WO2022257540A1 - Insertable tissue clamping apparatus and gripping piece thereof - Google Patents

Insertable tissue clamping apparatus and gripping piece thereof Download PDF

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Publication number
WO2022257540A1
WO2022257540A1 PCT/CN2022/082113 CN2022082113W WO2022257540A1 WO 2022257540 A1 WO2022257540 A1 WO 2022257540A1 CN 2022082113 W CN2022082113 W CN 2022082113W WO 2022257540 A1 WO2022257540 A1 WO 2022257540A1
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WO
WIPO (PCT)
Prior art keywords
clamping
bendable
stroke
contraction
limiting
Prior art date
Application number
PCT/CN2022/082113
Other languages
French (fr)
Chinese (zh)
Inventor
黄俊俊
单剑
吴海良
陈卿业
孙忠利
Original Assignee
宁波新跃医疗科技股份有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 宁波新跃医疗科技股份有限公司 filed Critical 宁波新跃医疗科技股份有限公司
Priority to PCT/CN2022/082113 priority Critical patent/WO2022257540A1/en
Priority to CN202280005418.4A priority patent/CN115916073A/en
Publication of WO2022257540A1 publication Critical patent/WO2022257540A1/en

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Classifications

    • 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

Definitions

  • the present application relates to the field of medical devices, in particular to a structure of an insertable tissue clipping device used for surgery.
  • the plug-in tissue clipping device is a plug-in medical device, which is used to clip the tissue in the human body or animal body to stop bleeding or close it, and it includes hemostatic clips, tissue clips, etc.
  • the tissue clamping device is usually inserted through the instrument channel of the endoscope to achieve the purpose of treatment.
  • hemostatic clips or tissue clips have been widely used to stop bleeding or close gastrointestinal bleeding or wound sites.
  • a type of hemostatic clip (or tissue clip) is mainly opened and clamped through the cooperation of the clamping arm and the sleeve.
  • the left and right clamping arms are loosely assembled together by a pin.
  • the clamping arms can be retracted into the sleeves for closure.
  • Clamping arms can also protrude from the sleeve to allow expansion. Since this structure utilizes the space in the axial direction of the sleeve to close the clamping arm, a part of the clamping arm must be shrunk in the sleeve, resulting in a longer overall length of the hemostatic clip remaining in the patient's body after separation, which is easier to fix. Patient injury and discomfort.
  • the clamping arm is mainly connected by a rotating shaft, and then there is a track sliding up and down in the sleeve, and the shaft can slide along the track.
  • This structure improves the control precision, and the size of the clip becomes smaller, but there are many parts, the structure becomes complicated, and the cost is high.
  • the present application provides a plug-in tissue clamping device and its clamping parts to demonstrate a new opening and clamping structure.
  • an embodiment of the present application provides a plug-in tissue clipping device, including:
  • a clamping piece includes at least two clamping arms, the clamping arms are split structures and connected to each other, each of the clamping arms includes a clamping head and a bendable part; In one of the clamping arms, the clamping head and the bendable part are split structures and are connected to each other, or the clamping head and the bendable part are integrally formed; the clamping arm is used for clamping Hold the target; the bendable portion has a deformable structure capable of bending toward the closing direction of the clamping member and/or bending toward the opening direction of the clamping member;
  • the separation base is connected to the clamping piece
  • a movement rod connected to the clamping part to drive the clamping part to open and close;
  • a transmission assembly the transmission assembly includes a sleeve assembly and a transmission member passing through the sleeve assembly, the transmission member is connected to the movement rod, and the separation base is rotatably connected to the sleeve assembly, so that the clamping member can rotate relative to the sleeve assembly as a whole;
  • the sleeve assembly is connected to the control handle, and the control handle forms a linkage structure with the transmission member to control the movement of the movement rod and the clamping member;
  • the moving rod has a first stroke, a second stroke and a third stroke; in the first stroke, the moving rod drives the clamping heads away from each other to open the clamping heads; In the second stroke, the moving rod drives the clamping heads close to each other, and the clamping part moves to the clamping state to clamp the target; in the third stroke, the clamping part keeps clamping state, and is separated from the movement bar, and the separation base is separated from the clamping member.
  • an embodiment of the present application provides a plug-in tissue clipping device, including:
  • a clamping piece includes at least two clamping arms, each of the clamping arms includes a clamping head and a bendable part, and the clamping head and the bendable part in each of the clamping arms It is a split structure, the two are connected to each other, and the bendable parts of different clamping arms are integrally formed, and the clamping arms are used to clamp the target;
  • the bendable part has a A deformed structure that bends in the closing direction of the holding member and/or bends in the opening direction of the holding member;
  • the separation base is connected to the clamping piece
  • a movement rod connected to the clamping part to drive the clamping part to open and close;
  • a transmission assembly the transmission assembly includes a sleeve assembly and a transmission member passing through the sleeve assembly, the transmission member is connected to the movement rod, and the separation base is rotatably connected to the sleeve assembly, so that the clamping member can rotate relative to the sleeve assembly as a whole;
  • the sleeve assembly is connected to the control handle, and the control handle forms a linkage structure with the transmission member to control the movement of the movement rod and the clamping member;
  • the moving rod has a first stroke, a second stroke and a third stroke; in the first stroke, the moving rod drives the clamping heads away from each other to open the clamping heads; In the second stroke, the moving rod drives the clamping heads close to each other, and the clamping part moves to the clamping state to clamp the target; in the third stroke, the clamping part keeps clamping state, and is separated from the movement bar, and the separation base is separated from the clamping member.
  • an embodiment of the present application provides a clamping part of a plug-in tissue clamping device, the clamping part includes at least two clamping arms, and the clamping arms are split structures, and connected to each other, each clamping arm includes a clamping head and a bendable part, and the clamping head and the bendable part in the same clamping arm are a split structure and are connected to each other, or the The clamping head and the bendable part are integrally formed; the clamping arms are arranged in a jaw-like structure to clamp the target; the bendable part has the ability to bend toward the closing direction of the clamping member And/or a deformed structure that bends toward the opening direction of the clip.
  • an embodiment of the present application provides a clamping part of a plug-in tissue clamping device, the clamping part includes at least two clamping arms, and each clamping arm includes a clamping head and The bendable part, the clamping head and the bendable part in each clamping arm are separate structures, the two are connected to each other, the bendable parts of different clamping arms are integrally formed, and the clamping The arms are arranged in a jaw-like structure to clamp the target; the bendable part has a deformation structure capable of bending toward the closing direction of the clamping part and/or bending toward the opening direction of the clamping part .
  • the deformation structure includes several first contraction seams, and the first contraction seams are arranged in sequence along the longitudinal direction of the clamping member.
  • the bendable part has a plurality of second shrinkage seams extending along its circumferential direction, and the second shrinkage seams are arranged along the longitudinal direction; each group of the first shrinkage seams The two ends of the two correspondingly protrude between two longitudinally adjacent second contraction joints, and the overlapping area between the first contraction joint and the second contraction joint forms a distorted section, so that The bendable portion is capable of bending and twisting deformation.
  • the first shrinkage seam extends around the circumference of the bendable part; In the circumferential direction, at least one side of the bendable portion is provided with the limiting structure, so as to limit the maximum bending angle of the bendable portion toward the opening direction of the clamping member.
  • each of the limiting structures includes several limiting units arranged longitudinally along the clamping member, and the limiting units include a first limiting block and a second limiting block that are oppositely arranged. There is a gap arranged along the longitudinal direction between the first limiting block and the second limiting block, and the second contraction joint communicates with the gap; During the bending process, the first limiting block and the second limiting block approach each other and form a buckling structure.
  • the first limiting block and the second limiting block pass through the
  • the second contraction joint is formed by dividing, and one end of the first limit block and the second limit block close to the first contraction joint are connected as a whole, and the other ends are separated from each other.
  • the initial state of the clamping member is a clamping state
  • the second contraction joint has a gap in the longitudinal direction
  • the second contraction joint composition of the position-limiting structure can The adaptive floating structure deforms in the holding direction, so that when the clamping member clamps the target, the bendable part can adaptively bend and deform in the closing direction according to the volume of the target.
  • the clamping part comprises at least two clamping arms, each clamping arm comprises a clamping head and a bendable part, and the bendable part has the ability to close to the clamping part.
  • a deformed structure that bends in the direction and/or bends toward the opening direction of the clip.
  • the sleeve in the existing structure is omitted, and the clamping part is directly driven by the moving rod, combined with the deformation state of the bendable part, so as to realize the opening and closing of the clamping part.
  • the length of the clamping member is shorter than the combination of the clamping arm and the sleeve in the prior art.
  • some parts are manufactured separately and assembled as a whole, which can reduce manufacturing difficulty and cost.
  • Fig. 1 is a schematic structural view of an insertable tissue clipping device in an embodiment of the present application
  • Fig. 2 is a schematic diagram of two split clamping arms forming a clamping piece in an embodiment of the present application
  • Fig. 3 is a schematic structural view of the clip shown in Fig. 2 when it is in an open state;
  • Fig. 4 is a schematic diagram of a clamping part composed of a clamping head and a bendable part in an embodiment of the present application;
  • Fig. 5 is a schematic diagram of an integrally formed structure of the bendable part, the connecting part and the separation base in an embodiment of the present application;
  • Fig. 6 is a schematic diagram of the structure of the plug-in tissue clipping device in an open state (the movement rod moves in the first stroke) in an embodiment of the present application;
  • Fig. 7 is a schematic structural view of a part of the clamping part cut away in the state shown in Fig. 6;
  • Fig. 8 is a schematic structural view of the plug-in tissue clamping device in an embodiment of the present application when it is in the clamping state (the movement rod moves in the second stroke);
  • Fig. 9 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 8;
  • Fig. 10 is a schematic diagram of the structure of the plug-in tissue clamping device in an embodiment of the present application when the clamping arm is locked in the locking structure (the movement rod moves in the third stroke) in the clamping state;
  • Fig. 11 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 10;
  • Fig. 12 is a schematic diagram of the structure of the plug-in tissue clamping device in an embodiment of the present application when the moving rod is in the clamping state and the moving rod is separated from the clamping part (the moving rod moves in the third stroke);
  • Fig. 13 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 12;
  • Fig. 14 is a schematic diagram of the structure of the plug-in tissue clamping device in the clamping state in one embodiment of the present application, when the clamping part is separated from the separation base (the movement rod moves in the third stroke);
  • Fig. 15 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 14;
  • Fig. 16 is a schematic diagram of the unfolded shape of the clip in an embodiment of the present application.
  • Fig. 17 is an enlarged schematic view of the deformation structure of the bendable part in the embodiment shown in Fig. 16;
  • Fig. 18 is an enlarged schematic view of the deformation structure of the bendable part in another embodiment of the present application.
  • Fig. 19 is an enlarged schematic view of the deformation structure of the bendable part in another embodiment of the present application.
  • Fig. 20 is a schematic diagram of the bendable part when clamping thin tissue in an embodiment of the present application.
  • Fig. 21 is a schematic diagram of the bendable part when clamping thick tissue in an embodiment of the present application.
  • Fig. 22 is a schematic diagram of the deformation structure of the bendable part in another embodiment of the present application.
  • Fig. 23 is a schematic diagram of the deformation structure of the bendable part in another embodiment of the present application.
  • Fig. 24 is a schematic structural view of an embodiment of the present application in an unfolded self-locking state.
  • This embodiment provides a plug-in tissue clamping device (for convenience of description, hereinafter referred to as the clamping device), which is used to clamp human or animal internal tissues (collectively referred to as the target) to stop bleeding Or closure, which may include, but not limited to, hemostatic clips, tissue clips, and the like.
  • the clamping device for convenience of description, hereinafter referred to as the clamping device
  • human or animal internal tissues collectively referred to as the target
  • stop bleeding Or closure which may include, but not limited to, hemostatic clips, tissue clips, and the like.
  • the clamping device includes a clamp 100 , sports bar 200 , transmission components 300 , control handle 400 and separate base 500 .
  • the clamping member 100 As an integral structure assembled from multiple parts, the clamp 100 Bending deformation is achieved through its own structural deformation without the aid of the sleeve.
  • the clamp 110 Includes at least two clamping arms 110 . Among them, as shown in the figure 2 and 3 shown, each clamping arm 110 including clamping head 1111 and bendable part 1112 .
  • the clamp arm 110 There is a split structure, that is, separate parts, which are then connected to each other and assembled into an overall structure.
  • Clamping arm 110 The connection between is usually a fixed connection, but in some embodiments, the clamping arm 110 There may also be a certain activity space between them to meet different functional needs.
  • the same clamping arm 110 middle clamping head 1111 and bendable part 1112 Integral molding structure.
  • the integrally formed structure means that the entire part is integrally processed from the same material, rather than assembled by combining two or more parts.
  • One-piece molded structures can be made by, but not limited to, injection molding, laser cutting, and other mechanical processing techniques. In particular, when laser cutting is used, the processing of extremely small gaps can be realized, which is beneficial to the miniaturization of the overall structure and the improvement of the compactness of the structure.
  • clamping arm 110 assembly relationship between the same clamping arm 110 middle clamping head 1111 and bendable part 1112 It is a split structure, and then connected to each other to assemble an integral clamping arm 110 .
  • each clamping arm 110 middle clamping head 1111 with bendable part 1112 It is a split structure, that is, two separate parts, and then the two are connected to each other to assemble a whole clamping arm 110 .
  • different clamping arms 110 bendable part of 1112 Connected as a whole, the integral molding structure not only facilitates integral molding processing, but also omits the assembly process.
  • different clamping arms 110 flexible part between 1112 It can also be separated from each other and then assembled into one.
  • the split base 500 It plays the role of supporting the clamping part, and at the same time, it needs to be able to separate from the clamping part at a specific time, so as to achieve the purpose of temporarily keeping the clamping part in the body of the test object.
  • the split base 500 Can be used with clamping parts 100 Connection, the connection can either be an integrated structure or a fixed connection structure. In some embodiments, as shown in 6-15 shown, the separation base 500 Can be used with clamping parts 100 Detachable connection. However, other embodiments, such as 5 shown, the separation base 500 Also available with bendable part 1112 Integral molding structure, Fig. 5 middle, bendable part 1112 through the connection 120 (will be described in detail later) and the separation base 500 connect, connect 120 with separate base 500 through the first tear 540 connect. Of course, the link 120 It can also be omitted, directly by the bendable part 1112 with separate base 500 through the first tear 540 connect.
  • the clamp 100 In the above-mentioned various embodiments, some parts are disassembled into split structures and manufactured separately, which can reduce the difficulty of manufacturing a single part and reduce the cost.
  • the above components can be connected by means of welding, bonding, mechanical structure connection (including clamping, screwing, riveting, etc.).
  • the clamp arm 110 The gaps are arranged in a jaw-like structure to hold the target.
  • the claw-type structure is a structure that can firmly grasp the target, for example, in the figure 1-15 , when the clamping arm 110 For two groups, the two clamping arms 110 Relative settings, when its as shown in the figure 2 , 4 and 5 When it is closed as shown (in the clamping state at this time), the target can be grasped, as shown in the figure 20 and twenty one shown.
  • the bendable portion 1112 It is a semi-cylindrical structure, in the clamping part 100 When closed, the flexible part 1112 Can be enclosed into a cylindrical structure.
  • the semi-cylindrical shape refers to an incomplete cylindrical shape, which is not necessarily half of the cylindrical structure, but can also be one-third of the entire cylindrical structure or other sizes.
  • the bendable portion 1112 It can also be in other structures, such as sheet shape, etc., and is not limited to the semi-cylindrical structure.
  • the clamping arm 110 The opening and closing of different, in this embodiment, the clamping arm 110 The opening and closing mainly rely on the flexible part 1112 deformation.
  • the bendable part 1112 has the ability to clamp 100 The closing direction of the bending and / or to the holder 100 A deformed structure that bends in the unfolding direction.
  • the clamp 100 The initial state is the clamping state, that is, the bending part 1112 Without deformation, the clamp 100 in clamped state.
  • the bendable part 1112 at least have the ability to hold 100
  • the deformed structure is bent in the opening direction, so that 3 shown, implement the clip 100 open.
  • the clamping head 1111 The resistance to bending deformation is higher than that of the bendable part 1112 , to ensure that the clamping arm 110 Provides a better bite to the target.
  • the bendable part 1112 The bending deformation is achieved through its structure.
  • the bendable part 1112 This bending deformation is reversible, that is, the bending part 1112 It is elastic and can spring back to reset when the external force is lost, so this bending deformation can be repeated.
  • the exercise bar 200 for control grippers 100 The open and clamped state. in the figure 6-15 , the sport bar 200 for the pull rod. In other embodiments, the exercise rod 200 Other configurations are also possible. sports bar 200 with clamp 100 connection, exercise rod 200 The movement of the gripper can control the 100 Movement in the direction of opening and movement in the direction of clamping.
  • the drive assembly 300 support clamp 100 and to the sports bar 200 The role of transmitting motion and force.
  • the drive assembly 300 Includes bushing assembly 310 and threaded bushing assembly 310 transmission parts inside 320 ,Transmission Parts 320 with exercise bars 200 connect.
  • the clamp 100 and separate base 500 detachable connection between to ensure that when required, the clip 100 Able to separate base with 500 leave.
  • the connection between the bushing assembly allows both 310 The circumference of the rotation, so that the clamp 100 Capable of being integrally opposed to the bushing assembly 310 turn.
  • the bushing assembly 310 with control handle 400 connection, control handle 400 with transmission parts 320 Form a linkage structure to control the transmission parts 320 , sports bar 200 and clamping parts 100 Actions.
  • the operator can control the handle 400 to manipulate the gripper 100 relative bushing assembly 310 Rotate, can also be controlled by the handle 400 to control the gripper 100 opening and closing.
  • the movement of the machine can be a movement along its axis, or a rotational movement, etc.
  • Fig. 6 and 7 one embodiment, when the motion bar 200 Along its axis away from the control handle 400 , close to the clamp 100 (moving to the right as shown in the illustration) when exercising, the exercise bar 200 Able to drive the gripper 100 flared outwards so that the clip 100 Move to open position.
  • the motion bar 200 Close to the control handle along its axis 400 away from the holder 100 (moving to the left as shown in the illustration) when exercising, the exercise bar 200 Able to drive the gripper 100 inward toward each other so that the clips 100 Move to clamping state.
  • the motion bar 200 Kinematic relationship and clamping parts 100 The kinematic relationship can be compared with the graph 6-9 shown differently, for example when the sports bar 200 to the control handle 400 When in motion, the gripper is driven 100 open to the clamp 100 When in motion, the gripper is driven 100 closure.
  • sports rod 200 Both have a first trip, a second trip and a third trip.
  • the first stroke, second stroke and third stroke are motion bars 200
  • the three strokes may be in the same direction, or at least two strokes may be in different directions, or the three strokes may all be in different directions.
  • the motion bar 200 In the first stroke, the movement lever 200 Along its axis away from the control handle 400 , close to the clamp 100 (shown to the right) when exercising, the exercise bar 200 Able to drive the gripper 100 flared outwards so that the clip 100 Move to open position.
  • the motion bar 200 In the second stroke, the movement lever 200 Close to the control handle along its axis 400 , away from the holder 100 (shown to the left) when exercising, the exercise bar 200 Able to drive the gripper 100 inward toward each other so that the clips 100 Move to clamping state.
  • the motion bar 200 In the third stroke the movement lever 200 Close to the control handle along its axis 400 , away from the holder 100 (to the left in the illustration), the third stroke is in the same direction as the second stroke and is closely connected, that is, when the clamp 100 After moving to the clamping state, the movement rod 200 That is, switch from the second stroke to the third stroke.
  • the third stroke can be further divided into a plurality of sub-strokes, and these sub-strokes include a locking stroke, an inner disengagement stroke and an outer disengagement stroke.
  • exercise rod 200 After completing the locking stroke, enter the inner disengagement stroke.
  • sports bar 200 When moving to the position shown in the figure, the clamping piece 100 from exercise bars 200 upper separation, sport bar 200 Can no longer drive the gripper 100 move, lose the grip on the 100 controls, grippers 100 is kept locked. exercise bar during this process 200
  • the movement stroke is the inner disengagement stroke.
  • exercise rod 200 After completing the inner disengagement stroke, enter the outer disengagement stroke.
  • sports bar 200 When moving to the position shown in the figure, the clamping piece 100 and separate base 500 Separation, so far, clamp 100 is left on the object it holds. separate base 500 , sports bar 200 and transmission components 300 Can be withdrawn from the body of the test subject. exercise bar during this process 200
  • the movement stroke is the outer disengagement stroke.
  • the sleeve in the existing structure is omitted, and the movement rod 200 Direct Drive Grippers 100 , combined with a bendable part 1112 The deformation state, so that the clamping parts 100 of opening and closing. Due to the lack of sleeve pair clamping arm 110 The limiting action, the clamping arm 110 from the bendable 1112 Begins to deform, its deformed area is closer to the entire clamping part 100 bottom, therefore, under the same opening width requirements, the one-piece clamp 100 The length of the clamping arm is longer than that of the prior art 110 The combination with the sleeve is shorter.
  • the one-piece clamp 100 Capable of clamping arms than prior art 110
  • the combination with the sleeve opens a wider angle, which makes it easier to bite into the target tissue.
  • this shorter clip 100 Temporarily staying in the target object can reduce the discomfort caused by the excessive length of the clip left by the hemostatic clip (or tissue clip), and can also try to avoid the excessive length of the clip left by the hemostatic clip (or tissue clip) Problems causing excessive wear on the target.
  • the one-piece structure avoids the part fit clearance necessary for shaft hole fit or sliding displacement, so the clamp arm 110 The bending repeatability is higher.
  • the entire clamp 100 The processing process is simple. Compared with the combined structure of multiple parts in the existing hemostatic clip (or tissue clip), the one-piece clip is adopted 100 Finally, the entire clamping device has fewer parts, a simpler structure, lower assembly requirements, greatly reduced costs, and higher control accuracy. Likewise, the entire clamp 100 The length is also shorter than that of the existing hemostatic clips (or tissue clips). Due to the very limited inner diameter of the endoscopic instrument channel, this shorter length grip 100 Easier passage of endoscopic instrument channels.
  • the bendable part 1112 The bending deformation is achieved by its one-piece structure.
  • the clamp 100 close to separation base 500 One end is the proximal end, facing away from the separation base 500 One end is the distal end, self-clamping piece 100 The direction of the proximal end to its distal end is the clamping member 100 portrait.
  • the deformation structure includes several first contraction joints 1113 , the first shrinkage joint 1113 Arranged vertically.
  • the first contraction joint 1113 It can be realized by laser cutting process, for example, metal plate or pipe is used to process the first shrinkage seam by laser cutting process 1113 .
  • the clamp 100 In the initial state held in clamped state, the first shrinkage joint 1113 maintained at the initial state, the bendable part 1112 All parts are not deformed. as shown in the picture 3 shown, when it is necessary to open the clamp 100 , the bendable part 1112 Outward deformation, first contraction joint 1113 shrinkage deformation, so that the bendable part 1112 outside of the (clamp arm 110 sides facing away from each other) contract so that the entire clamping head 1111 Open up.
  • the first contraction joint 1113 Around the bendable part 1112 circumferential extension.
  • first contraction joint 1113 set in parallel.
  • the first contraction joint 1113 In addition to being parallel to each other, other non-parallel arrangements can also be arranged.
  • the first shrinkage seam 1113 set to uniform along the bendable section 1112 Circumferential parallel arrangement can unify each first contraction joint 1113 The direction of bending deformation, so that the clip 100 The bending deformation is smoother and more stable.
  • the first contraction joint 1113 Divided into several groups, the first contraction joint of each group 1113a has at least one primary shrinkage seam 1113 . as shown in the picture 2 , 3 and figure 16-17 As shown, in this embodiment, each group of first contraction joints 1113a With two first shrinkage seams 1113 . as shown in the picture 18 and 19 As shown, in this embodiment, each group of first contraction joints 1113a has a first shrinkage seam 1113 . Each first shrinkage seam 1113 The shrinkage can make the bendable part 1112 With a certain bending angle, in multiple groups of first contraction joints 1113 Under the combination, the bendable part can be 1112 Has a larger opening and closing angle.
  • All first contraction joints in longitudinal direction 1113 The length formed by the combination determines the entire bendable part 1112
  • the bending deformation area, the first contraction joint group can be flexibly set according to actual needs 1113a
  • the number of adjacent first contraction joint group 1113a Longitudinal clearance and the first contraction joint group 1113a inner first contraction joint 1113 quantity etc.
  • the first contraction joint group 1113a Can be 4-6 Group.
  • the first contraction joint 1113 In the shape of a long groove, the first contraction joint 1113
  • the middle part has two opposite convex arc sides 1113b .
  • the arc edge 1113b When the clamp 100 When opened to a limited position, the arc edge 1113b will touch each other, thus determining the maximum angle of opening.
  • the arc edge 1113b When the clamp 100 When in clamping state, the arc edge 1113b will come into contact with each other so that the gripper 100 Provide support.
  • the clipping device is usually a very fine and small structure. Therefore, on the premise of satisfying the small volume of the clipping device, the clip 100 Generally, thicker materials are not suitable. However, thinner thickness requirements may result in bendable parts 1112 The weakening of the strength, specifically, as shown in 3 As shown, when the external force applied by the operator is too large, causing the clamping arm 110 When bent outward at an excessive angle, it may cause the clamping arm 110 from the bendable 1112 broken. Based on this, in an embodiment, as shown in the figure 3 shown, the bendable part 1112 With limit structure 1114 , limit structure 1114 Used to limit the bendable part 1112 The maximum angle to bend in the flared direction.
  • the bendable part 1112 Can be bent freely.
  • the limit structure 1114 comes into play, restricting the bendable part 1112 Continue to bend outwards to protect the bendable part 1112 and clamping parts 100 role.
  • the limiting structure 1114 Mainly through the clamping parts 100
  • the upper limit of the longitudinal limit is used to limit the maximum angle.
  • each limiting structure 1114 Includes several edge clips 100 Vertically aligned spacer units 1114a .
  • limit unit 1114a Including the first limit block set relative to 1115 and the second limit block 1116 . as shown in the picture 17 middle a , b
  • the first limit block 1115 with the second limit block 1116 Between as shown 17 middle a gap shown 1117 , when the holder 100 When gradually opening outwards, the first limit block 1115 with the second limit block 1116 Relative movement between the longitudinal direction, the gap 1117 gradually becomes smaller, and finally when the bendable part 1112 When the maximum angle is reached, as shown in the figure 17 middle b As shown, the first limit block 1115 with the second limit block 1116 fit each other to form a limit.
  • the first limit block 1115 with the second limit block 1116 It is two interlocking limit hook structures.
  • the limit hook structure can also be replaced by other structures with similar functions.
  • the first contraction joint 1113 in the bendable 1112 Circumferential middle, limit structure 1114 For at least two groups, in the flexible part 1112 In the circumferential direction, the bendable part 1112 There are limit structures on both sides 1114 , can further ensure that the entire bendable part 1112 Ability to synchronize bending changes and limits.
  • the same limiting unit 1114a In, the first limit block 1115 and the second limit block 1116 by the bendable part 1112 on the first contraction joint 1113
  • the side wall of the side is divided, and the first limit block 1115 and the second limit block 1116 close to the first contraction joint 1113
  • One end is connected as a whole, and the other end is separated from each other.
  • the clamp 100 When opening outwards, the first limit block 1115 and the second limit block 1116 Also available with clamp 100 Open up.
  • the limit unit 1114a The number can be more than the first contraction joint group 1113a amount so as to completely cover all first contraction joints in the longitudinal direction 1113 , to play a better limiting role.
  • the limit unit 1114a The number can also be less than or equal to the first contraction joint group 1113a quantity.
  • the first limit block 1115 and the second limit block 1116 with at least a portion of the region along the bendable portion 1112
  • the circumferential setting of the second contraction joint 1118 Able to place the first limit block 1115 and the second limit block 1116 separated so that the two can move relative to each other.
  • the second contraction joint 1118 with the first limit block 1115 and the second limit block 1116 gap between 1117 connected.
  • each group of first shrinkage joints 1113a The two ends respectively extend into two adjacent limit units in the longitudinal direction 1114a the second contraction joint 1118 Between, the first contraction joint 1113 with the second contraction joint 1118 The overlapping region between forms the distorted deformation segment 1119 , so that the bendable part 1112 Capable of bending and torsion deformation.
  • the holder 100 The bending deformation is smoother, while also avoiding the bendable part 1112 Broken due to torsion.
  • the circumferential length and longitudinal height of the bendable part can be further changed 1112
  • the maximum opening angle, bending softness or support which can be flexibly set according to actual needs.
  • the distorted segment 1119 Through its own structure, it can also play the role of limiting the maximum opening angle, which can be combined with the above-mentioned limiting structure 1114 combined to form a bendable part 1112 The maximum opening and closing angle.
  • the second contraction joint 1118 Set in a straight line. in the figure 18 In the illustrated embodiment, the second contraction joint 1118 presented u shape settings.
  • the second contraction joint 1118 There is a gap in the longitudinal direction.
  • Limiting structure 1114 the second contraction joint 1118 Form an adaptive floating structure that can deform towards the clamping direction, so that the clamping part 100 Gripping target 1 , the bendable part 1112 according to the target 1
  • the volume of the self-adaptive bending deformation towards the closing direction, towards the movement rod 200 and clamping parts 100 Provides an adaptive range of travel that increases the movement of the rod 200 Rigid body deformation margin of , always let the motion rod 200 and clamping parts 100 It can move to the locking position of the locking structure to realize accurate and reliable locking.
  • Fig. 20 when the holder 100 Gripping Thin Targets 1 , the holder 100 Can be closed normally, second contraction seam 1118 Keep the normal clearance (as shown in the 20 middle a Enlarged part shown) Sports Rod 200 and clamping parts 100 As shown in the locking stroke above, it can be accurately moved to the position of the locking structure, and the clamping part 100 Locked in clamped state.
  • the picture twenty one when the holder 100 Holds thicker objects 1 , the holder 100 cannot be closed as shown in the figure 20 degree shown, at this point, continue to pull the movement lever 200 , the second contraction joint 1118 able to clamp 100 The deformation of the closing direction (as shown in the figure twenty one middle a Enlarged view shown).
  • each second contraction joint 1118 can be provided vertically 0.02-0.05MM of compression, the second contraction joint at the illustrated quantity 1118 Next, multiple second contraction joints 1118 After accumulation, it can provide nearly 0.1-0.2mm The amount of deformation, so that the bendable part 1112 as shown in the picture twenty one Bending deformation occurs inward as shown (Fig. twenty one Middle bendable part 1112 Slightly convex deformation on both sides) to compensate for clamping 100 upper loss of travel, so that the gripper 100 Finally, it can be locked to the locking structure.
  • the above-mentioned embodiment shows a kind of bendable part 1112
  • the deformed structure is not limited thereto, and it can also be realized in other ways.
  • the clamp 100 , the bendable part 1112 Can be made of more flexible materials, e.g. than clamping heads 1111 and connecting part 120 (details will be described later) materials that are easier to bend and deform, such as metal or plastic materials with better bending properties, so that the sports bar 200 drive clamp 100 During movement, the bendable part 1112 Able to preferentially bend deformation.
  • the bendable 1112 Other structures with better bending deformation properties, such as metal braided structures, can also be used.
  • the bendable part can also be 1112
  • the thickness is set to be thinner than other parts, such as the clamping head 1111 and connecting part 120 thinner, thus making the sports bar 200 drive clamp 100 During movement, the bendable part 1112 Able to preferentially bend deformation.
  • the clip 100 Avoidance structure is provided at the opposite end between 1110 , so that in the holder 100 Avoid each other when closing.
  • the clamp 100 The opposite end of the retracts inward to form an avoidance structure 1110 , two opposing clamps 100 An escape groove is formed between the retracted areas.
  • the width of the avoidance groove is along the clamping piece 100 The longitudinal direction of the gradually becomes larger, wherein the avoidance groove is close to the clamping head 1111 One end is wider than the other.
  • the avoidance structure 1110 It can also be other structures capable of avoiding the function, and is not limited to the structure shown in the figure.
  • the exercise bar 200 can be used with clamping parts 100 Direct connection, also possible to connect structures via clips 600 with clamp 100 connect.
  • the clamp connection structure 600 Includes two connecting rods 610 , the two connecting rods 610 one end of which is connected together to the movement rod 200
  • the distal end of the shaft can be rotated at the same time 620 Rotate, and the other end is respectively connected with the clamping head 1111 It can also be rotated around the horizontal axis on the connection.
  • link 610 Components are similar Y font, the purpose is to move the rod 200 The thrust and pull force of the up and down movement is effectively transmitted to the clamping head 1111 on, to achieve the clamping head 1111 opening and closing control.
  • gripper 100 can be opened in the open direction.
  • the connecting rod 610 with exercise bars 200 center of rotation A able to go over the connecting rod 610 with clamping head 1111
  • the line connecting the two centers of rotation B so as to form a self-locking, so that the clamp 100 Keep it in an open state, and it cannot be easily closed by external force, only by controlling the handle 400 Control Gripper 1111 take back.
  • clip connection structure 600 Other structures can also be used for connection, such as various clamping arms disclosed in the prior art 110 Connection method with tie rod.
  • connection part 120 the clamp 100 Including connection part 120 .
  • separate base 500 Detachable connection to the connection part 120 superior.
  • the junction 120 With the above locking structure 121 , locking structure 121 for clamping 100 Locked in clamped state.
  • the clip 100 may not include connection 120
  • the locking structure 121 Can be installed directly on the bendable part 1112 or other structures.
  • the exercise bar 200 Or clip connection structure 600 With locking fit 631 in the exercise bar 200
  • the locking structure 121 in locking fit 631 on the path of movement when moving along the third stroke, the locking structure 121 in locking fit 631 on the path of movement; when the locking fit 631 Movement to Locking Structure 121 At the same time, the two form a locking fit, and the clamping part 100 remain clamped.
  • the clamp 100 form a cylindrical structure. sports bar 200 One end extends into the cylindrical structure and is connected with the clamping piece 100 connect. Lock fit 631 including facing clips 100
  • the elastic body provided by the protrusion for example, the elastic body is a shrapnel, and the shrapnel moves towards the clamping part along its protrusion direction. 100 The distal side is tilted.
  • Locking structure 121 Includes snap slots to engage elastomers. The elastomer is located in the clip 100 and in a state of extrusion deformation, the elastic body can engage with the slot under the action of elastic force.
  • the locking fit 631 set up a cylinder 630 on, the cylinder 630 Connecting structures for clips 600 part of which can pass through the axis 620 with connecting rod 610 Form a linkage structure.
  • the cylinder 630 Able to follow the movement bar 200 to the control handle 400 One side moves until it is locked by the locking structure.
  • the locking structure 121 and locking fit 631 are more than two (two in the figure).
  • the locking structure 121 Around the clamp 100 Evenly distributed in the circumferential direction (that is, adjacent locking structures 121 spaced at the same angle), the locking fit 631 with clamp 100 Relatively positioned, e.g. also around a movement bar 200 uniform distribution around the circumference.
  • Fig. 7 , 13 and 15 one embodiment, in order to install the separation base 500 , the junction 120 card joint 122 , separate base 500 with feet 510 . feet 510 with snap joint 122 Snap connection.
  • sports bar 200 with push top 283 in the exercise bar 200 When moving along the third stroke, the base is separated 500 set on push top 283 on the moving path, push the top 283 Ability to push to separate base 500 to the control handle 400
  • One side movement to separate joints 120 and separate base 500 .
  • separating the base 500 has a push top 283 Lumps on the path of travel 530 , the raised portion 530 Separation base that can be cylindrical 500 the bottom of the 200 through holes.
  • the buckle 122 It may be a card slot matched with a buckle, and the buckle extends into the card slot for fastening connection. This connection is at the top of the push 283 Under the push of the top, the buckle can be deformed, so that the 122 up and out.
  • the motion bar 200 Internal detachment is realized through the structure of split combination.
  • the exercise rod 200 With snap slot 281 the card slot 281 has an opening smaller than its cavity 282 , the exercise bar 200 Through the slot 281 Connection structure with clamp 600 Card connection, specifically can be connected to the connecting rod 610 the installation shaft 620 superior. in exercise bars 200 Restricted by this opening when moving along the first and second strokes 282 The blocking effect, the clip connection structure 600 and clamping parts 100 with exercise bar 200 move together to achieve clamping 100 opening and clamping.
  • the movement rod 200 It can also be an integrally formed structure.
  • the motion bar 200 The retaining section and the separating section are provided, and the retaining section and the separating section are connected as a whole through the second tearing part.
  • the retaining section is connected with the holding body, and the locking matching part is located on the retaining section.
  • sports bars 200 and clamping parts 100 Other internal detachment structures can also be used to achieve separation, such as Using the pull rod and clamping arm in the prior art 110 internal detachment structure, etc.
  • the bushing assembly 310 Usually includes a spring support sleeve 311 ,Transmission Parts 320 (e.g. traction control line) passed on the spring support sleeve 311 middle.
  • the exercise bar 200 Can be converted to pottery through variable diameter 321 Or other structures and transmission parts 320 Fixed connection.
  • spring support sleeve 311 The outer casing is fixed with a connecting pipe 312 ,Connecting pipe 312 fixed seat 313 .
  • the connecting pipe 312 with separate base 500 and clamping parts 100 Rotate the connection so that the entire clamp 100 Detachable base 500 Relative transmission components together 300 turn.

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Abstract

An insertable tissue clamping apparatus and a gripping piece (100) thereof. The gripping piece (100) comprises at least two gripping arms (110). Each gripping arm (110) comprises a gripping head (1111) and a bendable portion (1112), the bendable portion (1112) being provided with a deformation structure capable of bending in a closing direction of the gripping piece (100) and/or an opening direction of the gripping piece (100). In the structure, a sleeve is omitted, the gripping piece (100) is directly driven by a movement rod (200), and the opening and closing of the gripping piece (100) is implemented by means of the deformation state of the bendable portion (1112). Under the same opening requirements, the length of the gripping piece (100) is shorter than the combination of a gripping arm and a sleeve.

Description

插入式组织夹闭装置及其夹持件Plug-in tissue clamping device and its clamping parts 技术领域technical field
本申请涉及医疗器械领域,具体涉及一种用于手术的插入式组织夹闭装置的结构。The present application relates to the field of medical devices, in particular to a structure of an insertable tissue clipping device used for surgery.
背景技术Background technique
插入式组织夹闭装置是一种插入式医疗器械,用于夹闭人体或动物体内组织,以起到止血或闭合的作用,其包括止血夹、组织夹等。The plug-in tissue clipping device is a plug-in medical device, which is used to clip the tissue in the human body or animal body to stop bleeding or close it, and it includes hemostatic clips, tissue clips, etc.
例如,在消化道疾病微创化治疗过程中,通常会通过在内窥镜的器械通道置入该组织夹闭装置,以达到治疗目的。比如已经广泛使用止血夹(或组织夹),在胃肠出血或者创伤部位进行止血或者闭合。For example, during the minimally invasive treatment of digestive tract diseases, the tissue clamping device is usually inserted through the instrument channel of the endoscope to achieve the purpose of treatment. For example, hemostatic clips (or tissue clips) have been widely used to stop bleeding or close gastrointestinal bleeding or wound sites.
现有技术中,一类止血夹(或组织夹)主要通过夹持臂与套筒的配合方式来实现张开和夹持,具体地,左右夹持臂通过一个销钉松散的组装在一起。夹持臂能够收入套筒中,以实现闭合。夹持臂也可从套筒中伸出,以实现张开。该结构由于利用了套筒轴向的空间实现夹持臂闭合,因此必须会有一部分夹持臂收缩在套筒中,导致止血夹分离后,保留在患者体内的整体长度较长,更容易对患者造成损伤和不适。In the prior art, a type of hemostatic clip (or tissue clip) is mainly opened and clamped through the cooperation of the clamping arm and the sleeve. Specifically, the left and right clamping arms are loosely assembled together by a pin. The clamping arms can be retracted into the sleeves for closure. Clamping arms can also protrude from the sleeve to allow expansion. Since this structure utilizes the space in the axial direction of the sleeve to close the clamping arm, a part of the clamping arm must be shrunk in the sleeve, resulting in a longer overall length of the hemostatic clip remaining in the patient's body after separation, which is easier to fix. Patient injury and discomfort.
另一类止血夹(或组织夹)中,其夹持臂主要通过一转轴连接,然后套筒内有一上下滑动的轨道,该轴可沿着轨道滑动。套筒上端还有一个固定的轴,夹持臂上开有长条装的孔,固定轴同时穿过夹持臂的长条状孔。通过推拉滑动轴来带动两个夹臂上下运动,在受到固定轴的阻碍后迫使夹臂沿着长条状孔的路径运动,从而实现张开与闭合。该结构提高了操控精度,夹子的尺寸也变得更小,但是零件较多,结构会变得复杂,成本较高。In another type of hemostatic clip (or tissue clip), the clamping arm is mainly connected by a rotating shaft, and then there is a track sliding up and down in the sleeve, and the shaft can slide along the track. There is also a fixed shaft at the upper end of the sleeve, and the clamping arm has a strip-shaped hole, and the fixed shaft passes through the strip-shaped hole of the clamping arm simultaneously. Pushing and pulling the sliding shaft drives the two clamp arms to move up and down, and after being hindered by the fixed shaft, the clamp arms are forced to move along the path of the elongated hole, so as to realize opening and closing. This structure improves the control precision, and the size of the clip becomes smaller, but there are many parts, the structure becomes complicated, and the cost is high.
技术问题technical problem
本申请提供一种插入式组织夹闭装置及其夹持件,以展示一种新的张开和夹持结构。The present application provides a plug-in tissue clamping device and its clamping parts to demonstrate a new opening and clamping structure.
技术解决方案technical solution
基于以上目的,本申请一种实施例中提供一种插入式组织夹闭装置,包括:Based on the above purpose, an embodiment of the present application provides a plug-in tissue clipping device, including:
夹持件,所述夹持件包括至少两个夹持臂,所述夹持臂之间为分体结构,且相互连接,每个所述夹持臂包括夹持头和可弯曲部;同一个所述夹持臂中所述夹持头和可弯曲部之间为分体结构,且相互连接,或所述夹持头和可弯曲部为一体成型结构;所述夹持臂用于夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构;A clamping piece, the clamping piece includes at least two clamping arms, the clamping arms are split structures and connected to each other, each of the clamping arms includes a clamping head and a bendable part; In one of the clamping arms, the clamping head and the bendable part are split structures and are connected to each other, or the clamping head and the bendable part are integrally formed; the clamping arm is used for clamping Hold the target; the bendable portion has a deformable structure capable of bending toward the closing direction of the clamping member and/or bending toward the opening direction of the clamping member;
分离基座,所述分离基座与所述夹持件连接;a separation base, the separation base is connected to the clamping piece;
运动杆,所述运动杆与所述夹持件连接,以驱动所述夹持件张开和闭合;a movement rod connected to the clamping part to drive the clamping part to open and close;
传动组件,所述传动组件包括套管组件和穿设在所述套管组件内的传动件,所述传动件与所述运动杆连接,所述分离基座可转动的连接在所述套管组件上,以便所述夹持件能够整体相对所述套管组件转动;A transmission assembly, the transmission assembly includes a sleeve assembly and a transmission member passing through the sleeve assembly, the transmission member is connected to the movement rod, and the separation base is rotatably connected to the sleeve assembly, so that the clamping member can rotate relative to the sleeve assembly as a whole;
以及控制手柄,所述套管组件与所述控制手柄连接,所述控制手柄与所述传动件形成联动结构,以控制所述运动杆以及所述夹持件的动作;and a control handle, the sleeve assembly is connected to the control handle, and the control handle forms a linkage structure with the transmission member to control the movement of the movement rod and the clamping member;
所述运动杆具有第一行程、第二行程和第三行程;在所述第一行程中,所述运动杆带动所述夹持头相互远离,以打开所述夹持头;在所述第二行程中,所述运动杆带动所述夹持头相互靠近,所述夹持件运动至夹持状态,以夹持目标物;在所述第三行程中,所述夹持件保持夹持状态,并从所述运动杆上分离,所述分离基座与所述夹持件分离。The moving rod has a first stroke, a second stroke and a third stroke; in the first stroke, the moving rod drives the clamping heads away from each other to open the clamping heads; In the second stroke, the moving rod drives the clamping heads close to each other, and the clamping part moves to the clamping state to clamp the target; in the third stroke, the clamping part keeps clamping state, and is separated from the movement bar, and the separation base is separated from the clamping member.
基于以上目的,本申请一种实施例中提供一种插入式组织夹闭装置,包括:Based on the above purpose, an embodiment of the present application provides a plug-in tissue clipping device, including:
夹持件,所述夹持件包括至少两个夹持臂,每个所述夹持臂包括夹持头和可弯曲部,每个所述夹持臂中所述夹持头与可弯曲部为分体结构,两者相互连接,不同夹持臂的可弯曲部之间为一体成型结构,所述夹持臂之间用于夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构;A clamping piece, the clamping piece includes at least two clamping arms, each of the clamping arms includes a clamping head and a bendable part, and the clamping head and the bendable part in each of the clamping arms It is a split structure, the two are connected to each other, and the bendable parts of different clamping arms are integrally formed, and the clamping arms are used to clamp the target; the bendable part has a A deformed structure that bends in the closing direction of the holding member and/or bends in the opening direction of the holding member;
分离基座,所述分离基座与所述夹持件连接;a separation base, the separation base is connected to the clamping piece;
运动杆,所述运动杆与所述夹持件连接,以驱动所述夹持件张开和闭合;a movement rod connected to the clamping part to drive the clamping part to open and close;
传动组件,所述传动组件包括套管组件和穿设在所述套管组件内的传动件,所述传动件与所述运动杆连接,所述分离基座可转动的连接在所述套管组件上,以便所述夹持件能够整体相对所述套管组件转动;A transmission assembly, the transmission assembly includes a sleeve assembly and a transmission member passing through the sleeve assembly, the transmission member is connected to the movement rod, and the separation base is rotatably connected to the sleeve assembly, so that the clamping member can rotate relative to the sleeve assembly as a whole;
以及控制手柄,所述套管组件与所述控制手柄连接,所述控制手柄与所述传动件形成联动结构,以控制所述运动杆以及所述夹持件的动作;and a control handle, the sleeve assembly is connected to the control handle, and the control handle forms a linkage structure with the transmission member to control the movement of the movement rod and the clamping member;
所述运动杆具有第一行程、第二行程和第三行程;在所述第一行程中,所述运动杆带动所述夹持头相互远离,以打开所述夹持头;在所述第二行程中,所述运动杆带动所述夹持头相互靠近,所述夹持件运动至夹持状态,以夹持目标物;在所述第三行程中,所述夹持件保持夹持状态,并从所述运动杆上分离,所述分离基座与所述夹持件分离。The moving rod has a first stroke, a second stroke and a third stroke; in the first stroke, the moving rod drives the clamping heads away from each other to open the clamping heads; In the second stroke, the moving rod drives the clamping heads close to each other, and the clamping part moves to the clamping state to clamp the target; in the third stroke, the clamping part keeps clamping state, and is separated from the movement bar, and the separation base is separated from the clamping member.
基于以上目的,本申请一种实施例中提供一种插入式组织夹闭装置的夹持件,所述夹持件包括至少两个夹持臂,所述夹持臂之间为分体结构,且相互连接,每个所述夹持臂包括夹持头和可弯曲部,同一个所述夹持臂中所述夹持头和可弯曲部之间为分体结构,且相互连接,或所述夹持头和可弯曲部为一体成型结构;所述夹持臂之间呈夹爪式结构设置,以夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构。Based on the above purpose, an embodiment of the present application provides a clamping part of a plug-in tissue clamping device, the clamping part includes at least two clamping arms, and the clamping arms are split structures, and connected to each other, each clamping arm includes a clamping head and a bendable part, and the clamping head and the bendable part in the same clamping arm are a split structure and are connected to each other, or the The clamping head and the bendable part are integrally formed; the clamping arms are arranged in a jaw-like structure to clamp the target; the bendable part has the ability to bend toward the closing direction of the clamping member And/or a deformed structure that bends toward the opening direction of the clip.
基于以上目的,本申请一种实施例中提供一种插入式组织夹闭装置的夹持件,所述夹持件包括至少两个夹持臂,每个所述夹持臂包括夹持头和可弯曲部,每个所述夹持臂中所述夹持头与可弯曲部为分体结构,两者相互连接,不同夹持臂的所述可弯曲部为一体成型结构,所述夹持臂之间呈夹爪式结构设置,以夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构。Based on the above purpose, an embodiment of the present application provides a clamping part of a plug-in tissue clamping device, the clamping part includes at least two clamping arms, and each clamping arm includes a clamping head and The bendable part, the clamping head and the bendable part in each clamping arm are separate structures, the two are connected to each other, the bendable parts of different clamping arms are integrally formed, and the clamping The arms are arranged in a jaw-like structure to clamp the target; the bendable part has a deformation structure capable of bending toward the closing direction of the clamping part and/or bending toward the opening direction of the clamping part .
作为以上实施例的进一步改进,所述变形结构包括若干条第一收缩缝,所述第一收缩缝沿所述夹持件的纵向依次排列。As a further improvement of the above embodiment, the deformation structure includes several first contraction seams, and the first contraction seams are arranged in sequence along the longitudinal direction of the clamping member.
作为以上实施例的进一步改进所述可弯曲部具有多个沿其周向延伸设置的第二收缩缝,所述第二收缩缝之间沿所述纵向排布;每组所述第一收缩缝的两端分别对应伸入至两个在纵向上相邻的所述第二收缩缝之间,所述第一收缩缝与所述第二收缩缝之间的交叠区域形成扭曲变形段,以使所述可弯曲部能够弯曲扭转变形。As a further improvement of the above embodiment, the bendable part has a plurality of second shrinkage seams extending along its circumferential direction, and the second shrinkage seams are arranged along the longitudinal direction; each group of the first shrinkage seams The two ends of the two correspondingly protrude between two longitudinally adjacent second contraction joints, and the overlapping area between the first contraction joint and the second contraction joint forms a distorted section, so that The bendable portion is capable of bending and twisting deformation.
作为以上实施例的进一步改进所述第一收缩缝绕所述可弯曲部的周向延伸;所述可弯曲部具有限位结构,所述限位结构为至少两组,在所述可弯曲部的周向上,所述可弯曲部的至少一侧设有所述限位结构,以限制所述可弯曲部向所述夹持件的张开方向弯曲的最大角度。As a further improvement of the above embodiment, the first shrinkage seam extends around the circumference of the bendable part; In the circumferential direction, at least one side of the bendable portion is provided with the limiting structure, so as to limit the maximum bending angle of the bendable portion toward the opening direction of the clamping member.
作为以上实施例的进一步改进每个所述限位结构包括若干个沿所述夹持件的纵向排列的限位单元,所述限位单元包括相对设置的第一限位块和第二限位块,所述第一限位块与第二限位块之间具有沿所述纵向设置的间隙,所述第二收缩缝与所述间隙连通;在所述可弯曲部向所述张开方向弯曲过程中,所述第一限位块与第二限位块相互靠近并形成扣合结构。As a further improvement of the above embodiment, each of the limiting structures includes several limiting units arranged longitudinally along the clamping member, and the limiting units include a first limiting block and a second limiting block that are oppositely arranged. There is a gap arranged along the longitudinal direction between the first limiting block and the second limiting block, and the second contraction joint communicates with the gap; During the bending process, the first limiting block and the second limiting block approach each other and form a buckling structure.
作为以上实施例的进一步改进同一所述限位单元中,所述第一限位块和第二限位块由所述可弯曲部上位于所述第一收缩缝侧方的侧壁通过所述第二收缩缝分割而成,所述第一限位块和第二限位块靠近所述第一收缩缝的一端连为一体,另一端相互分离。As a further improvement of the above embodiment, in the same limiting unit, the first limiting block and the second limiting block pass through the The second contraction joint is formed by dividing, and one end of the first limit block and the second limit block close to the first contraction joint are connected as a whole, and the other ends are separated from each other.
作为以上实施例的进一步改进所述夹持件的初始状态为夹持状态;所述第二收缩缝在所述纵向上具有间隙,所述限位结构的第二收缩缝组成能够向所述夹持方向变形的自适应浮动结构,以便所述夹持件夹持所述目标物时,所述可弯曲部能够根据所述目标物的体积而向所述闭合方向自适应弯曲变形。As a further improvement of the above embodiment, the initial state of the clamping member is a clamping state; the second contraction joint has a gap in the longitudinal direction, and the second contraction joint composition of the position-limiting structure can The adaptive floating structure deforms in the holding direction, so that when the clamping member clamps the target, the bendable part can adaptively bend and deform in the closing direction according to the volume of the target.
有益效果Beneficial effect
依据上述实施例的插入式组织夹闭装置,其夹持件包括至少两个夹持臂,每个夹持臂包括夹持头和可弯曲部,该可弯曲部具有能够向夹持件的闭合方向弯曲和/或向夹持件的张开方向弯曲的变形结构。该结构中,省略了现有结构中的套筒,由运动杆直接驱动夹持件,结合可弯曲部的形变状态,从而实现夹持件的张开和闭合。在同样开幅要求下,该夹持件的长度比现有技术中夹持臂与套筒的组合更短。而且,该夹持件中,部分零件分开制造,在组装为一个整体,可降低制造难度,降低成本。According to the insertion type tissue clamping device of the above-mentioned embodiment, the clamping part comprises at least two clamping arms, each clamping arm comprises a clamping head and a bendable part, and the bendable part has the ability to close to the clamping part. A deformed structure that bends in the direction and/or bends toward the opening direction of the clip. In this structure, the sleeve in the existing structure is omitted, and the clamping part is directly driven by the moving rod, combined with the deformation state of the bendable part, so as to realize the opening and closing of the clamping part. Under the same opening width requirement, the length of the clamping member is shorter than the combination of the clamping arm and the sleeve in the prior art. Moreover, in the clamping part, some parts are manufactured separately and assembled as a whole, which can reduce manufacturing difficulty and cost.
附图说明Description of drawings
图1为本申请一种实施例中插入式组织夹闭装置的结构示意图;Fig. 1 is a schematic structural view of an insertable tissue clipping device in an embodiment of the present application;
图2为本申请一种实施例中两个分体的夹持臂组成夹持件的示意图;Fig. 2 is a schematic diagram of two split clamping arms forming a clamping piece in an embodiment of the present application;
图3为图2所示夹持件处于张开状态时的结构示意图;Fig. 3 is a schematic structural view of the clip shown in Fig. 2 when it is in an open state;
图4为本申请一种实施例中夹持头、可弯曲部组成夹持件的示意图;Fig. 4 is a schematic diagram of a clamping part composed of a clamping head and a bendable part in an embodiment of the present application;
图5为本申请一种实施例中可弯曲部、连接部与分离基座为一体成型结构的示意图;Fig. 5 is a schematic diagram of an integrally formed structure of the bendable part, the connecting part and the separation base in an embodiment of the present application;
图6为本申请一种实施例中插入式组织夹闭装置处于张开状态时(运动杆在第一行程内运动)的结构示意图;Fig. 6 is a schematic diagram of the structure of the plug-in tissue clipping device in an open state (the movement rod moves in the first stroke) in an embodiment of the present application;
图7为图6所示状态下夹持件的局部被剖开后的结构示意图;Fig. 7 is a schematic structural view of a part of the clamping part cut away in the state shown in Fig. 6;
图8为本申请一种实施例中插入式组织夹闭装置处于夹持状态时(运动杆在第二行程内运动)的结构示意图;Fig. 8 is a schematic structural view of the plug-in tissue clamping device in an embodiment of the present application when it is in the clamping state (the movement rod moves in the second stroke);
图9为图8所示状态下部分结构局部被剖开后的结构示意图;Fig. 9 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 8;
图10为本申请一种实施例中插入式组织夹闭装置处于夹持状态,夹持臂被锁止于锁止结构时(运动杆在第三行程内运动)的结构示意图;Fig. 10 is a schematic diagram of the structure of the plug-in tissue clamping device in an embodiment of the present application when the clamping arm is locked in the locking structure (the movement rod moves in the third stroke) in the clamping state;
图11为图10所示状态下部分结构局部被剖开后的结构示意图;Fig. 11 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 10;
图12为本申请一种实施例中插入式组织夹闭装置处于夹持状态,运动杆与夹持件分离时(运动杆在第三行程内运动)的结构示意图;Fig. 12 is a schematic diagram of the structure of the plug-in tissue clamping device in an embodiment of the present application when the moving rod is in the clamping state and the moving rod is separated from the clamping part (the moving rod moves in the third stroke);
图13为图12所示状态下部分结构局部被剖开后的结构示意图;Fig. 13 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 12;
图14为本申请一种实施例中插入式组织夹闭装置处于夹持状态,夹持件和分离基座分离时(运动杆在第三行程内运动)的结构示意图;Fig. 14 is a schematic diagram of the structure of the plug-in tissue clamping device in the clamping state in one embodiment of the present application, when the clamping part is separated from the separation base (the movement rod moves in the third stroke);
图15为图14所示状态下部分结构局部被剖开后的结构示意图;Fig. 15 is a schematic structural view of part of the structure partially cut away in the state shown in Fig. 14;
图16为本申请一种实施例中夹持件的展开形状示意图;Fig. 16 is a schematic diagram of the unfolded shape of the clip in an embodiment of the present application;
图17为图16所示实施例中可弯曲部的变形结构放大示意图;Fig. 17 is an enlarged schematic view of the deformation structure of the bendable part in the embodiment shown in Fig. 16;
图18为本申请另一种实施例中可弯曲部的变形结构放大示意图;Fig. 18 is an enlarged schematic view of the deformation structure of the bendable part in another embodiment of the present application;
图19为本申请另一种实施例中可弯曲部的变形结构放大示意图;Fig. 19 is an enlarged schematic view of the deformation structure of the bendable part in another embodiment of the present application;
图20为本申请一种实施例中夹持较薄组织时可弯曲部的示意图;Fig. 20 is a schematic diagram of the bendable part when clamping thin tissue in an embodiment of the present application;
图21为本申请一种实施例中夹持较厚组织时可弯曲部的示意图;Fig. 21 is a schematic diagram of the bendable part when clamping thick tissue in an embodiment of the present application;
图22为本申请另一种实施例中可弯曲部的变形结构的示意图;Fig. 22 is a schematic diagram of the deformation structure of the bendable part in another embodiment of the present application;
图23为本申请另一种实施例中可弯曲部的变形结构的示意图;Fig. 23 is a schematic diagram of the deformation structure of the bendable part in another embodiment of the present application;
图24为本申请一种实施例中处于张开自锁状态的结构示意图。Fig. 24 is a schematic structural view of an embodiment of the present application in an unfolded self-locking state.
本发明的实施方式Embodiments of the present invention
下面通过具体实施方式结合附图对本发明作进一步详细说明。The present invention will be further described in detail below through specific embodiments in conjunction with the accompanying drawings.
本实施例提供了一种插入式组织夹闭装置(为了方便描述,以下称为夹闭装置),该夹闭装置用于夹闭人或动物体内组织(统称为目标物),以起到止血或闭合的作用,其可包括但不限于止血夹、组织夹等。This embodiment provides a plug-in tissue clamping device (for convenience of description, hereinafter referred to as the clamping device), which is used to clamp human or animal internal tissues (collectively referred to as the target) to stop bleeding Or closure, which may include, but not limited to, hemostatic clips, tissue clips, and the like.
请参考图Please refer to the picture 1-131-13 ,该夹闭装置包括夹持件, the clamping device includes a clamp 100100 、运动杆, sports bar 200200 、传动组件, transmission components 300300 、控制手柄, control handle 400400 以及分离基座and separate base 500500 .
与现有技术中利用夹持臂和套筒组合实现夹持结构不同,本实施例中,该夹持件Different from the combination of the clamping arm and the sleeve in the prior art to realize the clamping structure, in this embodiment, the clamping member 100100 为由多个零件组装而成的整体结构,该夹持件As an integral structure assembled from multiple parts, the clamp 100100 不借助套筒的辅助作用,通过自身的结构变形实现弯曲变形。请参考图Bending deformation is achieved through its own structural deformation without the aid of the sleeve. Please refer to the picture 2-52-5 ,该夹持件, the clamp 110110 包括至少两个夹持臂Includes at least two clamping arms 110110 。其中,如图. Among them, as shown in the figure 22 and 33 所示,每个夹持臂shown, each clamping arm 110110 包括夹持头including clamping head 11111111 和可弯曲部and bendable part 11121112 。该夹持臂. The clamp arm 110110 之间为分体结构,即为分离的部件,然后相互连接,装配为一个整体结构。夹持臂There is a split structure, that is, separate parts, which are then connected to each other and assembled into an overall structure. Clamping arm 110110 之间的连接通常为固定连接,但是某些实施例中,夹持臂The connection between is usually a fixed connection, but in some embodiments, the clamping arm 110110 之间也可能具有一定的活动空间,以满足不同的功能需要。There may also be a certain activity space between them to meet different functional needs.
请参考图Please refer to the picture 22 ,一种实施例中,同一个夹持臂, in one embodiment, the same clamping arm 110110 中夹持头middle clamping head 11111111 和可弯曲部and bendable part 11121112 为一体成型结构。该一体成型结构是指整个零件由同一材料一体加工而成,而并非由两个以上零件组合装配而成。一体式成型结构(包括下述其他一体成型结构)可以采用但不限于通过注塑、激光切割以及其他机械加工工艺制成。尤其是,当采用激光切割时,可实现极小缝隙的加工,有利于整体结构的小型化和提高结构紧凑性。Integral molding structure. The integrally formed structure means that the entire part is integrally processed from the same material, rather than assembled by combining two or more parts. One-piece molded structures (including other one-piece molded structures described below) can be made by, but not limited to, injection molding, laser cutting, and other mechanical processing techniques. In particular, when laser cutting is used, the processing of extremely small gaps can be realized, which is beneficial to the miniaturization of the overall structure and the improvement of the compactness of the structure.
当然,某些实施例中,也可以参考夹持臂Of course, in some embodiments, it is also possible to refer to the clamping arm 110110 之间的装配关系,该同一个夹持臂assembly relationship between the same clamping arm 110110 中夹持头middle clamping head 11111111 和可弯曲部and bendable part 11121112 之间为分体结构,然后相互连接,组装成一个整体式的夹持臂It is a split structure, and then connected to each other to assemble an integral clamping arm 110110 .
请参考图Please refer to the picture 44 ,在另一种实施例中,每个夹持臂, in another embodiment, each clamping arm 110110 中夹持头middle clamping head 11111111 与可弯曲部with bendable part 11121112 为分体结构,即为两个分离的零部件,然后由两者相互连接,装配成一个整体的夹持臂It is a split structure, that is, two separate parts, and then the two are connected to each other to assemble a whole clamping arm 110110 。其中,如图. Among them, as shown in the figure 44 所示,不同夹持臂shown, different clamping arms 110110 的可弯曲部bendable part of 11121112 连为一体,为一体成型结构,既方便一体成型加工,又可省略组装工序。当然,其他实施例中,如图Connected as a whole, the integral molding structure not only facilitates integral molding processing, but also omits the assembly process. Of course, in other embodiments, as shown in 22 所示,不同夹持臂shown, different clamping arms 110110 之间的可弯曲部flexible part between 11121112 也可相互分离,然后再组装为一体。It can also be separated from each other and then assembled into one.
该分离基座The split base 500500 起到支承夹持件的作用,同时还需要能够在特定时机下与夹持件分离,以是实现将夹持件暂留在检测对象体内的目的。该分离基座It plays the role of supporting the clamping part, and at the same time, it needs to be able to separate from the clamping part at a specific time, so as to achieve the purpose of temporarily keeping the clamping part in the body of the test object. The split base 500500 可与夹持件Can be used with clamping parts 100100 连接,该连接既可以为一体成型结构,也可以为固定连接结构。一些实施例中,如图Connection, the connection can either be an integrated structure or a fixed connection structure. In some embodiments, as shown in 6-156-15 所示,该分离基座shown, the separation base 500500 可与夹持件Can be used with clamping parts 100100 可拆卸的连接。不过,另一些实施例,如图Detachable connection. However, other embodiments, such as 55 所示,该分离基座shown, the separation base 500500 也可与可弯曲部Also available with bendable part 11121112 为一体成型结构,图Integral molding structure, Fig. 55 中,可弯曲部middle, bendable part 11121112 通过连接部through the connection 120120 (后文中将详细描述)与分离基座(will be described in detail later) and the separation base 500500 连为一体,连接部connect, connect 120120 与分离基座with separate base 500500 之间通过第一撕裂部through the first tear 540540 连接。当然,该连接部connect. Of course, the link 120120 也可省略,直接由可弯曲部It can also be omitted, directly by the bendable part 11121112 与分离基座with separate base 500500 通过第一撕裂部through the first tear 540540 连接。connect.
该夹持件The clamp 100100 中,通过上述各种实施例将部分零件拆为分体结构,各自分开制造,可降低单个零件的制造难度,降低成本。上述各零部件之间可通过焊接、粘接、机械结构连接(包括卡接、螺接、铆接等)等方式实现连接。In the above-mentioned various embodiments, some parts are disassembled into split structures and manufactured separately, which can reduce the difficulty of manufacturing a single part and reduce the cost. The above components can be connected by means of welding, bonding, mechanical structure connection (including clamping, screwing, riveting, etc.).
进一步地,该夹持臂Further, the clamp arm 110110 之间呈夹爪式结构设置,以夹持目标物。该夹爪式结构为能够牢固抓取目标物的结构,例如在图The gaps are arranged in a jaw-like structure to hold the target. The claw-type structure is a structure that can firmly grasp the target, for example, in the figure 1-151-15 中,当夹持臂, when the clamping arm 110110 为两组时,两个夹持臂For two groups, the two clamping arms 110110 相对设置,当其如图Relative settings, when its as shown in the figure 22 , 44 and 55 所示闭合(此时处于夹持状态)时,即可抓取目标物,如图When it is closed as shown (in the clamping state at this time), the target can be grasped, as shown in the figure 2020 and 21twenty one 所示。shown.
请参考图Please refer to the picture 2-52-5 ,一种实施例中,可弯曲部, one embodiment, the bendable portion 11121112 为半筒形结构,在夹持件It is a semi-cylindrical structure, in the clamping part 100100 闭合时,可弯曲部When closed, the flexible part 11121112 能够围合成筒状结构。该半筒形是指非完整的筒形,并非必须为筒状结构的一半,也可以为整个筒状结构的三分之一或其他大小。此外,在其他实施例中,该可弯曲部Can be enclosed into a cylindrical structure. The semi-cylindrical shape refers to an incomplete cylindrical shape, which is not necessarily half of the cylindrical structure, but can also be one-third of the entire cylindrical structure or other sizes. Additionally, in other embodiments, the bendable portion 11121112 也可为其他结构,如片状等,并不限于该半筒状结构。It can also be in other structures, such as sheet shape, etc., and is not limited to the semi-cylindrical structure.
与现有技术中通过套筒对夹持臂Compared with the prior art through the sleeve to the clamping arm 110110 限位而实现夹持臂clamping arm 110110 的开合不同,在本实施例中,夹持臂The opening and closing of different, in this embodiment, the clamping arm 110110 的张开和闭合主要依靠可弯曲部The opening and closing mainly rely on the flexible part 11121112 的变形。其中,可弯曲部deformation. Among them, the bendable part 11121112 具有能够向夹持件has the ability to clamp 100100 的闭合方向弯曲和The closing direction of the bending and // 或向夹持件or to the holder 100100 的张开方向弯曲的变形结构。请参考图A deformed structure that bends in the unfolding direction. Please refer to the picture 11 and 22 ,图示实施例中,该夹持件, in the illustrated embodiment, the clamp 100100 的初始状态为夹持状态,即可弯曲部The initial state is the clamping state, that is, the bending part 11121112 在不变形的情况下,夹持件Without deformation, the clamp 100100 处于夹持状态。此时,该可弯曲部in clamped state. At this time, the bendable part 11121112 至少具有能够夹持件at least have the ability to hold 100100 张开方向弯曲的变形结构,从而如图The deformed structure is bent in the opening direction, so that 33 所示,实现夹持件shown, implement the clip 100100 的张开。open.
其中,该夹持头Among them, the clamping head 11111111 的抗弯曲变形能力高于可弯曲部The resistance to bending deformation is higher than that of the bendable part 11121112 ,以保证夹持臂, to ensure that the clamping arm 110110 向目标物提供更好的咬合效果。该可弯曲部Provides a better bite to the target. The bendable part 11121112 的弯曲变形通过其结构实现。该可弯曲部The bending deformation is achieved through its structure. The bendable part 11121112 这种弯曲变形为可逆的,即可弯曲部This bending deformation is reversible, that is, the bending part 11121112 具有弹性,在失去外力作用时能够回弹复位,因此这种弯曲变形可重复进行。It is elastic and can spring back to reset when the external force is lost, so this bending deformation can be repeated.
该运动杆the exercise bar 200200 用于控制夹持件for control grippers 100100 的张开和夹持状态。在图The open and clamped state. in the figure 6-156-15 中,该运动杆, the sport bar 200200 为拉杆。在其他实施例中,运动杆for the pull rod. In other embodiments, the exercise rod 200200 也可以为其他结构。运动杆Other configurations are also possible. sports bar 200200 与夹持件with clamp 100100 连接,运动杆connection, exercise rod 200200 的运动能够控制夹持件The movement of the gripper can control the 100100 向张开方向运动和向夹持方向运动。该传动组件Movement in the direction of opening and movement in the direction of clamping. The drive assembly 300300 起到支承夹持件support clamp 100100 以及向运动杆and to the sports bar 200200 传递运动和力的作用。The role of transmitting motion and force.
请参考图Please refer to the picture 11 , 66 and 77 ,该传动组件, the drive assembly 300300 包括套管组件Includes bushing assembly 310310 和穿设在套管组件and threaded bushing assembly 310310 内的传动件transmission parts inside 320320 ,传动件,Transmission Parts 320320 与运动杆with exercise bars 200200 连接。该夹持件connect. The clamp 100100 和分离基座and separate base 500500 之间可拆卸的连接,以保证在需要的时候,夹持件detachable connection between to ensure that when required, the clip 100100 能够与分离基座Able to separate base with 500500 脱离开。leave.
该分离基座The split base 500500 可转动的连接在套管组件rotatable connection in bushing assembly 310310 上,例如如图on, for example as shown in Fig. 66 and 77 所示,分离基座shown, detached base 500500 套设在套管组件sleeve assembly 310310 内。分离基座Inside. separate base 500500 与夹持件with clamp 100100 之间的连接允许两者在套管组件The connection between the bushing assembly allows both 310310 的周向上转动,以便夹持件The circumference of the rotation, so that the clamp 100100 能够整体相对套管组件Capable of being integrally opposed to the bushing assembly 310310 转动。该套管组件turn. The bushing assembly 310310 与控制手柄with control handle 400400 连接,控制手柄connection, control handle 400400 与传动件with transmission parts 320320 形成联动结构,以控制传动件Form a linkage structure to control the transmission parts 320320 、运动杆, sports bar 200200 以及夹持件and clamping parts 100100 的动作。例如,操作者可通过控制手柄Actions. For example, the operator can control the handle 400400 来操控夹持件to manipulate the gripper 100100 相对套管组件relative bushing assembly 310310 转动,还可以通过控制手柄Rotate, can also be controlled by the handle 400400 来控制夹持件to control the gripper 100100 的开闭。opening and closing.
运动杆sports bar 200200 的运动可以为沿其轴向的运动,也可以为旋转运动等。例如,请参考图The movement of the machine can be a movement along its axis, or a rotational movement, etc. For example, please refer to Fig. 66 and 77 ,一种实施例中,当该运动杆, one embodiment, when the motion bar 200200 沿其轴向背离控制手柄Along its axis away from the control handle 400400 ,靠近夹持件, close to the clamp 100100 (图示向右运动)运动时,该运动杆(moving to the right as shown in the illustration) when exercising, the exercise bar 200200 能够带动夹持件Able to drive the gripper 100100 向外张开,从而使夹持件flared outwards so that the clip 100100 运动至张开状态。请参考图Move to open position. Please refer to the picture 88 and 99 ,一种实施例中,当该运动杆, one embodiment, when the motion bar 200200 沿其轴向靠近控制手柄Close to the control handle along its axis 400400 ,背离夹持件, away from the holder 100100 (图示向左运动)运动时,该运动杆(moving to the left as shown in the illustration) when exercising, the exercise bar 200200 能够带动夹持件Able to drive the gripper 100100 向内相互靠近,从而使夹持件inward toward each other so that the clips 100100 运动至夹持状态。当然,在其他实施例中,运动杆Move to clamping state. Of course, in other embodiments, the motion bar 200200 的运动关系与夹持件Kinematic relationship and clamping parts 100100 的运动关系可以与图The kinematic relationship can be compared with the graph 6-96-9 所示不同,例如当运动杆shown differently, for example when the sports bar 200200 向控制手柄to the control handle 400400 运动时,驱动夹持件When in motion, the gripper is driven 100100 张开,向夹持件open to the clamp 100100 运动时,驱动夹持件When in motion, the gripper is driven 100100 闭合。closure.
其中,运动杆Among them, sports rod 200200 都具有第一行程、第二行程和第三行程。该第一行程、第二行程和第三行程为运动杆Both have a first trip, a second trip and a third trip. The first stroke, second stroke and third stroke are motion bars 200200 整个运动行程中的三个部分,该三个行程可以是相同方向,也可以至少两个行程之间为不同方向,或者三个行程均为不同方向。For the three parts in the whole motion stroke, the three strokes may be in the same direction, or at least two strokes may be in different directions, or the three strokes may all be in different directions.
作为一种示例,请参考图As an example, please refer to Fig. 66 and 77 ,此时,该运动杆, at this time, the motion bar 200200 处于第一行程中,此时运动杆In the first stroke, the movement lever 200200 沿其轴向背离控制手柄Along its axis away from the control handle 400400 ,靠近夹持件, close to the clamp 100100 (图示向右)运动时,该运动杆(shown to the right) when exercising, the exercise bar 200200 能够带动夹持件Able to drive the gripper 100100 向外张开,从而使夹持件flared outwards so that the clip 100100 运动至张开状态。Move to open position.
请参考图Please refer to the picture 88 and 99 ,此时,该运动杆, at this time, the motion bar 200200 处于第二行程中,该运动杆In the second stroke, the movement lever 200200 沿其轴向靠近控制手柄Close to the control handle along its axis 400400 ,背离夹持件, away from the holder 100100 (图示向左)运动时,该运动杆(shown to the left) when exercising, the exercise bar 200200 能够带动夹持件Able to drive the gripper 100100 向内相互靠近,从而使夹持件inward toward each other so that the clips 100100 运动至夹持状态。Move to clamping state.
请参考图Please refer to the picture 10-1510-15 ,此时,该运动杆, at this time, the motion bar 200200 处于第三行程中,该运动杆In the third stroke, the movement lever 200200 沿其轴向靠近控制手柄Close to the control handle along its axis 400400 ,背离夹持件, away from the holder 100100 (图示向左)运动时,该第三行程与第二行程同方向,且紧密连接,即当夹持件(to the left in the illustration), the third stroke is in the same direction as the second stroke and is closely connected, that is, when the clamp 100100 运动到夹持状态后,运动杆After moving to the clamping state, the movement rod 200200 即从第二行程切换到第三行程。其中,该第三行程又可分为多个子行程,这些子行程包括锁止行程、内脱离行程和外脱离行程。That is, switch from the second stroke to the third stroke. Wherein, the third stroke can be further divided into a plurality of sub-strokes, and these sub-strokes include a locking stroke, an inner disengagement stroke and an outer disengagement stroke.
请参考图Please refer to the picture 1010 and 1111 ,当运动杆, when the exercise bar 200200 切换至第三行程起,直至运动至图示位置,此时夹持件Switch to the third stroke until it moves to the position shown in the figure, at this time the clamping piece 100100 被锁止,运动杆locked, sport bar 200200 无法反向运动而再打开夹持件Cannot move in reverse to open clamp 100100 。此过程中运动杆. exercise bar during this process 200200 的运动行程为锁止行程。The movement stroke is the locking stroke.
请参考图Please refer to the picture 1212 and 1313 ,运动杆, exercise rod 200200 完成锁止行程后,进入内脱离行程。当运动杆After completing the locking stroke, enter the inner disengagement stroke. when sports bar 200200 运动至图示位置时,此时夹持件When moving to the position shown in the figure, the clamping piece 100100 从运动杆from exercise bars 200200 上分离,运动杆upper separation, sport bar 200200 无法再带动夹持件Can no longer drive the gripper 100100 移动,失去对夹持件move, lose the grip on the 100100 的控制,夹持件controls, grippers 100100 被保持在锁止状态。此过程中运动杆is kept locked. exercise bar during this process 200200 的运动行程为内脱离行程。The movement stroke is the inner disengagement stroke.
请参考图Please refer to the picture 1414 and 1515 ,运动杆, exercise rod 200200 完成内脱离行程后,进入外脱离行程。当运动杆After completing the inner disengagement stroke, enter the outer disengagement stroke. when sports bar 200200 运动至图示位置时,此时夹持件When moving to the position shown in the figure, the clamping piece 100100 和分离基座and separate base 500500 分离,至此,夹持件Separation, so far, clamp 100100 被留在其所夹持的目标物上。分离基座is left on the object it holds. separate base 500500 、运动杆, sports bar 200200 以及传动组件and transmission components 300300 可从检测对象体内抽出。此过程中运动杆Can be withdrawn from the body of the test subject. exercise bar during this process 200200 的运动行程为外脱离行程。The movement stroke is the outer disengagement stroke.
在上述各实施例所示结构中,省略了现有结构中的套筒,由运动杆In the structures shown in the above-mentioned embodiments, the sleeve in the existing structure is omitted, and the movement rod 200200 直接驱动夹持件Direct Drive Grippers 100100 ,结合可弯曲部, combined with a bendable part 11121112 的形变状态,从而实现夹持件The deformation state, so that the clamping parts 100100 的张开和闭合。由于少了套筒对夹持臂of opening and closing. Due to the lack of sleeve pair clamping arm 110110 的限定作用,该夹持臂The limiting action, the clamping arm 110110 从可弯曲部from the bendable 11121112 开始变形,其变形区域更接近整个夹持件Begins to deform, its deformed area is closer to the entire clamping part 100100 的底部,因此,在同样开幅要求下,该一体式的夹持件bottom, therefore, under the same opening width requirements, the one-piece clamp 100100 的长度比现有技术中夹持臂The length of the clamping arm is longer than that of the prior art 110110 与套筒的组合更短。而在相同长度下,该一体式的夹持件The combination with the sleeve is shorter. While at the same length, the one-piece clamp 100100 能够比现有技术中夹持臂Capable of clamping arms than prior art 110110 与套筒的组合张开更大的角度,更容易咬合目标物的组织。当夹持件The combination with the sleeve opens a wider angle, which makes it easier to bite into the target tissue. When the clamp 100100 与分离基座with separate base 500500 脱离后,这种更短的夹持件After disengagement, this shorter clip 100100 暂留在目标物体内,可减少因止血夹(或组织夹)留下的夹头过长而引起的不适之感,也可尽量避免因止血夹(或组织夹)留下的夹头过长对目标物造成过多磨损的问题。另外,该一体式结构避免了轴孔配合或者滑动位移所必须的零件配合间隙,因此夹持臂Temporarily staying in the target object can reduce the discomfort caused by the excessive length of the clip left by the hemostatic clip (or tissue clip), and can also try to avoid the excessive length of the clip left by the hemostatic clip (or tissue clip) Problems causing excessive wear on the target. In addition, the one-piece structure avoids the part fit clearance necessary for shaft hole fit or sliding displacement, so the clamp arm 110110 的弯曲重复精度更高。The bending repeatability is higher.
而且,整个夹持件Moreover, the entire clamp 100100 加工过程简单。相对于现有止血夹(或组织夹)中多零件的组合结构而言,采用了该一体成型的夹持件The processing process is simple. Compared with the combined structure of multiple parts in the existing hemostatic clip (or tissue clip), the one-piece clip is adopted 100100 后,整个夹闭装置零件更少,结构更加简单,装配要求更低,成本得到极大的缩减,操控精度更高。同样,整个夹持件Finally, the entire clamping device has fewer parts, a simpler structure, lower assembly requirements, greatly reduced costs, and higher control accuracy. Likewise, the entire clamp 100100 的长度也比现有止血夹(或组织夹)的长度更短。由于内窥镜器械通道内径非常有限,这种长度更短的夹持件The length is also shorter than that of the existing hemostatic clips (or tissue clips). Due to the very limited inner diameter of the endoscopic instrument channel, this shorter length grip 100100 更容易在内窥镜器械通道通过。Easier passage of endoscopic instrument channels.
进一步地,如前文所述,该可弯曲部Further, as mentioned above, the bendable part 11121112 的弯曲变形通过其一体式结构实现。请参考图The bending deformation is achieved by its one-piece structure. Please refer to the picture 33 , 77 , 16-1916-19 ,一些实施例中,该夹持件, in some embodiments, the clamp 100100 靠近分离基座close to separation base 500500 的一端为近端,背离分离基座One end is the proximal end, facing away from the separation base 500500 的一端为远端,自夹持件One end is the distal end, self-clamping piece 100100 的近端向其远端的方向为夹持件The direction of the proximal end to its distal end is the clamping member 100100 的纵向。为了实现该一体式的变形结构,该变形结构包括若干条第一收缩缝portrait. In order to realize the one-piece deformation structure, the deformation structure includes several first contraction joints 11131113 ,第一收缩缝, the first shrinkage joint 11131113 沿纵向依次排列。该第一收缩缝Arranged vertically. The first contraction joint 11131113 可通过激光切割工艺实现,例如采用金属板材或管材,通过激光切割的工艺加工出该第一收缩缝It can be realized by laser cutting process, for example, metal plate or pipe is used to process the first shrinkage seam by laser cutting process 11131113 .
一种实施例中,如图In one embodiment, as shown in the figure 22 所示,夹持件shown, the clamp 100100 在初始状态下保持在夹持状态,第一收缩缝In the initial state held in clamped state, the first shrinkage joint 11131113 之间维持在初始状态,可弯曲部maintained at the initial state, the bendable part 11121112 各部分不产生形变。如图All parts are not deformed. as shown in the picture 33 所示,当需要张开夹持件shown, when it is necessary to open the clamp 100100 时,可弯曲部, the bendable part 11121112 向外形变,第一收缩缝Outward deformation, first contraction joint 11131113 收缩变形,从而使可弯曲部shrinkage deformation, so that the bendable part 11121112 的外侧(夹持臂outside of the (clamp arm 110110 相互背离的一侧)收缩,使得整个夹持头sides facing away from each other) contract so that the entire clamping head 11111111 张开。Open up.
请参考图Please refer to the picture 22 , 33 , 16-1916-19 ,一种实施例中,该第一收缩缝, in one embodiment, the first contraction joint 11131113 绕可弯曲部Around the bendable part 11121112 的周向延伸。第一收缩缝circumferential extension. first contraction joint 11131113 之间平行设置。当然,该第一收缩缝set in parallel. Of course, the first contraction joint 11131113 之间除了相互平行,也可设置成其他非平行的排布方式。而将第一收缩缝In addition to being parallel to each other, other non-parallel arrangements can also be arranged. while the first shrinkage seam 11131113 设置为统一沿可弯曲部set to uniform along the bendable section 11121112 周向平行排列,可统一各第一收缩缝Circumferential parallel arrangement, can unify each first contraction joint 11131113 的弯曲变形方向,使夹持件The direction of bending deformation, so that the clip 100100 的弯曲变形更加顺畅和稳定。The bending deformation is smoother and more stable.
为了实现更顺畅的弯曲变化,一种实施例中,该第一收缩缝In order to achieve smoother bending changes, in one embodiment, the first contraction joint 11131113 分为若干组,每组第一收缩缝Divided into several groups, the first contraction joint of each group 1113a1113a 具有至少一条第一收缩缝has at least one primary shrinkage seam 11131113 。如图. as shown in the picture 22 , 33 以及图and figure 16-1716-17 所示,该实施例中,每组第一收缩缝As shown, in this embodiment, each group of first contraction joints 1113a1113a 具有两条第一收缩缝With two first shrinkage seams 11131113 。如图. as shown in the picture 1818 and 1919 所示,该实施例中,每组第一收缩缝As shown, in this embodiment, each group of first contraction joints 1113a1113a 具有一条第一收缩缝has a first shrinkage seam 11131113 。每条第一收缩缝. Each first shrinkage seam 11131113 的收缩都可使可弯曲部The shrinkage can make the bendable part 11121112 具有一定的弯曲角度,在多组第一收缩缝With a certain bending angle, in multiple groups of first contraction joints 11131113 的组合下,可使可弯曲部Under the combination, the bendable part can be 11121112 具有一个较大的开合角度。纵向上所有第一收缩缝Has a larger opening and closing angle. All first contraction joints in longitudinal direction 11131113 组合形成的长度决定了整个可弯曲部The length formed by the combination determines the entire bendable part 11121112 的弯曲变形区域,可根据实际需求而灵活设置该第一收缩缝组The bending deformation area, the first contraction joint group can be flexibly set according to actual needs 1113a1113a 的数量、相邻第一收缩缝组The number of adjacent first contraction joint group 1113a1113a 的纵向间隙以及第一收缩缝组Longitudinal clearance and the first contraction joint group 1113a1113a 内第一收缩缝inner first contraction joint 11131113 的数量等。例如,第一收缩缝组quantity etc. For example, the first contraction joint group 1113a1113a 可为Can be 4-64-6 组。Group.
请参考图Please refer to the picture 1919 ,一种实施例中,该第一收缩缝, in one embodiment, the first contraction joint 11131113 为长条形槽状,该第一收缩缝In the shape of a long groove, the first contraction joint 11131113 的中部具有两个相对凸起的弧形边The middle part has two opposite convex arc sides 1113b1113b 。当夹持件. When the clamp 100100 打开至限定位置时,该弧形边When opened to a limited position, the arc edge 1113b1113b 会相互接触,从而决定打开的最大角度。当夹持件will touch each other, thus determining the maximum angle of opening. When the clamp 100100 处于夹持状态时,该弧形边When in clamping state, the arc edge 1113b1113b 会相互接触,从而对夹持件will come into contact with each other so that the gripper 100100 提供支撑力。Provide support.
考虑到微创手术的需要,夹闭装置通常为非常精细小巧的结构,因此,在满足夹闭装置小体积的前提下,夹持件Considering the needs of minimally invasive surgery, the clipping device is usually a very fine and small structure. Therefore, on the premise of satisfying the small volume of the clipping device, the clip 100100 通常不宜采用厚度较大的材质。但是,较薄的厚度要求可能会导致可弯曲部Generally, thicker materials are not suitable. However, thinner thickness requirements may result in bendable parts 11121112 强度的弱化,具体地,如图The weakening of the strength, specifically, as shown in 33 所示,当操作者施加的外力过大,导致夹持臂As shown, when the external force applied by the operator is too large, causing the clamping arm 110110 向外弯曲过大角度时,可能会导致夹持臂When bent outward at an excessive angle, it may cause the clamping arm 110110 从可弯曲部from the bendable 11121112 处断裂。基于此,一种实施例中,如图broken. Based on this, in an embodiment, as shown in the figure 33 所示,可弯曲部shown, the bendable part 11121112 具有限位结构With limit structure 11141114 ,限位结构, limit structure 11141114 用于限制可弯曲部Used to limit the bendable part 11121112 向张开方向弯曲的最大角度。即,在最大角度内,可弯曲部The maximum angle to bend in the flared direction. That is, within the maximum angle, the bendable part 11121112 可自由弯折。当其弯曲角度到达最大角度时,限位结构Can be bent freely. When its bending angle reaches the maximum angle, the limit structure 11141114 开始起作用,限制可弯曲部comes into play, restricting the bendable part 11121112 继续向外弯折,起到保护可弯曲部Continue to bend outwards to protect the bendable part 11121112 以及夹持件and clamping parts 100100 的作用。该限位结构role. The limiting structure 11141114 主要通过在夹持件Mainly through the clamping parts 100100 的纵向上限位来实现对最大角度的限制。The upper limit of the longitudinal limit is used to limit the maximum angle.
请参考图Please refer to the picture 33 以及图and figure 16-1916-19 ,一种实施例中,每个限位结构, one embodiment, each limiting structure 11141114 包括若干个沿夹持件Includes several edge clips 100100 的纵向排列的限位单元Vertically aligned spacer units 1114a1114a 。限位单元. limit unit 1114a1114a 包括相对设置的第一限位块Including the first limit block set relative to 11151115 和第二限位块and the second limit block 11161116 。如图. as shown in the picture 1717 middle aa , bb 两个局部放大图所示,该第一限位块As shown in the two partial enlarged figures, the first limit block 11151115 与第二限位块with the second limit block 11161116 之间具有沿纵向设置的间隙with gaps arranged longitudinally between 11171117 ,在可弯曲部, in the bendable part 11121112 向张开方向弯曲过程中,第一限位块In the process of bending to the opening direction, the first limit block 11151115 与第二限位块with the second limit block 11161116 相互靠近并形成扣合结构(见图Close to each other and form a snap-fit structure (see Fig. 1717 middle bb 所示的局部放大图)。即,在初始状态下,该第一限位块Enlarged view shown). That is, in the initial state, the first limit block 11151115 与第二限位块with the second limit block 11161116 之间如图Between as shown 1717 middle aa 所示留有间隙gap shown 11171117 ,当夹持件, when the holder 100100 逐渐向外张开时,第一限位块When gradually opening outwards, the first limit block 11151115 与第二限位块with the second limit block 11161116 之间在纵向上相对运动,该间隙Relative movement between the longitudinal direction, the gap 11171117 逐渐变小,最终当可弯曲部gradually becomes smaller, and finally when the bendable part 11121112 到达最大角度时,此时如图When the maximum angle is reached, as shown in the figure 1717 middle bb 所示,第一限位块As shown, the first limit block 11151115 与第二限位块with the second limit block 11161116 相互贴合,形成限位。fit each other to form a limit.
如图as shown in the picture 16-1916-19 ,一种实施例中,该第一限位块, in one embodiment, the first limit block 11151115 与第二限位块with the second limit block 11161116 为两个相互扣合的限位钩结构。该限位钩结构也可替换为其他具有类似功能的结构。如图It is two interlocking limit hook structures. The limit hook structure can also be replaced by other structures with similar functions. as shown in the picture 33 ,一种实施例中,第一收缩缝, one embodiment, the first contraction joint 11131113 位于可弯曲部in the bendable 11121112 周向的中部,限位结构Circumferential middle, limit structure 11141114 为至少两组,在可弯曲部For at least two groups, in the flexible part 11121112 的周向上,可弯曲部In the circumferential direction, the bendable part 11121112 的两侧分别设有限位结构There are limit structures on both sides 11141114 ,可以进一步保证整个可弯曲部, can further ensure that the entire bendable part 11121112 能够同步弯曲变化和限位。Ability to synchronize bending changes and limits.
请参考图Please refer to the picture 33 以及图and figure 16-1916-19 ,一种实施例中,同一限位单元, one embodiment, the same limiting unit 1114a1114a 中,第一限位块In, the first limit block 11151115 和第二限位块and the second limit block 11161116 由可弯曲部by the bendable part 11121112 上位于第一收缩缝on the first contraction joint 11131113 侧方的侧壁分割而成,第一限位块The side wall of the side is divided, and the first limit block 11151115 和第二限位块and the second limit block 11161116 靠近第一收缩缝close to the first contraction joint 11131113 的一端连为一体,另一端相互分离。当夹持件One end is connected as a whole, and the other end is separated from each other. When the clamp 100100 向外张开时,该第一限位块When opening outwards, the first limit block 11151115 和第二限位块and the second limit block 11161116 也可随着夹持件Also available with clamp 100100 张开。Open up.
如图as shown in the picture 33 以及图and figure 16-1916-19 所示,每组第一收缩缝Shown, the first contraction joint of each group 1113a1113a 可与一个限位单元Compatible with a limit unit 1114a1114a 在周向上对齐,从而保证限位单元Aligned in the circumferential direction, thus ensuring that the limit unit 1114a1114a 的限位作用能够准确的作用到对应第一收缩缝The limit function can accurately act on the corresponding first contraction joint 11131113 上,以阻止在弯曲至最大角度后,第一收缩缝to prevent the first contraction joint after bending to the maximum angle 11131113 继续收缩变形而造成可弯曲部Continue to shrink and deform to form a bendable part 11121112 的断裂。of the break.
该限位单元The limit unit 1114a1114a 的数量可多于第一收缩缝组The number can be more than the first contraction joint group 1113a1113a 的数量,从而在纵向上完全覆盖所有第一收缩缝amount so as to completely cover all first contraction joints in the longitudinal direction 11131113 ,以起到更好的限位作用。当然,限位单元, to play a better limiting role. Of course, the limit unit 1114a1114a 的数量也可少于或等于第一收缩缝组The number can also be less than or equal to the first contraction joint group 1113a1113a 的数量。quantity.
进一步地,请参考图Further, please refer to Fig. 16-1916-19 ,一种实施例中,该第一限位块, in one embodiment, the first limit block 11151115 和第二限位块and the second limit block 11161116 之间具有至少部分区域沿可弯曲部with at least a portion of the region along the bendable portion 11121112 的周向设置的第二收缩缝The circumferential setting of the second contraction joint 11181118 。该第二收缩缝. The second contraction joint 11181118 能够将第一限位块Able to place the first limit block 11151115 和第二限位块and the second limit block 11161116 隔开,从而使两者能相对运动。该第二收缩缝separated so that the two can move relative to each other. The second contraction joint 11181118 与第一限位块with the first limit block 11151115 和第二限位块and the second limit block 11161116 之间的间隙gap between 11171117 连通。connected.
考虑到夹持件Considering the clamp 100100 向张开方向的弯曲运动以及向夹持方向的弯曲运动往往还伴随着绕其周向的扭转运动,因此,请参考图The bending movement to the opening direction and the bending movement to the clamping direction are often accompanied by a twisting movement around its circumference, so please refer to Fig. 16-1916-19 ,一种实施例中,每组第一收缩缝, in one embodiment, each group of first shrinkage joints 1113a1113a 的两端分别对应伸入至两个在纵向上相邻的限位单元The two ends respectively extend into two adjacent limit units in the longitudinal direction 1114a1114a 的第二收缩缝the second contraction joint 11181118 之间,第一收缩缝Between, the first contraction joint 11131113 与第二收缩缝with the second contraction joint 11181118 之间的交叠区域形成扭曲变形段The overlapping region between forms the distorted deformation segment 11191119 ,以使可弯曲部, so that the bendable part 11121112 能够弯曲扭转变形。在设置了该扭曲变形段Capable of bending and torsion deformation. After setting the warp segment 11191119 时,夹持件, the holder 100100 的弯曲变形更加顺滑,同时也避免可弯曲部The bending deformation is smoother, while also avoiding the bendable part 11121112 因受到扭力而断裂。通过调整扭曲变形段Broken due to torsion. By adjusting the warp deformed segment 11191119 的周向长度和纵向高度,可以进一步改变可弯曲部The circumferential length and longitudinal height of the bendable part can be further changed 11121112 的最大张开角度、弯曲柔软度或者支撑性,这可根据实际需求而灵活设定。例如,该扭曲变形段The maximum opening angle, bending softness or support, which can be flexibly set according to actual needs. For example, the distorted segment 11191119 通过其自身的结构,还可以起到限制最大张开角度的作用,该限位作用可与上述限位结构Through its own structure, it can also play the role of limiting the maximum opening angle, which can be combined with the above-mentioned limiting structure 11141114 结合,共同组成可弯曲部combined to form a bendable part 11121112 的最大开合角度。The maximum opening and closing angle.
在图in the figure 1717 and 1919 所示实施例中,该第二收缩缝In the illustrated embodiment, the second contraction joint 11181118 呈直线型设置。在图Set in a straight line. in the figure 1818 所示实施例中,该第二收缩缝In the illustrated embodiment, the second contraction joint 11181118 presented Uu 形设置。shape settings.
进一步地,如上文所述,当夹持件Further, as mentioned above, when the clip 100100 夹持目标物Gripping target 11 后,运动杆rear, sports bar 200200 需与夹持件with clamping parts 100100 一起运动到预定的锁止结构进行锁止。但是,在实际使用中,当夹持件Move together to the predetermined locking structure for locking. However, in actual use, when the clamp 100100 夹持人体组织的硬度或者厚度不同时(如图When the hardness or thickness of the clamped human tissue is different (as shown in the figure 2020 and 21twenty one 所示),会限制夹持件shown), will limit the clip 100100 的闭合角度。因为闭合角度与运动杆closing angle. Because the closed angle and the movement rod 200200 行程关联,此时,造成夹持件Stroke correlation, at this time, causes the gripper 100100 和运动杆and sports bars 200200 无法运动到锁止结构的位置,夹持件Cannot move to the position of the locking structure, clamp 100100 无法保持在夹持状态。Unable to stay in clamped state.
针对该问题,请参考图For this problem, please refer to Fig. 2020 and 21twenty one ,该第二收缩缝, the second contraction joint 11181118 在纵向上具有间隙。限位结构There is a gap in the longitudinal direction. Limiting structure 11141114 的第二收缩缝the second contraction joint 11181118 组成能够向夹持方向变形的自适应浮动结构,以便夹持件Form an adaptive floating structure that can deform towards the clamping direction, so that the clamping part 100100 夹持目标物Gripping target 11 时,可弯曲部, the bendable part 11121112 能够根据目标物according to the target 11 的体积而向闭合方向自适应弯曲变形,向运动杆The volume of the self-adaptive bending deformation towards the closing direction, towards the movement rod 200200 和夹持件and clamping parts 100100 提供一个自适应的行程范围,增加运动杆Provides an adaptive range of travel that increases the movement of the rod 200200 的刚体变形裕度,始终让运动杆Rigid body deformation margin of , always let the motion rod 200200 和夹持件and clamping parts 100100 能够运动到锁止结构的锁止位置,实现准确可靠锁定。It can move to the locking position of the locking structure to realize accurate and reliable locking.
具体地,请参考图Specifically, please refer to Fig. 2020 ,当夹持件, when the holder 100100 夹持较薄的目标物Gripping Thin Targets 11 时,夹持件, the holder 100100 可正常闭合,第二收缩缝Can be closed normally, second contraction seam 11181118 保持正常间隙(如图Keep the normal clearance (as shown in the 2020 middle aa 所示的局部放大图)运动杆Enlarged part shown) Sports Rod 200200 和夹持件and clamping parts 100100 可如上述锁止行程所示,准确的运动到锁止结构的位置,将夹持件As shown in the locking stroke above, it can be accurately moved to the position of the locking structure, and the clamping part 100100 锁止在夹持状态。请参考图Locked in clamped state. Please refer to the picture 21twenty one ,当夹持件, when the holder 100100 夹持较厚的目标物Holds thicker objects 11 时,夹持件, the holder 100100 之间无法闭合到如图cannot be closed as shown in the figure 2020 所示的程度,此时,继续拉动运动杆degree shown, at this point, continue to pull the movement lever 200200 ,该第二收缩缝, the second contraction joint 11181118 能够向夹持件able to clamp 100100 的闭合方向变形(如图The deformation of the closing direction (as shown in the figure 21twenty one middle aa 所示的局部放大图)。例如,一种实施例中,每个第二收缩缝Enlarged view shown). For example, in one embodiment, each second contraction joint 11181118 能够在纵向上提供can be provided vertically 0.02-0.05MM0.02-0.05MM 的压缩,在图示数量的第二收缩缝of compression, the second contraction joint at the illustrated quantity 11181118 下,多个第二收缩缝Next, multiple second contraction joints 11181118 累加后可提供近After accumulation, it can provide nearly 0.1-0.2mm0.1-0.2mm 的变形量,从而使可弯曲部The amount of deformation, so that the bendable part 11121112 如图as shown in the picture 21twenty one 所示向内发生弯曲变形(图Bending deformation occurs inward as shown (Fig. 21twenty one 中可弯曲部Middle bendable part 11121112 两侧微微向外凸起变形),从而补偿夹持件Slightly convex deformation on both sides) to compensate for clamping 100100 上损失的行程,使夹持件upper loss of travel, so that the gripper 100100 最后能够被锁止到锁止结构上。Finally, it can be locked to the locking structure.
上述实施例展示了一种可弯曲部The above-mentioned embodiment shows a kind of bendable part 11121112 通过开设收缩缝而实现弯曲变形的结构,本实施例可弯曲部The structure that realizes bending deformation by opening shrinkage joints, the bendable part of this embodiment 11121112 的变形结构并不限于此,其还可通过其他方式实现。例如,请参考图The deformed structure is not limited thereto, and it can also be realized in other ways. For example, please refer to Fig. 22twenty two ,一种实施例中,在夹持件, in one embodiment, the clamp 100100 中,该可弯曲部, the bendable part 11121112 可采用更易弯曲变形的材料制成,例如比夹持头Can be made of more flexible materials, e.g. than clamping heads 11111111 和连接部and connecting part 120120 (后文中作详细介绍)更易弯曲变形的材料,如弯曲性能较好的金属材质或塑料材质等,从而使得运动杆(details will be described later) materials that are easier to bend and deform, such as metal or plastic materials with better bending properties, so that the sports bar 200200 带动夹持件drive clamp 100100 运动时,该可弯曲部During movement, the bendable part 11121112 能够优先弯曲变形。当然,该可弯曲部Able to preferentially bend deformation. Of course, the bendable 11121112 也可采用其他具有较好弯曲变形性能的结构,例如金属编织结构等。Other structures with better bending deformation properties, such as metal braided structures, can also be used.
请参考图Please refer to the picture 23twenty three ,一种实施例中,在夹持件, in one embodiment, the clamp 100100 中,还可将可弯曲部In, the bendable part can also be 11121112 的厚度设置为较其他部分更薄,例如较夹持头The thickness is set to be thinner than other parts, such as the clamping head 11111111 和连接部and connecting part 120120 更薄,从而使得运动杆thinner, thus making the sports bar 200200 带动夹持件drive clamp 100100 运动时,该可弯曲部During movement, the bendable part 11121112 能够优先弯曲变形。Able to preferentially bend deformation.
进一步地,为了使夹持件Further, in order to make the clamp 100100 之间在闭合时减少相互干涉,一种实施例中,夹持件reduce mutual interference when closed, in one embodiment, the clip 100100 之间的相对端设有避让结构Avoidance structure is provided at the opposite end between 11101110 ,以便在夹持件, so that in the holder 100100 闭合时相互避让。请参考图Avoid each other when closing. Please refer to the picture 1818 ,该实施例中,夹持件, in this example, the clamp 100100 的相对端向内回缩形成避让结构The opposite end of the retracts inward to form an avoidance structure 11101110 ,两个相对的夹持件, two opposing clamps 100100 之间通过该回缩区域形成一个避让槽。该避让槽的宽度沿夹持件An escape groove is formed between the retracted areas. The width of the avoidance groove is along the clamping piece 100100 的纵向逐渐变大,其中,避让槽靠近夹持头The longitudinal direction of the gradually becomes larger, wherein the avoidance groove is close to the clamping head 11111111 的一端宽于另一端。当然,该避让结构One end is wider than the other. Of course, the avoidance structure 11101110 还可为其他能够起到避让功能的结构,并不限于图示结构。It can also be other structures capable of avoiding the function, and is not limited to the structure shown in the figure.
进一步地,在运动杆Further, in the sports bar 200200 可通过各种形式的结构与夹持件Available in various forms of structures and clamps 100100 连接,只要能够带动夹持件connection, as long as it is possible to drive the clamp 100100 向张开方向以及夹持方向运动即可。该运动杆Just move in the direction of opening and clamping. the exercise bar 200200 可以与夹持件can be used with clamping parts 100100 直接连接,也可通过夹持件连接结构Direct connection, also possible to connect structures via clips 600600 与夹持件with clamp 100100 连接。connect.
请参考图Please refer to the picture 77 and 24twenty four ,一种实施例中,该夹持件连接结构, in one embodiment, the clamp connection structure 600600 包括两个连杆Includes two connecting rods 610610 ,该两个连杆, the two connecting rods 610610 的一端被一同连接在运动杆one end of which is connected together to the movement rod 200200 的远端,同时可绕轴The distal end of the shaft can be rotated at the same time 620620 进行旋转,另一端分别与夹持头Rotate, and the other end is respectively connected with the clamping head 11111111 上的横轴连接,也可以绕该横轴旋转。连杆It can also be rotated around the horizontal axis on the connection. link 610610 组件类似Components are similar YY 字型,目的是将运动杆font, the purpose is to move the rod 200200 上下运动的推力和拉力有效的传递至夹持头The thrust and pull force of the up and down movement is effectively transmitted to the clamping head 11111111 上,实现夹持头on, to achieve the clamping head 11111111 的开合控制。opening and closing control.
请参考图Please refer to the picture 24twenty four ,在运动杆, in the exercise bar 200200 于第一行程中运动时,随着运动杆When moving in the first stroke, with the movement rod 200200 向背离控制手柄Departure Control Handle 400400 一端的运动,夹持件movement at one end, gripper 100100 能够向张开方向打开。其中,该连杆Can be opened in the open direction. Among them, the connecting rod 610610 与运动杆with exercise bars 200200 的转动中心center of rotation AA 能够越过连杆able to go over the connecting rod 610610 与夹持头with clamping head 11111111 之间两个转动中心的连线The line connecting the two centers of rotation BB ,从而形成自锁,使夹持件, so as to form a self-locking, so that the clamp 100100 保持在张开状态下,不能受外力使其轻易闭合,只能通过控制手柄Keep it in an open state, and it cannot be easily closed by external force, only by controlling the handle 400400 控制夹持头Control Gripper 11111111 收回。take back.
当然,该夹持件连接结构Of course, the clip connection structure 600600 还可采用其他结构进行连接,例如采用现有技术所公开的各种夹持臂Other structures can also be used for connection, such as various clamping arms disclosed in the prior art 110110 与拉杆的连接方式。Connection method with tie rod.
进一步地,请参考图Further, please refer to Fig. 33 , 44 and 55 ,一种实施例中,该夹持件, one embodiment, the clamp 100100 包括连接部Including connection part 120120 。连接部. Connection 120120 、可弯曲部, bendable part 11121112 以及夹持头and clamping head 11111111 依次连为一体。分离基座sequentially connected as one. separate base 500500 可拆卸的连接于连接部Detachable connection to the connection part 120120 上。superior.
请参考图Please refer to the picture 3-153-15 ,该连接部, the junction 120120 具有上述的锁止结构With the above locking structure 121121 ,锁止结构, locking structure 121121 用于将夹持件for clamping 100100 锁止在夹持状态。当然,在其他实施例中,该夹持件Locked in clamped state. Of course, in other embodiments, the clip 100100 也可不包括连接部may not include connection 120120 ,该锁止结构, the locking structure 121121 可直接设置在可弯曲部Can be installed directly on the bendable part 11121112 或其他结构上。or other structures.
一种实施例中,该运动杆In one embodiment, the exercise bar 200200 或夹持件连接结构Or clip connection structure 600600 具有锁止配合部With locking fit 631631 ,在运动杆, in the exercise bar 200200 沿第三行程运动时,锁止结构When moving along the third stroke, the locking structure 121121 位于锁止配合部in locking fit 631631 的移动路径上;当锁止配合部on the path of movement; when the locking fit 631631 运动至锁止结构Movement to Locking Structure 121121 处时,两者形成锁止配合,将夹持件At the same time, the two form a locking fit, and the clamping part 100100 保持在夹持状态。remain clamped.
请参考图Please refer to the picture 6-156-15 ,一种实施例中,该夹持件, one embodiment, the clamp 100100 形成筒状结构。运动杆form a cylindrical structure. sports bar 200200 的一端伸入至筒状结构内,并与夹持件One end extends into the cylindrical structure and is connected with the clamping piece 100100 连接。锁止配合部connect. Lock fit 631631 包括朝向夹持件including facing clips 100100 凸起设置的弹性体,例如弹性体为弹片,该弹片沿其凸起方向向夹持件The elastic body provided by the protrusion, for example, the elastic body is a shrapnel, and the shrapnel moves towards the clamping part along its protrusion direction. 100100 的远端一侧倾斜。锁止结构The distal side is tilted. Locking structure 121121 包括能够与弹性体配合的卡槽。弹性体位于夹持件Includes snap slots to engage elastomers. The elastomer is located in the clip 100100 内,并处于挤压变形状态,弹性体能够在弹力作用下与卡槽卡接。and in a state of extrusion deformation, the elastic body can engage with the slot under the action of elastic force.
具体地,请参考图Specifically, please refer to Fig. 1515 ,一种实施例中,该锁止配合部, in one embodiment, the locking fit 631631 设置一个筒状体set up a cylinder 630630 上,该筒状体on, the cylinder 630630 为夹持件连接结构Connecting structures for clips 600600 的一部分,其可以通过轴part of which can pass through the axis 620620 与连杆with connecting rod 610610 形成联动结构。该运动杆Form a linkage structure. the exercise bar 200200 从该筒状体from the cylinder 630630 内穿过,并与轴inside through, and with the shaft 620620 连接。该筒状体connect. the cylinder 630630 能够跟随运动杆Able to follow the movement bar 200200 向控制手柄to the control handle 400400 一侧移动,直至被锁止结构锁止。One side moves until it is locked by the locking structure.
在其他实施例中,也可采用其他可能实现锁止功能的结构,例如可采用现有技术中所公开的夹持臂In other embodiments, other structures that may realize the locking function can also be used, for example, the clamping arm disclosed in the prior art can be used 110110 或拉杆与套筒的锁止方式。Or the locking method of the pull rod and the sleeve.
为了更稳定的锁住夹持件In order to lock the clamp more stably 100100 ,请参考图, please refer to Fig. 1515 ,一种实施例中,该锁止结构, one embodiment, the locking structure 121121 和锁止配合部and locking fit 631631 均为两个以上(图中为两个)。为了受力均匀,一种实施例中,锁止结构Both are more than two (two in the figure). In order to be evenly stressed, in one embodiment, the locking structure 121121 绕夹持件Around the clamp 100100 的周向均匀分布(即相邻锁止结构Evenly distributed in the circumferential direction (that is, adjacent locking structures 121121 之间间隔相同的角度),锁止配合部spaced at the same angle), the locking fit 631631 与夹持件with clamp 100100 位置相对,例如也可以绕运动杆Relatively positioned, e.g. also around a movement bar 200200 的周向均匀的分布。uniform distribution around the circumference.
进一步地,请参考图Further, please refer to Fig. 77 , 1313 and 1515 ,一种实施例中,为了安装分离基座, one embodiment, in order to install the separation base 500500 ,该连接部, the junction 120120 上设有卡接部card joint 122122 ,分离基座, separate base 500500 具有支脚with feet 510510 。支脚. feet 510510 与卡接部with snap joint 122122 卡合连接。运动杆Snap connection. sports bar 200200 具有推顶部with push top 283283 ,在运动杆, in the exercise bar 200200 沿第三行程运动时,分离基座When moving along the third stroke, the base is separated 500500 设于推顶部set on push top 283283 的移动路径上,推顶部on the moving path, push the top 283283 能够推动分离基座Ability to push to separate base 500500 向控制手柄to the control handle 400400 一侧运动,以分离连接部One side movement to separate joints 120120 和分离基座and separate base 500500 。请参考图. Please refer to the picture 1313 and 1515 ,例如分离基座, such as separating the base 500500 具有位于推顶部has a push top 283283 移动路径上的凸起部Lumps on the path of travel 530530 ,该凸起部, the raised portion 530530 可以为筒状的分离基座Separation base that can be cylindrical 500500 的底部,该底部开有可供运动杆the bottom of the 200200 穿过的通孔。分离基座through holes. separate base 500500 为了与连接部To connect with 120120 卡接,其支脚snap-in, its feet 510510 上可设置有弯折的卡扣,该卡接部A bent buckle can be arranged on the top, and the buckle 122122 可以为与卡扣配合的卡槽,该卡扣伸入卡槽内扣合连接。这种连接在推顶部It may be a card slot matched with a buckle, and the buckle extends into the card slot for fastening connection. This connection is at the top of the push 283283 的推顶下,该卡扣可发生形变,从而从卡接部Under the push of the top, the buckle can be deformed, so that the 122122 上脱离。up and out.
进一步地,请参考图Further, please refer to Fig. 7-157-15 ,一种实施例中,该运动杆, an embodiment in which the motion bar 200200 通过分体式组合的结构来实现内脱离。具体地,该运动杆Internal detachment is realized through the structure of split combination. Specifically, the exercise rod 200200 具有卡接槽With snap slot 281281 ,该卡接槽, the card slot 281281 具有小于其槽腔的开口has an opening smaller than its cavity 282282 ,该运动杆, the exercise bar 200200 通过该卡接槽Through the slot 281281 与夹持件连接结构Connection structure with clamp 600600 卡接,具体可以连接在连杆Card connection, specifically can be connected to the connecting rod 610610 的安装轴the installation shaft 620620 上。在运动杆superior. in exercise bars 200200 沿第一行程和第二行程运动时,受限于该开口Restricted by this opening when moving along the first and second strokes 282282 的阻挡作用,该夹持件连接结构The blocking effect, the clip connection structure 600600 以及夹持件and clamping parts 100100 可随着运动杆with exercise bar 200200 一起运动,以实现夹持件move together to achieve clamping 100100 的张开和夹持。如图opening and clamping. as shown in the picture 2525 所示,当运动杆shown, when the movement bar 200200 位于内脱离行程后,该夹持件After being located within the disengagement stroke, the clamp 100100 和夹持件连接结构and clamp connection structure 600600 被阻挡,无法继续向控制手柄is blocked and cannot continue to the control handle 400400 一侧运动,此时,在外力作用下,该夹持件连接结构One side moves, at this time, under the action of external force, the clamping piece connects the structure 600600 从卡接槽From the card slot 281281 的开口opening 282282 中脱离,运动杆middle disengagement, exercise bar 200200 自此与夹持件连接结构Since then the structure is connected with the clamp 600600 脱离,实现内脱离。Break away, achieve inner breakaway.
上述仅是示例性举出一种内脱离结构,在其他实施例中,运动杆The above is only an example of an internal detachment structure. In other embodiments, the movement rod 200200 还可以为一体成型的结构。例如,一种实施例中,运动杆It can also be an integrally formed structure. For example, in one embodiment, the motion bar 200200 具有保留段和分离段,保留段和分离段之间通过第二撕裂部连为一体。保留段与夹持体连接,锁止配合部位于保留段上。在运动杆The retaining section and the separating section are provided, and the retaining section and the separating section are connected as a whole through the second tearing part. The retaining section is connected with the holding body, and the locking matching part is located on the retaining section. in exercise bars 200200 沿第三行程运动时,第二撕裂部断裂,保留段和分离段分离。此外,运动杆When moving along the third stroke, the second tearing part breaks, and the retaining segment and the separating segment are separated. In addition, sports bars 200200 和夹持件and clamping parts 100100 还可采用其他内脱离结构实现分离,例如Other internal detachment structures can also be used to achieve separation, such as 采用现有技术中拉杆与夹持臂Using the pull rod and clamping arm in the prior art 110110 的内脱离结构等。internal detachment structure, etc.
进一步地,请参考图Further, please refer to Fig. 11 and 77 ,在传动组件, in the transmission assembly 300300 方面,该套管组件aspect, the bushing assembly 310310 通常可包括弹簧支撑套Usually includes a spring support sleeve 311311 ,传动件,Transmission Parts 320320 (例如是牵引控制线)传设在弹簧支撑套(e.g. traction control line) passed on the spring support sleeve 311311 中。该运动杆middle. the exercise bar 200200 可通过变径转接陶Can be converted to pottery through variable diameter 321321 或其他结构与传动件Or other structures and transmission parts 320320 固定连接。弹簧支撑套Fixed connection. spring support sleeve 311311 外套设固定有连接管The outer casing is fixed with a connecting pipe 312312 ,连接管,Connecting pipe 312312 上设有固定座fixed seat 313313 。该连接管. The connecting pipe 312312 与分离基座with separate base 500500 和夹持件and clamping parts 100100 转动连接,使整个夹持件Rotate the connection so that the entire clamp 100100 可随分离基座Detachable base 500500 一起相对传动组件Relative transmission components together 300300 转动。turn.
以上应用了具体个例对本发明进行阐述,只是用于帮助理解本发明,并不用以限制本发明。对于本发明所属技术领域的技术人员,依据本发明的思想,还可以做出若干简单推演、变形或替换 The above uses specific examples to illustrate the present invention, which is only used to help understand the present invention, and is not intended to limit the present invention. For those skilled in the technical field to which the present invention belongs, some simple deduction, deformation or replacement can also be made according to the idea of the present invention .

Claims (20)

  1. 一种插入式组织夹闭装置, 其特征在于,包括:A plug-in tissue clipping device, characterized in that it includes:
    夹持件,所述夹持件包括至少两个夹持臂,所述夹持臂之间为分体结构,且相互连接,每个所述夹持臂包括夹持头和可弯曲部;同一个所述夹持臂中所述夹持头和可弯曲部之间为分体结构,且相互连接,或所述夹持头和可弯曲部为一体成型结构;所述夹持臂用于夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构;A clamping piece, the clamping piece includes at least two clamping arms, the clamping arms are split structures and connected to each other, each of the clamping arms includes a clamping head and a bendable part; In one of the clamping arms, the clamping head and the bendable part are split structures and are connected to each other, or the clamping head and the bendable part are integrally formed; the clamping arm is used for clamping Hold the target; the bendable portion has a deformable structure capable of bending toward the closing direction of the clamping member and/or bending toward the opening direction of the clamping member;
    分离基座,所述分离基座与所述夹持件连接;a separation base, the separation base is connected to the clamping piece;
    运动杆,所述运动杆与所述夹持件连接,以驱动所述夹持件张开和闭合;a movement rod connected to the clamping part to drive the clamping part to open and close;
    传动组件,所述传动组件包括套管组件和穿设在所述套管组件内的传动件,所述传动件与所述运动杆连接,所述分离基座可转动的连接在所述套管组件上,以便所述夹持件能够整体相对所述套管组件转动;A transmission assembly, the transmission assembly includes a sleeve assembly and a transmission member passing through the sleeve assembly, the transmission member is connected to the movement rod, and the separation base is rotatably connected to the sleeve assembly, so that the clamping member can rotate relative to the sleeve assembly as a whole;
    以及控制手柄,所述套管组件与所述控制手柄连接,所述控制手柄与所述传动件形成联动结构,以控制所述运动杆以及所述夹持件的动作;and a control handle, the sleeve assembly is connected to the control handle, and the control handle forms a linkage structure with the transmission member to control the movement of the movement rod and the clamping member;
    所述运动杆具有第一行程、第二行程和第三行程;在所述第一行程中,所述运动杆带动所述夹持头相互远离,以打开所述夹持头;在所述第二行程中,所述运动杆带动所述夹持头相互靠近,所述夹持件运动至夹持状态,以夹持目标物;在所述第三行程中,所述夹持件保持夹持状态,并从所述运动杆上分离,所述分离基座与所述夹持件分离。The moving rod has a first stroke, a second stroke and a third stroke; in the first stroke, the moving rod drives the clamping heads away from each other to open the clamping heads; In the second stroke, the moving rod drives the clamping heads close to each other, and the clamping part moves to the clamping state to clamp the target; in the third stroke, the clamping part keeps clamping state, and is separated from the movement bar, and the separation base is separated from the clamping member.
  2. 一种插入式组织夹闭装置, 其特征在于,包括:A plug-in tissue clipping device, characterized in that it includes:
    夹持件,所述夹持件包括至少两个夹持臂,每个所述夹持臂包括夹持头和可弯曲部,每个所述夹持臂中所述夹持头与可弯曲部为分体结构,两者相互连接,不同夹持臂的可弯曲部之间为一体成型结构,所述夹持臂之间用于夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构; A clamping piece, the clamping piece includes at least two clamping arms, each of the clamping arms includes a clamping head and a bendable part, and the clamping head and the bendable part in each of the clamping arms It is a split structure, the two are connected to each other, and the bendable parts of different clamping arms are integrally formed, and the clamping arms are used to clamp the target; the bendable part has a A deformed structure that bends in the closing direction of the holding member and/or bends in the opening direction of the holding member;
    分离基座,所述分离基座与所述夹持件连接;a separation base, the separation base is connected to the clamping piece;
    运动杆,所述运动杆与所述夹持件连接,以驱动所述夹持件张开和闭合;a movement rod connected to the clamping part to drive the clamping part to open and close;
    传动组件,所述传动组件包括套管组件和穿设在所述套管组件内的传动件,所述传动件与所述运动杆连接,所述分离基座可转动的连接在所述套管组件上,以便所述夹持件能够整体相对所述套管组件转动;A transmission assembly, the transmission assembly includes a sleeve assembly and a transmission member passing through the sleeve assembly, the transmission member is connected to the movement rod, and the separation base is rotatably connected to the sleeve assembly, so that the clamping member can rotate relative to the sleeve assembly as a whole;
    以及控制手柄,所述套管组件与所述控制手柄连接,所述控制手柄与所述传动件形成联动结构,以控制所述运动杆以及所述夹持件的动作;and a control handle, the sleeve assembly is connected to the control handle, and the control handle forms a linkage structure with the transmission member to control the movement of the movement rod and the clamping member;
    所述运动杆具有第一行程、第二行程和第三行程;在所述第一行程中,所述运动杆带动所述夹持头相互远离,以打开所述夹持头;在所述第二行程中,所述运动杆带动所述夹持头相互靠近,所述夹持件运动至夹持状态,以夹持目标物;在所述第三行程中,所述夹持件保持夹持状态,并从所述运动杆上分离,所述分离基座与所述夹持件分离。The moving rod has a first stroke, a second stroke and a third stroke; in the first stroke, the moving rod drives the clamping heads away from each other to open the clamping heads; In the second stroke, the moving rod drives the clamping heads close to each other, and the clamping part moves to the clamping state to clamp the target; in the third stroke, the clamping part keeps clamping state, and is separated from the movement bar, and the separation base is separated from the clamping member.
  3. 如权利要求1或2所述的插入式组织夹闭装置,其特征在于,所述变形结构包括若干条第一收缩缝,所述第一收缩缝沿所述夹持件的纵向依次排列。The insertable tissue clipping device according to claim 1 or 2, wherein the deformation structure includes several first contraction seams, and the first contraction seams are arranged in sequence along the longitudinal direction of the clamping member.
  4. 如权利要求3所述的插入式组织夹闭装置,其特征在于,所述第一收缩缝分为若个组,每组所述第一收缩缝具有至少一条第一收缩缝;所述可弯曲部具有多个沿其周向延伸设置的第二收缩缝,所述第二收缩缝之间沿所述纵向排布;每组所述第一收缩缝的两端分别对应伸入至两个在纵向上相邻的所述第二收缩缝之间,所述第一收缩缝与所述第二收缩缝之间的交叠区域形成扭曲变形段,以使所述可弯曲部能够弯曲扭转变形。The insertable tissue clamping device according to claim 3, wherein the first contraction seam is divided into several groups, and each group of the first contraction seam has at least one first contraction seam; the bendable The part has a plurality of second shrinkage seams extending along its circumferential direction, and the second shrinkage seams are arranged along the longitudinal direction; the two ends of each group of the first shrinkage seams extend into two corresponding Between the second shrinkage seams adjacent in the longitudinal direction, the overlapping area between the first shrinkage seam and the second shrinkage seam forms a distorted section, so that the bendable portion can be bent and twisted.
  5. 如权利要求4所述的插入式组织夹闭装置,其特征在于,所述第一收缩缝绕所述可弯曲部的周向延伸。The insertable tissue clamping device according to claim 4, wherein the first contraction seam extends around the circumference of the bendable portion.
  6. 如权利要求4或5所述的插入式组织夹闭装置,其特征在于,所述可弯曲部具有限位结构,在所述可弯曲部的周向上,所述可弯曲部的至少一侧设有所述限位结构,以用于限制所述可弯曲部向所述张开方向弯曲的最大角度。The insertable tissue clamping device according to claim 4 or 5, wherein the bendable portion has a position-limiting structure, and at least one side of the bendable portion is provided with a The limiting structure is provided to limit the maximum angle at which the bendable portion bends toward the opening direction.
  7. 如权利要求6所述的插入式组织夹闭装置,其特征在于,每个所述限位结构包括若干个沿所述夹持件的纵向排列的限位单元,所述限位单元包括相对设置的第一限位块和第二限位块,所述第一限位块与第二限位块之间具有沿所述纵向设置的间隙,在所述可弯曲部向所述张开方向弯曲过程中,所述第一限位块与第二限位块相互靠近并形成扣合结构。The insertion-type tissue clipping device according to claim 6, wherein each of the limiting structures includes several limiting units arranged longitudinally along the clamping member, and the limiting units are arranged oppositely. The first limit block and the second limit block, there is a gap arranged along the longitudinal direction between the first limit block and the second limit block, and the bendable part is bent toward the opening direction During the process, the first limiting block and the second limiting block approach each other and form a buckling structure.
  8. 如权利要求7所述的插入式组织夹闭装置,其特征在于,同一所述限位单元中,所述第一限位块和第二限位块由所述可弯曲部上位于所述第一收缩缝侧方的侧壁分割而成,所述第一限位块和第二限位块靠近所述第一收缩缝的一端连为一体,另一端相互分离。The insertable tissue clipping device according to claim 7, wherein, in the same limiting unit, the first limiting block and the second limiting block are positioned on the first limiting block by the bendable portion. A side wall on the side of the contraction joint is formed by dividing, and one end of the first limit block and the second limit block close to the first contraction joint are connected as a whole, and the other ends are separated from each other.
  9. 如权利要求8所述的插入式组织夹闭装置,其特征在于,所述夹持件的初始状态为夹持状态;所述第二收缩缝在所述纵向上具有间隙,所述限位结构的第二收缩缝组成能够向所述夹持方向变形的自适应浮动结构,以便所述夹持件夹持所述目标物时,所述可弯曲部能够根据所述目标物的体积而向所述闭合方向自适应弯曲变形。The insertable tissue clamping device according to claim 8, wherein the initial state of the clamping member is a clamping state; the second shrinkage seam has a gap in the longitudinal direction, and the limiting structure The second contraction joint of the second contraction joint constitutes an adaptive floating structure capable of deforming toward the clamping direction, so that when the clamping member clamps the target, the bendable portion can move toward the target according to the volume of the target. Adaptive bending deformation in the closing direction.
  10. 如权利要求1-9任一项所述的插入式组织夹闭装置,其特征在于,所述夹持件之间的相对端设有避让结构,以便在所述夹持件闭合时相互避让。The insertion type tissue clamping device according to any one of claims 1-9, wherein the opposite ends between the clamping parts are provided with avoidance structures, so as to avoid each other when the clamping parts are closed.
  11. 如权利要求1-10任一项所述的插入式组织夹闭装置,其特征在于,所述夹持件包括连接部,所述连接部与可弯曲部为一体成型结构或相互连接;所述夹持件通过所述连接部与分离基座可拆卸连接,或所述连接部与分离基座为一体成型结构;所述连接部具有锁止结构,所述运动杆、夹持件或夹持件连接结构上设有锁止配合部,在所述运动杆沿所述第三行程运动时,所述锁止结构位于所述锁止配合部的移动路径上;当所述锁止配合部运动至所述锁止结构处时,两者形成锁止配合,将所述夹持件保持在夹持状态。The insertion-type tissue clipping device according to any one of claims 1-10, wherein the clamping member includes a connection part, and the connection part and the bendable part are integrally formed or connected to each other; The clamping part is detachably connected to the separation base through the connection part, or the connection part and the separation base are integrally formed; the connection part has a locking structure, and the movement rod, clamping part or clamping A locking fitting part is provided on the connection structure of the parts, and when the moving rod moves along the third stroke, the locking structure is located on the moving path of the locking fitting part; when the locking fitting part moves When reaching the locking structure, the two form a locking fit to keep the clamping member in a clamping state.
  12. 如权利要求11所述的插入式组织夹闭装置,其特征在于,所述夹持件形成筒状结构,所述运动杆的一端伸入至所述筒状结构内,并与所述夹持件连接;所述锁止配合部包括朝向所述夹持件凸起设置的弹性体,所述弹性体沿其凸起方向向所述夹持件的远端一侧倾斜,所述锁止结构包括能够与所述弹性体配合的卡槽,所述弹性体位于所述夹持件内,并处于挤压变形状态,所述弹性体能够在弹力作用下与所述卡槽卡接。The insertion type tissue clamping device according to claim 11, wherein the clamping member forms a cylindrical structure, and one end of the moving rod extends into the cylindrical structure, and is connected with the clamping The locking fitting part includes an elastic body protruding toward the clamping part, and the elastic body is inclined to the distal side of the clamping part along its protruding direction, and the locking structure It includes a slot that can cooperate with the elastic body. The elastic body is located in the clamping member and is in a state of extrusion deformation. The elastic body can be engaged with the slot under the action of elastic force.
  13. 一种插入式组织夹闭装置的夹持件, 其特征在于,所述夹持件包括至少两个夹持臂,所述夹持臂之间为分体结构,且相互连接,每个所述夹持臂包括夹持头和可弯曲部,同一个所述夹持臂中所述夹持头和可弯曲部之间为分体结构,且相互连接,或所述夹持头和可弯曲部为一体成型结构;所述夹持臂之间呈夹爪式结构设置,以夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构。A clamping part of a plug-in tissue clamping device, characterized in that the clamping part comprises at least two clamping arms, the clamping arms are split structures and connected to each other, each of the clamping arms The clamping arm includes a clamping head and a bendable part, and the same clamping arm has a split structure between the clamping head and the bendable part, and is connected to each other, or the clamping head and the bendable part Integral molding structure; the clamping arms are arranged in a jaw-type structure to clamp the target; the bendable part has the ability to bend toward the closing direction of the clamping member and/or to the clamping A deformed structure that bends in the unfolding direction of the piece.
  14. 一种插入式组织夹闭装置的夹持件, 其特征在于,所述夹持件包括至少两个夹持臂,每个所述夹持臂包括夹持头和可弯曲部,每个所述夹持臂中所述夹持头与可弯曲部为分体结构,两者相互连接,不同夹持臂的所述可弯曲部为一体成型结构,所述夹持臂之间呈夹爪式结构设置,以夹持目标物;所述可弯曲部具有能够向所述夹持件的闭合方向弯曲和/或向所述夹持件的张开方向弯曲的变形结构。A clamping part of a plug-in tissue clamping device, characterized in that the clamping part comprises at least two clamping arms, each of which comprises a clamping head and a bendable part, and each of the clamping arms The clamping head and the bendable part in the clamping arm are separate structures, and the two are connected to each other. The bendable parts of different clamping arms are integrally formed, and the clamping arms are in a clamping claw structure. Set to clamp the target object; the bendable portion has a deformable structure capable of bending toward the closing direction of the clamping part and/or bending toward the opening direction of the clamping part.
  15. 如权利要求13或14所述的夹持件,其特征在于,所述变形结构包括若干条第一收缩缝,所述第一收缩缝沿所述夹持件的纵向依次排列。The clip according to claim 13 or 14, wherein the deformation structure includes several first contraction seams arranged in sequence along the longitudinal direction of the clip.
  16. 如权利要求15所述的夹持件,其特征在于,所述可弯曲部具有多个沿其周向延伸设置的第二收缩缝,所述第二收缩缝之间沿所述纵向排布;每组所述第一收缩缝的两端分别对应伸入至两个在纵向上相邻的所述第二收缩缝之间,所述第一收缩缝与所述第二收缩缝之间的交叠区域形成扭曲变形段,以使所述可弯曲部能够弯曲扭转变形。The clip according to claim 15, wherein the bendable portion has a plurality of second shrinkage seams extending along its circumference, and the second shrinkage seams are arranged along the longitudinal direction; The two ends of each group of the first contraction joints respectively extend into between two longitudinally adjacent second contraction joints, and the intersection between the first contraction joints and the second contraction joints The overlapping region forms a torsion section, so that the bendable portion can be bent torsionally deformed.
  17. 如权利要求16所述的夹持件,其特征在于,所述第一收缩缝绕所述可弯曲部的周向延伸;所述可弯曲部具有限位结构,所述限位结构为至少两组,在所述可弯曲部的周向上,所述可弯曲部的至少一侧设有所述限位结构,以限制所述可弯曲部向所述夹持件的张开方向弯曲的最大角度。The clip according to claim 16, wherein the first shrinkage seam extends around the circumference of the bendable part; the bendable part has a limiting structure, and the limiting structure is at least two In the circumferential direction of the bendable part, at least one side of the bendable part is provided with the limiting structure, so as to limit the maximum angle of bending of the bendable part to the opening direction of the clamping member .
  18. 如权利要求17所述的夹持件,其特征在于,每个所述限位结构包括若干个沿所述夹持件的纵向排列的限位单元,所述限位单元包括相对设置的第一限位块和第二限位块,所述第一限位块与第二限位块之间具有沿所述纵向设置的间隙,所述第二收缩缝与所述间隙连通;在所述可弯曲部向所述张开方向弯曲过程中,所述第一限位块与第二限位块相互靠近并形成扣合结构。The clip according to claim 17, wherein each of the limiting structures includes several limiting units arranged in the longitudinal direction of the clamping member, and the limiting units include oppositely arranged first A limit block and a second limit block, there is a gap arranged along the longitudinal direction between the first limit block and the second limit block, and the second contraction joint communicates with the gap; During the bending process of the bending portion toward the opening direction, the first limiting block and the second limiting block approach each other and form a snap-fit structure.
  19. 如权利要求18所述的夹持件,其特征在于,同一所述限位单元中,所述第一限位块和第二限位块由所述可弯曲部上位于所述第一收缩缝侧方的侧壁通过所述第二收缩缝分割而成,所述第一限位块和第二限位块靠近所述第一收缩缝的一端连为一体,另一端相互分离。The clip according to claim 18, characterized in that, in the same limiting unit, the first limiting block and the second limiting block are located on the first contraction joint on the bendable part The side wall is divided by the second contraction joint, and the end of the first limit block and the second limit block close to the first contraction joint are connected as a whole, and the other ends are separated from each other.
  20. 如权利要求19所述的夹持件,其特征在于,所述夹持件的初始状态为夹持状态;所述第二收缩缝在所述纵向上具有间隙,所述限位结构的第二收缩缝组成能够向所述夹持方向变形的自适应浮动结构,以便所述夹持件夹持所述目标物时,所述可弯曲部能够根据所述目标物的体积而向所述闭合方向自适应弯曲变形。The clamping piece according to claim 19, wherein the initial state of the clamping piece is a clamping state; the second contraction joint has a gap in the longitudinal direction, and the second of the limiting structure The contraction joint constitutes an adaptive floating structure capable of deforming toward the clamping direction, so that when the clamping member clamps the target, the bendable portion can move toward the closing direction according to the volume of the target. Adaptive bending deformation.
PCT/CN2022/082113 2022-03-21 2022-03-21 Insertable tissue clamping apparatus and gripping piece thereof WO2022257540A1 (en)

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CN202280005418.4A CN115916073A (en) 2022-03-21 2022-03-21 Plug-in tissue clamping device and clamping piece thereof

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4983176A (en) * 1989-03-06 1991-01-08 University Of New Mexico Deformable plastic surgical clip
US20030212435A1 (en) * 2002-03-26 2003-11-13 Adam Gold Handleless clamping device
CN103989500A (en) * 2014-05-23 2014-08-20 南京微创医学科技有限公司 Hemostatic clip
CN106419992A (en) * 2016-10-28 2017-02-22 上海威尔逊光电仪器有限公司 Clamping device and operating method thereof
CN215306369U (en) * 2021-06-09 2021-12-28 刘冰熔 Anchoring needle type suture clip device for suture under digestive endoscopy

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4983176A (en) * 1989-03-06 1991-01-08 University Of New Mexico Deformable plastic surgical clip
US20030212435A1 (en) * 2002-03-26 2003-11-13 Adam Gold Handleless clamping device
CN103989500A (en) * 2014-05-23 2014-08-20 南京微创医学科技有限公司 Hemostatic clip
CN106419992A (en) * 2016-10-28 2017-02-22 上海威尔逊光电仪器有限公司 Clamping device and operating method thereof
CN215306369U (en) * 2021-06-09 2021-12-28 刘冰熔 Anchoring needle type suture clip device for suture under digestive endoscopy

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