and then are clamped with the first grooves through the first hooks to realize connection.
5. The cartridge device of claim 1, wherein said first cartridge body and said ligating clip form a first cartridge assembly, said first cartridge assembly at a forward most side further comprising a clamp connected to said cartridge body.
6. The bin clamping device according to claim 1, wherein each of the pushing and clamping assemblies includes a moving member that moves relative to the bin body under an external force and a pushing and clamping piece that is pushed by the moving member to move forward relative to the bin body, two adjacent moving members are fixedly clamped after being unfolded, at least two first slots are formed in the pushing and clamping piece, a first ratchet that is used for supporting the first slots to push the pushing and clamping piece to move forward relative to the bin body is formed in the moving member, a stopping structure is formed between the bin body and the pushing and clamping piece, and when the moving member is pulled back by the external force, the moving member can move backward relative to the pushing and clamping piece and the stopping structure supports the pushing and clamping piece to prevent the pushing and clamping piece from moving backward relative to the bin body.
7. The cartridge device of claim 6, wherein the stop structure comprises a second ratchet and a second slot parallel to and offset from the first slot, the second slot being disposed on one of the cartridge body and the push-clip tab, the second ratchet being disposed on the other of the cartridge body and the push-clip tab.
8. The cartridge device of claim 1, wherein only the push-clip assembly is disposed within the second cartridge body, the second cartridge body and the push-clip assembly forming a second cartridge assembly.
9. The cartridge clamping device of claim 1, wherein said cartridge body further comprises a third cartridge body disposed between said first cartridge body and said second cartridge body, said third cartridge body being disposed between and connecting said first cartridge body and said second cartridge body after deployment, said third cartridge body forming a third cartridge clamping assembly with said ligating clip and said clip pushing assembly.
10. The cartridge device of claim 1, wherein said cartridge body further comprises a fourth cartridge body disposed on a top layer, said fourth cartridge body is located at a rear side of said second cartridge body after being deployed, said cartridge device further comprises a push rod disposed in one of said cartridge bodies and connected to said push-clamp assembly, said fourth cartridge body, said push-clamp assembly and said push rod form a fourth cartridge assembly.
11. The cartridge device according to claim 10, wherein a first pushing block and a second pushing block are further disposed in the cartridge housing, the first pushing block is fixedly disposed on one side of the pushing rod, the second pushing block is slidably disposed on the pushing rod, and the first pushing block and the second pushing block are both provided with engaging teeth.
12. A surgical instrument, comprising a holding portion provided with a driving device and a working portion connected to the holding portion, wherein the working portion comprises a housing formed with an inner cavity, a firing force application member arranged in the inner cavity and connected to the driving device, a firing sleeve connected to the firing force application member, and the cartridge device according to any one of claims 1 to 11 driven by the driving device; and a mounting opening is formed in a shell on one side of the cavity, and the bin clamping device is detachably connected with the working part through the mounting opening.
CN201911012295.3A 2019-10-23 2019-10-23 Clamping device and surgical operation instrument Active CN112690863B (en)

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PCT/CN2020/121364 WO2021078068A1 (en) 2019-10-23 2020-10-16 Clip cartridge device and surgical instrument

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