CN116898522B - Nail clamp and nail clamp device for closing blood vessel and tissue - Google Patents

Nail clamp and nail clamp device for closing blood vessel and tissue Download PDF

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Publication number
CN116898522B
CN116898522B CN202311168531.7A CN202311168531A CN116898522B CN 116898522 B CN116898522 B CN 116898522B CN 202311168531 A CN202311168531 A CN 202311168531A CN 116898522 B CN116898522 B CN 116898522B
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China
Prior art keywords
clamp
nail
locking
staple
section
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CN202311168531.7A
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CN116898522A (en
Inventor
陈伟杰
林国乐
周皎琳
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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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
    • A61B17/122Clamps 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
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0644Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • 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)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Surgical Instruments (AREA)

Abstract

The application discloses a nail clamp and a nail clamp device for closing blood vessels and tissues, which comprise a U-shaped body, wherein the inner side of the U-shaped body is also provided with a locking nail foot, the locking nail foot is arranged in parallel with two nail feet of the body, the nail clamp comprises a first clamp and a second clamp which are connected in a rotating way, the first clamp is used for clamping the nail clamp, and a rotating position is arranged on the rotating stroke of the second clamp so that the locking nail foot bends to pierce and lock the blood vessels and tissues. According to the device provided by the application, the nail clamp with the nail clamp is extended to a position where a blood vessel or a tissue needs to be closed through the operation channel, the first clamp for pressing the nail clamp is used for placing the nail clamp on the tissue, so that the nail clamp is pricked into the tissue to be closed, and then the second clamp is operated to press and bend the nail feet to close the tissue to be closed, so that the nail clamp is firmly locked on the tissue, and the slipping probability of the nail clamp is greatly reduced.

Description

Nail clamp and nail clamp device for closing blood vessel and tissue
Technical Field
The application relates to the field of medical appliances, in particular to a nail clamp and a nail clamp device for closing blood vessels and tissues.
Background
In the laparoscopic or robotic laparoscopic surgery, treatment and knotting and suturing of blood vessels and lymphatic vessels are more difficult than that of an open surgery, the passage holes of surgical instruments into and out of the abdominal cavity are smaller, and suturing can only be carried out through the instruments or through special closing devices, wherein the closing devices in the prior art comprise a cutting closer, a Hemlock, a titanium clip and the like, the most used titanium clip is still a metal titanium clip, the titanium clip is usually a U-shaped or V-shaped titanium clip, the use is simple, and the closing efficiency of blood vessels or tissues is high, so that the surgical instrument is widely applied clinically.
If the patent with the publication number of CN201033088Y and the publication date of 2008, 3 months and 12 days is entitled "medical titanium clip", the patent is formed by pressing pure titanium wires or titanium alloy wires, and at least comprises a clip body with a V-shaped appearance, and the inner side surface of the clamping section of the clip body is provided with a transverse groove: the clamp body consists of a V-shaped clamping section and a clamping section provided with a transverse groove, and the joint of the clamping section and the clamping section forms an obtuse angle smaller than 180 degrees; at least one groove is formed in the inner side of the clamp body; the novel clamping device has the characteristics of reasonable structure, convenience and reliability in use, good clamping performance, no displacement after clamping and the like.
The defects of the patent are that after the titanium clip clamps the blood vessel or the tissue, the titanium clip has a probability of slipping under the action of elastic restoring force of the clamped tissue, so that the titanium clip not only has no closing effect on the clamped tissue, but also easily slips into the body to become a foreign body, and tissue adhesion and obstruction are easily caused at important blood vessels and nerve parts.
Disclosure of Invention
The present application is directed to a stapling and stapling device for closing blood vessels and tissue that overcomes the above-mentioned deficiencies of the prior art.
In order to achieve the above object, the present application provides the following technical solutions:
the nail clamp for closing blood vessels and tissues comprises a U-shaped body, wherein the inner side of the U-shaped body is also provided with a locking nail foot which is used for penetrating through the blood vessels or tissues, and the locking nail foot is arranged in parallel with two nail feet of the body.
The length of the body ranges from 0.5 cm to 1.0cm.
The nail clamp for closing blood vessels and tissues is provided with two locking top feet.
The nail clamp device applied to the nail clamp comprises a nail clamp, wherein the nail clamp comprises a first clamp and a second clamp which are rotationally connected through a rotating shaft, the first clamp is used for clamping the nail clamp, and a rotating position is arranged on the rotating stroke of the second clamp so that the locking nail foot pierces and bends to lock a blood vessel.
According to the nail clamp device, the nail clamp bin is arranged at the far end of the first clamp, the nail clamp outlet is formed in the nail clamp bin, a plurality of nail clamps are arranged in the nail clamp bin, and the plurality of nail clamps sequentially pass through the nail clamp outlet.
In the above nail clamp device, the second clamp is provided with a nail clamp extrusion part, and the nail clamp extrusion part is used for extruding the nail clamp.
The first clamp comprises a first section and a second section, the first section and the second section are rotationally connected through the rotating shaft, a traction wire is arranged on the first section, the other end of the traction wire is connected with the rotating shaft of the nail clamp, and a rotating position is arranged on the rotating stroke of the first clamp so that the traction wire pulls the first section to rotate.
Above-mentioned nail clamp device, be provided with locking mechanism on the second clamp, locking mechanism includes latch segment and locking line, the one end of locking line is connected the latch segment of complaining, the other end of locking line is connected the proximal end of nail clamp, be provided with the locking groove in the pivot, the locking groove is used for inserting locking mechanism in order to realize the locking of second clamp.
In the above nail clamping device, the locking mechanism comprises a free state and a locking state, wherein in the free state, the locking block is not inserted into the locking groove, and in the locking state, the locking block is inserted into the locking groove.
In the above nail clamp device, the operation part is provided with the limiting piece, the limiting piece is connected with the locking wire, and the limiting piece is used for limiting the locking wire on the proximal end of the nail clamp so that an operator can adjust the position of the locking block by pulling the limiting piece to pull the locking wire.
In the technical scheme, the nail clamp and the nail clamp device for closing the blood vessel and the tissue, provided by the application, extend the nail clamp with the nail clamp to the position where the blood vessel or the tissue is required to be closed through the operation channel, place the tissue to be closed between the nail clamps, press the first clamp of the nail clamp to place the nail clamp on the tissue to be closed, so as to be pricked into the tissue to be closed, then press and bend the nail feet to close the tissue to be closed by operating the second clamp, so that the nail clamp is firmly locked on the tissue, and the slipping probability of the nail clamp is greatly reduced.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings required for the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments described in the present application, and other drawings may be obtained according to these drawings for a person having ordinary skill in the art.
FIG. 1 is a schematic view of a staple clamp according to an embodiment of the present application;
FIG. 2 is a cross-sectional view of a first clamp and a second clamp provided in an embodiment of the present application;
FIG. 3 is a schematic view of a nail clamp according to an embodiment of the present application with two locking pins;
FIG. 4 is a schematic view of a nail clamp with three locking legs according to an embodiment of the present application;
FIG. 5 is a schematic view of a first clamp according to another embodiment of the present application;
FIG. 6 is a schematic view of a first segment of a first clamp according to another embodiment of the present application;
FIG. 7 is a cross-sectional view of a locking mechanism provided by yet another embodiment of the present application;
FIG. 8 is a schematic view of a staple clamp according to yet another embodiment of the present application;
fig. 9 is a cross-sectional view of a locking mechanism provided by a further embodiment of the application.
Reference numerals illustrate:
1. a staple clamp; 1.1, a rotating shaft; 1.2, radial raised rings; 2. an operation unit; 3. a driving rod; 4. a first clamp; 4.1, a nail clamping bin; 4.2, a nail clamp outlet; 4.3, an elastic piece; 4.4, a first section; 4.41, nailing the clamping position; 4.42, extension plates; 4.5, a second section; 4.51, a first groove; 4.52, a third groove; 4.6, pulling the wire; 4.7, rotating shaft; 5. a second clamp; 5.1, nailing and clamping the extrusion part; 5.2, a second groove; 6. nailing and clamping; 6.1, locking the nail leg; 7. a locking mechanism; 7.1, locking blocks; 7.2, locking the wire; 7.3, locking groove; 7.4, elastic reset piece; 7.5, limiting piece.
Detailed Description
In order to make the technical scheme of the present application better understood by those skilled in the art, the present application will be further described in detail with reference to the accompanying drawings.
In the embodiments provided in the present application, the proximal end and the distal end are terms of art in the medical field, and for various endoscopes and other catheters and guide wire medical devices that need to enter the human body, "proximal end" and "distal end" refer to the relative positions, and directions of the elements or actions relative to each other from the perspective of the doctor using the medical device, where the proximal end refers to the end that is near to the doctor, i.e., the end that is located outside the body, and the distal end refers to the end that is far from the doctor, i.e., the end that enters the human body or the other end that is away from the proximal end, and the embodiments of the present application are in accordance with this standard.
Referring to fig. 1-9, the application discloses a nail clamp 6 for closing blood vessels and tissues, which comprises a U-shaped body, wherein the inner side of the U-shaped body is also provided with a locking nail foot 6.1, the locking nail foot is used for penetrating the blood vessels or tissues, and the locking nail foot 6.1 is arranged in parallel with two nail feet of the body.
Specifically, the nail clamp 6 includes a body in a U shape, that is, the body includes two parallel nails (two arms of the U shape are two nails) and a cross rod connected to one ends of the two nails, preferably, the material of the nail clamp 6 is titanium alloy, the length range of the nail is preferably 0.5-1.0cm, the diameter of the nail clamp is preferably 0.1-0.5mm, the inside of the U-shaped body, that is, between the two nails, is also provided with a locking nail 6.1, the locking nail 6.1 may be one, two or three, the locking nail 6.1 is arranged in parallel with the two nails of the body, in this embodiment, preferably, the two locking nail 6.1 are pressed and bent to be attached to the two nails of the body, that is, the shape of the locking nail 6.1 is changed while the shape of the nail is changed, and the shape of the nail 6.1 is also bent while the shape of the nail is also changed, and the nail 6.1 is bent and the blood vessel is not closed, and the blood vessel is not closed and the tissue is not closed.
According to the nail clamp 6 for closing blood vessels and tissues, the nail feet of the nail clamp 6 bend to close the tissues, at the moment, the locking nail feet 6.1 attached to the nail feet of the nail clamp 6 also bend, and after the nail clamp is bent, the blood vessels can be pierced, so that the nail clamp 6 can not bleed or fall off.
The embodiment of the application also discloses a nail clamp 1 device applied to the nail clamp 6, which comprises a nail clamp 1, wherein the nail clamp 1 comprises a first clamp 4 and a second clamp 5 which are rotatably connected through a rotating shaft 1.1, the first clamp 4 is used for clamping the nail clamp 6, and a rotating position is arranged on the rotating stroke of the second clamp 5 so that the locking nail foot 6 pierces and bends to lock a blood vessel.
Specifically, the nail clamp 1 includes an operation portion 2 and a clamping portion, the operation portion 2 is connected with the clamping portion through a driving rod 3, a driving mechanism is disposed in the driving rod 3, the clamping portion includes a first clamp 4 and a second clamp 5 which are rotatably connected through a rotating shaft 1.1, that is, the first clamp 4 and the second clamp 5 can both rotate around the rotating shaft 1.1, and the operation portion 2 drives the first clamp 4 and the second clamp 5 to have an open state and a closed state through a transmission mechanism such as a transmission rod or a guy cable in the driving rod 3, which is not described in detail in the prior art. The innovation point of this embodiment is that the first clamp 4 is provided with a nail clamp bin 4.1, a plurality of mutually attached nail clamps 6 are arranged in parallel in the nail clamp bin 4.1, an elastic piece 4.3 is arranged in the nail clamp bin 4.1, preferably, the elastic piece 4.3 is a spring, one end of the elastic piece 4.3 is fixedly connected with the inner wall of the nail clamp bin 4.1, the other end is an extruded end, the plurality of nail clamps 6 extrude the extrusion end to extrude the elastic piece 4.3 on the inner wall of the nail clamp bin 4.1, the nail clamp bin 4.1 is provided with a nail clamp outlet 4.2, the nail clamp outlet 4.2 only allows one nail clamp 6 to come in and go out, namely, the nail clamps 6 in the nail clamp bin 4.1 sequentially pass through the nail clamp outlet 4.2 on the nail clamp bin 4.1 through the pressing of the first clamp 4, so that the nail clamps 6 are sequentially closed, and the operation of each nail clamp 6 is not required to be carried out once to drive a human body. Meanwhile, the second clamp 5 is provided with a clamp squeezing part 5.1, preferably, the clamp squeezing part 5.1 is a flat plate with a shape slightly smaller than that of the clamp outlet 4.2, when the clamp part is in an open state, tissue to be closed is placed between the first clamp 4 and the second clamp 5, specifically between the clamp outlet 4.2 and the flat plate, then the clamp 1 is driven to be in a closed state, so that the first clamp 4 and the second clamp 5 have a jointed rotating stroke, in the stroke, the clamp 1 is pressed so that the flat plate is forced to squeeze the tissue to enable the clamp 6 in the clamp outlet 4.2 to close the tissue (and/or blood vessels, the clamp 6.1 of the clamp 6 is tied into the tissue to be closed, and the other two clamp pins squeeze to close the edge of the tissue, and at the moment, the clamp squeezing part 5.1 on the second clamp 5 squeezes the clamp 6, the clamp 6 body bends the clamp 6.1 so that the clamp 6.1 is clamped to the clamp 6 is clamped to the center, and the clamp 6 cannot be closed by the clamped tightly, and the clamp 6 cannot be closed when the clamp 6 is required to be closed, and the clamp 6 is not required to be closed, so that the clamp 6 is not to be closed, but the clamp 1 is required to be closed.
According to the vascular and tissue closing nail clamp 6 and the nail clamp 1 device, the nail clamp 1 with the nail clamp 6 stretches into a position where the tissue needs to be closed through an operation channel, the tissue to be closed is placed between the nail clamps 1, the first clamp 4 pressing the nail clamp 1 places the nail clamp 6 on the tissue, the tissue to be closed is thus pricked, then the second clamp 5 is operated to press and bend the nail feet to close the tissue to be closed, the nail clamp 6 is firmly locked on the tissue, and the slipping probability of the nail clamp 6 is greatly reduced.
In another embodiment of the present application, the first clamp 4 includes a first section 4.4 and a second section 4.5, the first section 4.4 is disposed at a distal end (an end far from the operation portion 2) of the first clamp 4, the first section 4.4 and the second section 4.5 are rotatably connected by a rotation shaft 4.7, the rotation shaft 4.7 is located at a region opposite to the staple outlet 4.2 on the first clamp 4, a torsion spring (not shown in the drawing) is disposed on the rotation shaft 4.7, the torsion spring is used for elastic reset of the first section 4.4, the staple cartridge 4.1 of the first section 4.4 is referred to as a staple clamping position 4.41, that is, the staple clamping outlet 4.2 is disposed on the staple clamping position 4.41, and the rotation of the first section 4.4 causes the front side of the staple clamping position 4.41 to be opened, the staple clamping position 4.41 can be pushed sequentially onto the first section 4.41 by only one staple clamp 6, that is a plurality of staples 6 in the staple cartridge 4.1 of the second section 4.5, the embodiment further comprises a pulling wire 4.6, wherein a first groove 4.51 (or a first through hole) is arranged on the second section 4.5, one end of the pulling wire 4.6 is fixedly connected to the first section 4.4, the other end of the pulling wire 4.6 is fixedly connected to the rotating shaft 1.1 of the nail clamp 1 through the first groove 4.51 (or the first through hole), so that the pulling wire 4.6 is wound by the rotation of the rotating shaft 1.1 to drive the first section 4.4 to rotate to open the front side of the nail clamp 4.41, a rotation position is provided on the rotation stroke of the first clamp 4, so that the pulling wire 4.6 pulls the first section 4.4 to rotate, namely, the pulling wire 4.6 pulls the first section 4.4 to rotate when the first clamp 4 rotates relative to the rotating shaft 1.1, the first section 4.4 rotates towards the outside of the nail clamp 4.1, at this time, the front end of the nail clamping position 4.41 is opened, so that the nail clamp 6 has a larger outlet, the probability that the nail clamp 6 is clamped in the nail clamp bin 4.1 can be greatly reduced, after the first section 4.4 rotates, the torsion spring on the rotating shaft 4.7 enables the first section 4.4 to reset after the force is removed. In order to enable the first clamp 4 to rotate relative to the rotating shaft 1.1, the second clamp 5 is provided with a locking mechanism 7, the locking mechanism 7 comprises a locking block 7.1 and a locking wire 7.2, the second clamp 5 is provided with a second groove 5.2 (or a second through hole), the locking mechanism 7 is positioned in the second groove 5.2 (or the second through hole), the locking block 7.1 is provided with an elastic reset piece 7.4, preferably, the elastic reset piece 7.4 is a spring, the side wall of the second groove 5.2 is provided with a protruding block (not shown in the figure), one end of the elastic reset piece 7.1 is fixedly connected to a radial protruding ring 1.2 on the locking block 7.1, the other end is fixedly connected to the protruding block, the elastic reset piece 7.4 is used for elastic reset of the locking block 7.1, the locking wire 7.2 passes through the inside of the driving rod 3 and is connected to the operating part 2, the operation part 2 is provided with a small hole for the passage of a locking wire 7.2, namely one end of the locking wire 7.2 is positioned in the nail clamp 1, the other end is positioned outside the nail clamp 1, the locking wire 7.2 is provided with a limiting piece 7.5 such as a pull ring at one end outside the small hole, the limiting piece 7.5 is used for limiting the locking wire 7.2 outside the proximal end of the nail clamp 1 so that an operator can adjust the position of the locking piece 7.1 by pulling the locking wire 7.2, preferably, the limiting piece 7.5 is a ring body which can be hooked on the finger of the operator to pull the locking wire 7.2, the rotating shaft 1.1 is provided with a locking groove 7.3, the size of the locking groove 7.3 is consistent with that of the locking piece 7.1, the locking mechanism 7 comprises a free state and a locking state, in the free state, namely, in the case that the operator manually pulls the limiting piece 7.5 like a doctor, the limiting piece 7.5 and the locking piece 7.1 are pulled integrally to be separated from the rotating shaft 1.1, the locking piece 7.1 of the locking mechanism 7 is not inserted into the locking groove 7.3 of the rotating shaft 1.1, namely, an operator tightens the limiting piece 7.5 at the operating part 2, so that the locking mechanism 7 is positioned outside the locking groove 7.3, at the moment, both the first clamp 4 and the second clamp 5 can rotate around the rotating shaft 1.1, in the locking state, a doctor releases the limiting piece 7.5, the locking piece 7.1 of the locking mechanism 7 is inserted into the locking groove 7.3 under the reset driving of the elastic reset piece 7.4, at the moment, the second clamp 5 is locked by the locking mechanism 7, namely, the second clamp 5 and the rotating shaft 1.1 are in a relatively static state, and when the second clamp 5 and the first clamp 4 are folded, the first clamp 4 and the rotating shaft 1.1 are forced to be in a relatively moving state, and the two clamps are relatively rotated. When the clamping part enters the closed state, the locking mechanism 7 is in a free state, the rotating shaft 1.1 is in the free state in the process, so that the first section 4.4 cannot be forced to be unfolded, and when the clamping part is driven to be separated from the closed state, namely, the nail clamp 1 needs to be separated after the blood vessel is clamped by the nail clamp 6, the limiting piece 7.5 is loosened, so that the locking block 7.1 enters the locking groove 7.3 through the resetting of the elastic resetting piece 7.4, at the moment, the second clamp 5 is limited and locked by the locking mechanism 7, the first clamp 4 and the rotating shaft 1.1 are in a relative motion state, and as the other end of the pulling wire 4.6 is wound on the rotating shaft 1.1, the relative rotation of the second clamp 5 and the first clamp 4 is converted into the relative rotation of the rotating shaft 1.1 and the first clamp 4, the rotating shaft 1.1 is wound on the pulling wire 4.6, the pulling wire 4.6 is pulled to rotate the first section 4.4.4 on the first clamp 4, and the nail clamp 4 is greatly stopped in the large-position of the nail clamp 4.4, namely, the probability of greatly stopping the nail clamp 4 is greatly reduced, and the nail clamp 4 is greatly stopped in the large-position of the nail clamp 4.4, and the large-position is greatly stopped in the space of the nail clamp 4.4, and the nail clamp 4 is greatly stopped in the position, and the position of the nail clamp 4.
In another embodiment provided by the application, the first section 4.4 is provided with the extension plate 4.42 on the bottom wall of the nail clamping position 4.41, the second section 4.5 is provided with the third groove 4.52 on the bottom wall of the nail clamping position 4.41 away from the nail clamping outlet 4.2, that is, the third groove 4.52 is positioned on the second section 4.5, the extension plate 4.42 is positioned in the third groove 4.52, when the locking mechanism 7 is in a locking state, the first clamp 4 rotates around the rotating shaft 1.1, at the moment, the traction wire 4.6 pulls the first section 4.4 on the first clamp 4 to rotate when the first clamp 4 is rotated, so that the first section 4.42 is separated from the third groove 4.52 when the first section 4.41 rotates, that is, the extension plate 4.42 rotates towards the inside of the nail clamping bin 4.1, at the moment, the extension plate 4.42 pushes the nail clamping 6 on the first section 4.4, so that the two nail clamping 6 are not separated from the space, and the two nail clamping 6 can not be pushed to enter the nail clamping position 4.4.4, and the power is not provided for the two nail clamping 4.4 is not pushed to enter the nail clamping position, and the driving force is not provided for the first clamp 4.4.4 to be pushed out, and the power is not provided for the nail clamping position 4.4 is not to enter the nail clamping position 4.
In still another embodiment of the present application, the locking block 7.1 of the locking mechanism 7 is in the shape of arc teeth, the rotating shaft 1.1 is provided with a tooth-shaped structure, the arc teeth on the locking block 7.1 and the tooth-shaped structure on the rotating shaft 1.1 are meshed with each other to achieve the purpose of locking, and the purpose of locking is achieved by arranging gear meshing so that the rotating shaft 1.1 can be locked with the locking mechanism 7 regardless of the rotation of the rotating shaft with the first clamp 4 and the second clamp 5 by pulling the limiting piece 7.5.
In yet another embodiment of the present application, since a plurality of clips 6 are provided and sequentially enter the clip positions 4.41, if the clip 6 does not enter the clip positions 4.41 smoothly, i.e. when a portion of the clip 6 is located in the clip positions 4.41 of the first section 4.4, for example, most of the portion is located in the clip positions 4.41 of the first section 4.4, and another portion is located in the clip chamber 4.1 of the second section 4.5, for example, the portion is located in the second section 4.5, then the clip 6 will be partially stapled in the closed tissue, an operation accident occurs, because the blood vessel is not completely closed, and the clip 6 cannot be separated from the first clamp 4, but because of an in vivo blind operation, it may not be found in time, in the above operation, when the clip 6 is separated from the first clamp 4, since the clip 6 does not enter the clip positions 4.41 of the first section 4.5, at this time, the first section 4.4 is blocked by the clip 6, the locking mechanism 7 cannot rotate, the locking mechanism 7 is in a locking state, the rotating shaft 1.1 cannot rotate relative to the first clamp 4 because the first section 4.4 cannot rotate, the hand feeling resistance of an operator is obviously increased, the locking block 7.1 and the gear of the rotating shaft 1.1 can be hard ground, the operator can hook the limiting piece 7.5 by fingers, obvious pause feeling is felt, the limiting piece 7.5 is pulled to enable the locking wire 7.2 to pull the gear on the locking block 7.1 to be separated from the gear on the rotating shaft 1.1, the pause feeling can be obviously felt to disappear, the nail clamp 6 cannot be completely separated from the nail clamp bin 4.1 of the second section 4.5 by the process, the tissue is closed, and thus surgical accidents can occur, the two functions are realized by controlling the locking mechanism 7 to switch back and forth in the locking state and the free state, secondly, whether the nail clamp 6 is jammed in the nail clamp bin 4.1 is detected, and the tissue is not closed successfully.
While certain exemplary embodiments of the present application have been described above by way of illustration only, it will be apparent to those of ordinary skill in the art that modifications may be made to the described embodiments in various different ways without departing from the spirit and scope of the application. Accordingly, the drawings and description are to be regarded as illustrative in nature and not as restrictive of the scope of the application, which is defined by the appended claims.

Claims (5)

1. The utility model provides a be applied to nail clamp device that the nail pressed from both sides, the nail presss from both sides including being the body of U-shaped, the inboard of the U-shaped of body still is provided with the dead nail foot of lock, the dead nail foot of lock is used for running through blood vessel or tissue, the dead nail foot of lock is arranged side by side with two nail feet of body, the nail clamp device includes the nail clamp, the nail clamp includes first clamp and the second clamp that rotates the connection through the pivot mutually, its characterized in that, first clamp is used for the centre gripping the nail presss from both sides, be provided with the nail clamp storehouse on the distal end of first clamp, set up the nail clamp export on the nail clamp storehouse have a rotation position on the rotation stroke of second clamp makes the dead nail foot of lock pierces and crooked in order to lock the blood vessel, first clamp includes first section and second section, first section sets up the distal end at first clamp, first section with through rotation axis connection between the second section, the axis of rotation is located first clamp with the region that the nail clamp is relative to press from both sides the export, first clamp is provided with the centre gripping line, first rotation, the first clamp has the rotation of first clamp is provided with the pulling wire on the pivot and is provided with the locking wire, the locking mechanism is in the locking wire is in the opposite end, locking groove takes place on the first clamp the rotation, locking mechanism is connected with the locking wire is in the opposite the first end.
2. The staple clamping device of claim 1 wherein a plurality of said staples are disposed in said staple cartridge, said plurality of staples passing sequentially through said staple outlet.
3. The staple clamping device as recited in claim 1, wherein said second clamp is provided with a staple clamp press portion for pressing said staple clamp.
4. The staple clamping device of claim 1 wherein said locking mechanism comprises a free state in which said locking block is not inserted into a locking groove and a locked state in which said locking block is inserted into said locking groove.
5. The staple clamping device of claim 4 wherein said staple clamp is provided with a restraining member, said restraining member being connected to said locking wire, said restraining member being adapted to restrain said locking wire on the proximal end of the staple clamp such that an operator can adjust the position of said locking block by pulling on the restraining member to pull on the locking wire.
CN202311168531.7A 2023-09-12 2023-09-12 Nail clamp and nail clamp device for closing blood vessel and tissue Active CN116898522B (en)

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GB939929A (en) * 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
US4633874A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
JP2013542005A (en) * 2010-09-30 2013-11-21 エシコン・エンド−サージェリィ・インコーポレイテッド Fasteners for deploying fastener systems that include a retention matrix
CN105193468A (en) * 2014-11-27 2015-12-30 中国人民解放军第二军医大学 Tissue closing nail bin
CN206651853U (en) * 2016-12-26 2017-11-21 苏州天臣国际医疗科技有限公司 Closure nail, tissue closure component and medicine equipment for tissue closure component
CN107981904A (en) * 2018-01-23 2018-05-04 四川大学华西第二医院 A kind of fallopian tubal stitching clamp
CN114006193A (en) * 2021-08-25 2022-02-01 国网江苏省电力有限公司泰州供电分公司 Earthing device capable of being operated at any angle

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US11529139B2 (en) * 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB939929A (en) * 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
US4633874A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
JP2013542005A (en) * 2010-09-30 2013-11-21 エシコン・エンド−サージェリィ・インコーポレイテッド Fasteners for deploying fastener systems that include a retention matrix
CN105193468A (en) * 2014-11-27 2015-12-30 中国人民解放军第二军医大学 Tissue closing nail bin
CN206651853U (en) * 2016-12-26 2017-11-21 苏州天臣国际医疗科技有限公司 Closure nail, tissue closure component and medicine equipment for tissue closure component
CN107981904A (en) * 2018-01-23 2018-05-04 四川大学华西第二医院 A kind of fallopian tubal stitching clamp
CN114006193A (en) * 2021-08-25 2022-02-01 国网江苏省电力有限公司泰州供电分公司 Earthing device capable of being operated at any angle

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