WO2023173694A1 - Insertion-type tissue clipping device and clamping member thereof - Google Patents

Insertion-type tissue clipping device and clamping member thereof Download PDF

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Publication number
WO2023173694A1
WO2023173694A1 PCT/CN2022/116303 CN2022116303W WO2023173694A1 WO 2023173694 A1 WO2023173694 A1 WO 2023173694A1 CN 2022116303 W CN2022116303 W CN 2022116303W WO 2023173694 A1 WO2023173694 A1 WO 2023173694A1
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WO
WIPO (PCT)
Prior art keywords
clamping
arm
deformation
clamping member
arms
Prior art date
Application number
PCT/CN2022/116303
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/CN2022/116303 priority Critical patent/WO2023173694A1/en
Priority to CN202280024122.7A priority patent/CN117098503A/en
Publication of WO2023173694A1 publication Critical patent/WO2023173694A1/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
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously

Definitions

  • the present application relates to the field of medical devices, and specifically to the structure of an insertable tissue clamping device for surgery.
  • An insertable tissue clamping device is an inserted medical device used to clamp tissues in the human or animal body to stop bleeding or close the device. 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 the site of gastrointestinal bleeding or trauma.
  • a type of hemostatic clip mainly achieves opening and clamping through the cooperation of the clamping arm and the sleeve. Specifically, the left and right clamping arms pass through A pin is loosely assembled and the clamping arm can be retracted into a sleeve to achieve closure. The clamping arms can also extend from the sleeve to allow for expansion.
  • This structure utilizes the axial space of the sleeve to close the clamping arm, so part of the clamping arm must be contracted in the sleeve. As a result, after the hemostatic clamp is separated, the overall length remaining in the patient's body is longer, making it easier to remove the clamping arm. causing injury and discomfort to the patient.
  • the clamping arm is mainly connected through a rotating shaft, and then there is a track that slides up and down in the sleeve, and the shaft can slide along the track.
  • the fixed shaft passes through the strip-shaped hole of the clamping arm at the same time.
  • the present application provides a clamping member of an insertable tissue clamping device to demonstrate a clamping member with a simpler structure.
  • the present application provides an insertable tissue clamping device, which adopts the above-mentioned clamping member.
  • one embodiment of the present application provides a clamping member of an insertable tissue clamping device, which includes at least two clamping arms.
  • the clamping arms include a clamping head and a bendable portion.
  • the holding head is used to clamp the target tissue, and the holding head and the bendable part are kept relatively fixed.
  • the bendable part has a function that can bend in the closing direction of the clamping arm and/or towards the clamping arm.
  • the curved structure bends in the opening direction of the holding arm;
  • the bending structure has at least one deformation portion arranged longitudinally.
  • the deformation portion can be extruded and deformed inward to drive the entire clamping arm toward the clamping member. Backend moves.
  • the deformation portion has a front arch portion protruding toward the front end of the deformation portion and/or a rear arch portion protruding toward the rear end of the deformation portion, and the front arch portion and/or the The rear arch can be deformed inwardly when subjected to external forces.
  • the curved structure includes a plurality of first contraction seam groups and a second contraction seam group, each of the first contraction seam groups has at least one first contraction seam, and each of the second contraction seam groups has at least one first contraction seam group.
  • the group has at least one second contraction seam, and the first contraction seam and the second contraction seam extend along the circumferential direction of the bendable portion; the first contraction seam group and the second contraction seam group extend along the
  • the clamping arms are longitudinally spaced and staggered; the overlapping area between the first contraction seam and the second contraction seam forms a torsion deformation section, so that the bendable portion can bend and twist deformation.
  • first contraction seam group and the second contraction seam group are provided on the front side of the deformation part, and the twist deformation section is connected to the front part of the deformation part.
  • the clamping head and the bendable part are an integral structure cut on the same base material through a laser cutting process.
  • the clamping arm includes a pair of support arms, the support arm is located between the two clamping arms, and there is a gap between the deformation part and the support arm to allow the The outer periphery of the deformation part forms a shelter area.
  • the clamping arm and the supporting arm are an integral structure cut on the same base material through a laser cutting process.
  • the clamping part has a locking fitting part, and the locking fitting part is used to lock with the moving part to prevent the clamping arm from opening.
  • the clamping arm includes a support arm, the support arm is located between the two clamping arms, and the locking fitting portion extends inward from a partial area of the support arm.
  • Elastic buckle formed.
  • an insertable tissue clamping device including:
  • the motion control component includes a moving part, the moving part is disposed in the clamping part in a manner that can move axially along the clamping part, the moving part and the clamping arm Connected to drive the clamping arms open and closed.
  • the clamping member includes at least two clamping arms, and the clamping arms include a clamping head and a bendable portion.
  • the clamping head is used to clamp the target tissue, and the clamping head and the bendable part are kept relatively fixed.
  • the bendable part has a shape that can bend in the closing direction of the clamping arm and/or bend in the opening direction of the clamping arm. Curved structure. In this structure, the sleeve in the existing structure is omitted, and the entire tissue clamping device has fewer parts, a simpler structure, and lower assembly requirements.
  • the curved structure has at least one deformation portion arranged longitudinally.
  • the deformation portion can be extruded and deformed longitudinally inward under the action of external force to drive the entire clamping arm toward the clamping member.
  • the rear end moves, thereby solving the problem that the clamping member cannot move to the locking position when clamping some larger target tissues.
  • Figure 1 is a schematic structural diagram of an insertion-type tissue clamping device in an embodiment of the present application, in which the transmission component is omitted;
  • Figure 2 is a schematic structural diagram of the clamping arm in an open state in an embodiment of the present application
  • Figures 3 and 4 are cross-sectional views of the clamping member in an open state in an embodiment of the present application.
  • the transmission member is in the first stroke, and the movement direction of the transmission member is as shown by the arrow;
  • Figure 5 is a schematic structural diagram of the clamping arm in a clamping state according to an embodiment of the present application
  • Figures 6 and 7 are cross-sectional views of the clamping member in the clamping state in an embodiment of the present application.
  • the transmission member is in the second stroke, and the movement direction of the transmission member is as shown by the arrow;
  • Figure 8 is an exploded schematic diagram of each part of the front end in an embodiment of the present application.
  • Figure 9 is a schematic diagram of the matching structure of the connecting arm and the limiting member in an embodiment of the present application.
  • Figure 10 is a schematic diagram of the matching structure of the limiting member and the supporting arm in an embodiment of the present application.
  • Figure 11 is an exploded schematic diagram of the matching structure of the connecting arm and the moving part in one embodiment of the present application.
  • Figure 12 is a schematic structural diagram of a connecting arm in an embodiment of the present application.
  • Figure 13 is a structural schematic diagram of an embodiment of the present application when the clamping arm is in a clamping and self-locking state. At this time, the transmission member is in the third stroke, and the movement direction of the transmission member is as shown by the arrow;
  • Figures 14 and 15 are cross-sectional views of the clamping arm in a clamping and self-locking state according to an embodiment of the present application
  • Figure 16 is a schematic structural diagram of the clamping arm in a clamping and locked state in an embodiment of the present application
  • Figures 17 and 18 are cross-sectional views of the clamping arm in an embodiment of the present application when it is in a clamped and locked state. At this time, the transmission member is in the third stroke, and the movement direction of the transmission member is as shown by the arrow;
  • Figure 19 is a schematic view of the cylindrical clamping member expanded longitudinally in an embodiment of the present application.
  • Figure 20 is a schematic structural diagram of the annular deformation portion in its natural state in an embodiment of the present application.
  • Figure 21 is a schematic structural diagram of an annular deformation portion after inward extrusion and deformation in an embodiment of the present application.
  • Figure 22 is a schematic diagram of the deformation direction of the deformation part when the clamping member clamps thicker tissue in an embodiment of the present application.
  • the deformation direction is shown by the arrow;
  • Figure 23 is a schematic diagram of the length of the limiting member from the locking groove when the clamping member clamps thicker tissue in another embodiment of the present application;
  • Figure 24 is a schematic structural diagram of the natural state when there are two deformation parts in an embodiment of the present application.
  • Figure 25 is a schematic structural diagram after inward extrusion and deformation when there are two deformation parts in an embodiment of the present application.
  • Figure 26 is a schematic structural diagram of an embodiment of the present application with multiple deformation portions
  • Figure 27 is a schematic structural diagram of the clamping arm in the clamping state and the moving part and the transmission part separated in an embodiment of the present application;
  • Figure 28 is a cross-sectional view of an embodiment of the present application in which the clamping arm is in the clamping state and the moving part and the transmission part are separated. At this time, the transmission part is in the third stroke, and the movement direction of the transmission part is as shown by the arrow;
  • Figure 29 is a schematic cross-sectional view of the separation process of the moving parts and the transmission parts in one embodiment of the present application.
  • Figures 30 and 31 are structural schematic diagrams of an embodiment of the present application in which the clamping arm is in a clamping state and the base is separated from the clamping arm and the support arm is separated;
  • Figure 32 is a cross-sectional view of the clamping arm in the clamping state and the separation base from the clamping arm and the support arm in an embodiment of the present application.
  • the transmission member is in the third stroke, and the movement direction of the transmission member is as shown by the arrow. shown.
  • connection and “connection” mentioned in this application include direct and indirect connections (connections) unless otherwise specified.
  • This embodiment provides an insertable tissue clamping device (hereinafter referred to as a clamping device for convenience of description).
  • the clamping device is used to clamp tissues (collectively referred to as target tissues) in humans or animals to stop bleeding. Or closing function, which may include but is not limited to hemostatic clips, tissue clips, etc.
  • the clamping device can be a disposable instrument or a reusable instrument.
  • the clamping device includes a clamping member 1, a control handle 3, a motion control component 4, a transmission component 5 and other related components.
  • the control handle 3 is an operating component that controls the clamping device.
  • the operator can manually operate the opening and closing of the clamping member 1 through the control handle 3 to clamp the target tissue 2 .
  • this application defines the end of the entire clamping device where the clamping member 1 is located as the front end, and the end where the control handle 3 is located as the rear end.
  • the front and rear directions of other components are based on this direction.
  • the clamping member includes at least two clamping arms.
  • the clamping arm 100 includes a clamping head 110 and a bendable portion 120 .
  • the clamping head 110 is used to clamp the target tissue 2 .
  • the clamping head 110 and the bendable portion 120 remain relatively fixed. This relative fixation can be achieved through an integrally formed structure (the embodiment shown in Figure 2-7), or can be connected into one body through clamping, welding, bonding, screw locking, riveting and other fixing methods.
  • the clamping arms 100 are arranged in a jaw-like structure to clamp the target object.
  • the jaw-type structure is a structure that can firmly grasp the target object.
  • the two clamping arms 100 are arranged oppositely. When closed as shown in 5-7 (in the clamping state at this time), the target object can be grasped.
  • the number of clamping arms 100 may have different jaw structures. For example, when there are three clamping arms 100 , the three clamping arms 100 may be arranged in a triangle. , to grab the target object.
  • the opening and closing of the clamping arm 100 mainly relies on the bending structure of the bendable portion 120 Deformation.
  • the bendable portion 120 has a structure capable of bending in the closing direction of the clamping member 1 and/or bending in the opening direction of the clamping member 1 .
  • the initial state of the clamping member 1 is the clamping state, that is, the clamping member 1 is in the clamping state when the bending portion 120 does not deform.
  • the bendable portion 120 at least has a structure that can be bent in the opening direction of the clamping member 1, so as to realize the opening of the clamping member 1 as shown in FIGS. 2-4.
  • the clamping head 110 is a hard segment, which is not easily deformed relative to the bendable portion 120 .
  • the bendable portion 120 bends and deforms before the clamping head 110 to ensure that the clamping arm 100 provides a better bite effect to the target object.
  • the bending deformation of the bendable portion 120 is achieved through structural deformation. For example, it can be achieved by providing a bending structure capable of torsional deformation on the bendable portion 120 , or by changing the material thickness of the bendable portion 120 , or by selecting It is realized by using materials that are more easily deformed. Of course, it can also be realized by other structures.
  • the bending deformation of the bendable portion 120 is reversible, that is, the bending portion 120 has elasticity and can rebound and reset when the external force is lost, so the bending deformation can be repeated.
  • the sleeve in the existing structure is omitted, and combined with the deformation state of the bendable portion 120, the clamping member 1 can open and close based on the position change of the moving member 410.
  • the length of the clamping member 1 is shorter than the combination of the clamping arm and the sleeve in the prior art.
  • the function of the motion control component 4 is to drive the clamping arm 100 to move in the opening direction and the closing direction.
  • the motion control component 4 includes a moving part 410 .
  • the moving member 410 is disposed in the clamping member 1 in a manner that can move along the axial direction of the clamping member 1 .
  • the moving part 410 is directly or indirectly connected to the clamping arm 100 to form a linkage structure.
  • the motion control assembly 4 includes at least two connecting arms 420 .
  • the two connecting arms 420 are distributed in a cross shape, one end of the two connecting arms 420 is hinged on the moving part 410, and the other end is connected to a clamping arm 100, for example, through laser or other forms of clamping, welding, and bonding. , screw locking, riveting and other fixed methods of connection.
  • the front end of the connecting arm 420 has a raised connecting portion 421.
  • the raised connecting portion 421 is inserted into the corresponding clamping arm 100 and is fixedly connected to the clamping arm 100. , for example by ultrasonic welding.
  • the moving part 410 can also be formed into an integrated structure with the connecting arm 420.
  • the connecting arm 420 is only a part of the moving part 410.
  • the connecting arm 420 can generate Elastic deformation to adapt to the opening and closing needs of the clamping arm 100.
  • the moving part 410 can also form the motion control assembly 4 with the connecting arm 420 in other ways.
  • the connecting arm 420 is hinged on the moving part 410 but does not form a cross structure.
  • the two clamping arms 100 can be spread apart through the connecting arm 420, so that the clamping arms 100 are in an open state.
  • the two clamping arms 100 can be pulled close to each other through the connecting arm 420, so that the clamping arms 100 move to a closed state and are in a clamping state.
  • the transmission assembly 5 includes a transmission member 510 and a sleeve assembly 520 .
  • the transmission member 510 is connected to the moving member 410
  • the separation base 200 is connected to the sleeve assembly 520 , so that the entire clamping member 1 is supported on the sleeve assembly 520 .
  • the sleeve assembly 520 is connected to the control handle 3 , and the control handle 3 forms a linkage structure with the transmission member 510 to control the movement of the transmission member 510 and the moving member 410 .
  • the control handle 3 may include a control part 31 for controlling the transmission member 510 and a gripping part 32 for the operator to grasp.
  • the control part 31 may move relative to the gripping part 32 .
  • the gripping part 32 is a structure for the operator's thumb to be inserted into, and the control part 31 can move forward and backward relative to the gripping part 32 .
  • the control part 31 can be connected to the transmission part 510 through a traction part to form a linkage structure.
  • the traction component may be, but is not limited to, a steel wire rope or a traction rope made of other materials, as well as other components that can be used as the traction structure of the clamping device. Through the traction member, the operator can drive the transmission member 510 and the moving member 410 to move through the control part 32, thereby controlling the opening and closing of the clamping arm 100.
  • the transmission member 510 has a first stroke, a second stroke and a third stroke.
  • the first stroke the transmission member 510 drives the clamping heads 110 away from each other, causing the clamping arms 100 to move to the open state, as shown in Figure 2-4;
  • the second stroke the transmission member 510 drives the clamping heads 110 approaching each other, the clamping arm 100 moves to the clamping state to clamp the target tissue 2, as shown in Figure 5-7;
  • the clamping arm 100 is locked in the clamping state, and the clamping arm 100 moves from
  • the transmission member 510 and the separation base 200 are separated, as shown in Figures 13-18 and 27-32.
  • the clamping arm 100 When the clamping arm 100 is completely separated from the transmission member 510 and the separation base 200, the clamping arm 100 can remain in the patient's body, and the part separated from the clamping arm 100 can be removed from the patient's body.
  • the above process is a rough introduction to the entire use process of the clamping device.
  • the clamp 1 further includes a separation base 200 connected to the clamp arm 100 .
  • This kind of connection can be a one-piece structure (as shown in the embodiment shown in Figure 2-7).
  • the one-piece structure can be that the target object is made of the same material and is not assembled by a combination of two or more parts.
  • the one-piece molded structure (including other one-piece molded structures described below) can be made by, but not limited to, injection molding, laser cutting, and other machining processes. In particular, when laser cutting is used, extremely small gaps can be processed, which is conducive to miniaturization of the overall structure and improvement of compactness.
  • the clamping arm 100 and the separation base 200 can also be integrated with the clamping head and the bendable portion through fastening methods such as clamping, welding, bonding, screw locking, riveting, etc.
  • the clamp 1 also includes a pair of support arms 300 located between the two clamp arms 100.
  • the support arms 300 are connected to the clamp arms 100 and Separate base 200 connection. This kind of connection can be realized through an integrally formed structure (the embodiment shown in Figure 2-7), or it can be connected into one body through clamping, welding, bonding, screw locking, riveting and other fixing methods.
  • the pair of support arms 300 is provided with a limiting member 310 .
  • the limiting member 310 is located in the intersection area 421 formed by the two connecting arms 420 and close to the moving member 410 .
  • the moving member 410 moves to the rear end, the limiting member 310 can contact at least one connecting arm 420 at least when the clamping arm 100 is in the clamping state, and form a lever structure for the at least one connecting arm 420. fulcrum.
  • the connecting arm 420 not only serves as a key component connecting the clamping arm 100 and the moving member 410 , but also serves as a component that cooperates with the limiting member 310 to implement the lever structure.
  • the outer edge of the connecting arm 420 facing the limiting member 310 needs to be able to generate force with the limiting member 310 .
  • the front end of the connecting arm 420 is fixedly connected (such as welding) to the middle part of the clamping arm 100, the clamping arm 100 and the connecting arm 420 can be regarded as the same force system, and the stopper 310 can be used as a lever for the clamping arm 100. Pivot of rotation.
  • the lever structure formed by the limiting member 310 and the connecting arm 420 is a labor-saving lever. Therefore, in one embodiment, please refer to FIG. 7 .
  • the force arm b between the rotation center of the connecting arm 420 relative to the moving member 410 and the center of the limiting member 310 is greater than the force arm c between the connecting center of the connecting arm 420 and the clamping head 110 and the center of the limiting member 310 .
  • the operator can use a more labor-saving manner to obtain a greater bite force on the clamping arm 100 .
  • the force arm b between the rotation center of the connecting arm 420 relative to the moving member 410 and the center of the limiting member 310 may also be equal to or smaller than the connecting arm 420 and the center of the limiting member 310 .
  • the connection center of the clamping head 110 is distanced from the center of the limiting member 310 by a moment arm c.
  • the lever is mainly used to change the direction of the force, making it easier for the operator to make the clamping arm 100 better engage the target tissue 2 by pulling the transmission member 510 .
  • the limiting member 310 and the connecting arm 420 can also be combined. Form a self-locking structure. Please refer to Figures 12 and 15.
  • the two connecting arms 420 have locking mating surfaces 422. When the clamping arm 100 is in the clamping state, the locking mating surfaces 422 of the two connecting arms 420 form a lock.
  • the stop groove 423 and the limiting member 310 are located in the locking groove 423 to prevent the two clamping arms 100 from lateral cross movement and keep the clamping arms 100 in the clamping state.
  • the realization principle of this self-locking is that when the clamping arm 100 is in the clamping state, the reaction force of the target tissue 2 to open the clamping arm 100 passes through the connecting arm 420 and is converted into the lateral direction of the connecting arm 420 relative to the limiting member 310 Displacement, the force acting on the front end of the moving part 410 becomes very small. At this time, the limiting part 310 is located in the locking groove 423, which can prevent the connecting arm 420 from moving crosswise, and then the tissue clamping arm 100 is opened.
  • the lateral size of the locking groove 423 is slightly larger than or equal to the lateral size of the limiting member 310 , which can not only ensure that the limiting member 310 can enter the locking groove 423 , but also avoid the locking groove 423 Too much gap between the clamping arm 100 and the limiting member 310 will cause the clamping arm 100 to move larger laterally, preventing the clamping arm 100 from loosening the target tissue 2 .
  • a guide structure may also be provided.
  • the two connecting arms 420 have guide surfaces 424.
  • the guide surface 424 encloses a guide space 425.
  • the limiting member 310 is disposed in the guide space 425 , and the guide space 425 is connected with the locking groove 423 .
  • the locking groove 423 is connected to the front side of the guide space 425, and the lateral size of the guide space 425 gradually decreases from the back to the front.
  • the connecting arm 420 has an inclined guide surface 424, and the two inclined guide surfaces 424 can be at When the clamping arm 100 moves from the open state to the clamping state, it cooperates to form a figure-eight-shaped guide space 425.
  • the contact point of the connecting arm 420 and the limiting member 310 passes the turning point of the guide surface 424 of the connecting arm 420, it will enter the locking groove 423. At this time, the clamping arm 100 and the limiting member 310 are interlocked.
  • the guide surface 424 can also be in other shapes, thereby forming guide spaces 425 in other shapes.
  • the connecting arm 420 has an arc-shaped locking mating surface 422.
  • the locking mating surface 422 is located on the front side of the guide surface 424 .
  • the locking mating surfaces 422 of the two connecting arms 420 enclose an arc-shaped locking groove 423.
  • the limiting member 310 is a cylindrical structure (such as a limiting shaft)
  • the arc-shaped locking groove 423 can fit more closely with the limiting member 310 .
  • the locking mating surface 422 also has a straight line segment 426.
  • the straight line segments 426 of the two locking mating surfaces 422 can cooperate to form
  • the vertical inlet and outlet of the locking groove 423 extends in the same direction as the axial direction of the moving part 410 . This vertical inlet and outlet can make it more difficult for the limiting member 310 to slide out of the locking groove 423 .
  • the vertical inlet and outlet can also be replaced by a figure-eight inlet and outlet with a large inside and a small outside or other forms of inlets and outlets, so that it is more difficult to enter the limiting member 310 of the locking groove 423 from the The figure-eight entrance and exit slide out.
  • an angle limiting structure may be provided on the support arm 300, or an angle limiting structure may be provided on the moving part 410 and/or the connecting arm 420.
  • the front end of the moving member 410 has an angle limiting structure 414.
  • the angle limiting structure 414 is on the limiting member 310.
  • a limit is formed on the rear side to prevent the moving member 410 from continuing to move toward the front end and limit the opening angle of the clamping arm 100 .
  • the angle limiting structure 414 is a limiting groove provided on a side of the front end of the moving part 410 away from the corresponding clamping arm 100.
  • the first base body 411 and the second base body 412 both have the limiting groove. bit slot.
  • the limit groove serves as the angle limit structure 414.
  • the angle limiting structure can also be formed by the rocker arm 420 . Please refer to FIGS. 2-4 and 12 .
  • one end of the two rocker arms 420 connected to the moving member 410 has a protruding limiting portion 427 .
  • the two limiting portions 427 form an angle limiting structure, for example, in a cross shape or just aligned left and right.
  • the angle limiting structure forms a limit on the rear side of the limiting member 310 to prevent the moving member 410 from continuing to move toward the front end, thereby limiting the opening angle of the clamping arm 100 .
  • no additional angle limiting structure can be provided.
  • the limiting portion 427 is directly provided on the rocker arm 420 and can be manufactured in one piece. The structure is simple and the structure of the entire clamping device can also be simplified.
  • the connecting arm 420 may be integrally formed, for example, using sheet metal through laser cutting or stamping.
  • the thickness of the connecting arm 420 can be selected to be between 0.3-0.6 mm, so as to ensure the strength of the connecting arm 420 and avoid the excessive weight of the connecting arm 420.
  • the connecting arm 420 can also be made of multiple components separately and then fixedly connected together.
  • one of the moving parts 410 and the connecting arm 420 has a rotating shaft and the other has a self-adjusting groove.
  • the rotating shaft is provided in the self-adjusting groove.
  • the rotating shaft and the self-adjusting groove can be in the connecting arm.
  • the relative positions of the moving part 410 and the connecting arm 420 in the transverse direction are adaptively adjusted.
  • the inner cavity of the self-adjusting groove is larger than the rotating shaft, so the rotating shaft can adaptively adjust its position in the self-adjusting groove.
  • the self-adjusting groove 428 is provided on the connecting arm 420 , and the rotating shaft 4111 is fixedly provided on the moving part 410 .
  • the self-adjusting groove 428 is elongated, and the rotating shaft 4111 can move relatively in the elongated structure.
  • the two self-adjusting grooves 428 are arranged oppositely, and the rear ends of the self-adjusting grooves 428 are tilted toward the space between the two connecting arms 420 to facilitate the connecting arms.
  • the 420 can adjust its position laterally during movement.
  • the self-adjusting groove 428 can also be provided on the moving part 410, and the rotating shaft 4111 is provided on the connecting arm 420.
  • the self-adjusting groove 428 may also have other shapes, such as a circular or elliptical shape with an inner diameter larger than the outer diameter of the rotating shaft 4111 .
  • the two connecting arms 420 are connected to the moving part 410 through respective rotation axes 4111 .
  • the two connecting arms 420 are separated from and parallel to the rotation axes of the moving part 410 .
  • the two connecting arms 420 can also be connected to the moving part 410 through a common rotating shaft 4111.
  • the front end of the connecting arm 420 has a recess 4210 on a side facing away from the corresponding clamping arm 100.
  • the recessed portion 4210 is used to avoid the tissue clamped by the clamping head 110 .
  • a pair of support arms 300 are disposed oppositely at the gap between the two clamping arms 100, and both ends of the limiter 310 are fixedly connected to one support arm 300 respectively.
  • laser or other forms of clamping, welding, bonding, screw locking, riveting or other fixing forms are used to form a stable limiting structure.
  • the limiting member 310 has two limiting blocks 311 arranged along its axial direction. A limiting space is formed between the two limiting blocks 311.
  • the two connecting arms 420 are arranged along the axial direction of the limiting member 310.
  • the axial layer of the limiting member 310 is stacked in the limiting space to prevent the two connecting arms 420 from disengaging along the axial direction of the limiting member 310, restricting the connecting arms 420 from sliding outward at both ends, and preventing the teeth of the clamping arm 100 from being unable to move. Accurate alignment.
  • the limiting member 310 has a shaft-shaped structure, and the two limiting blocks 311 are distributed in a dumbbell shape on the limiting member 310 .
  • the limiting member 310 may also have other structures in other embodiments.
  • the moving part 410 is capable of moving within the holding part 1 and driving the connecting arm 420 to move.
  • the movement of the moving part 410 relative to the holding part 1 may be, but is not limited to, sliding, rolling, etc.
  • the moving part 410 can adopt any shape and structure that meets the above requirements.
  • the moving member 410 is a slider, and the moving member 410 is slidably disposed in the clamping member 1 .
  • the moving part 410 includes a first base 411 and a second base 412.
  • the connecting arm 420 is connected and limited between the first base 411 and the second base 412.
  • the first base 411 and the second base 412 The moving parts 410 are formed by splicing.
  • the moving part 410 is divided into the first base 411 and the second base 412, and are manufactured separately, which can reduce manufacturing difficulty.
  • the connecting arm 420 can be installed on the first base 411 first, and then the second base 412 can be fastened to the first base 411. This not only completes the assembly of the moving part 410, but also completes the connecting arm 420. installation.
  • the first base 411 has a rotating shaft 4111, and the connecting arm 420 is sleeved on the rotating shaft 4111.
  • the second base body 412 can be buckled on the first base body 411.
  • the first base body 411 is provided with protrusions 4112
  • the second base body 412 is provided with a recessed portion 4121.
  • the protruding portion 4112 and the recessed portion 4121 are plug-fitted to form lateral positioning.
  • the moving part 410 can also be of other structures, for example, it can be a one-piece structure or spliced from three or more sub-components, and the connecting arm 420 is installed on the moving part 410 in other ways. .
  • the moving part 410 can be laser cut from a steel pipe or formed by powder metallurgy (assembly is simpler).
  • At least one support arm 300 has a limiting guide portion arranged along its longitudinal direction, and the moving member 410 has at least one limiting guide fitting portion,
  • the limiting guide fitting part cooperates with the limiting guide part to limit the movement of the moving part 410 in the direction defined by the limiting guide part.
  • one of the limiting guide part and the limiting guide matching part is a guide groove
  • the other is a guide block provided with a protrusion
  • the guide block extends into the guide groove.
  • the guide block 4113 is provided on the moving part 410 , specifically on the outer wall of the first base 411 .
  • the guide groove 320 is provided on the support arm 300 corresponding to the first base 411 .
  • guide blocks 4113 can also be provided on the second base body 412, and guide grooves 320 can also be provided on the other support arm 300 corresponding to the second base body 412.
  • the clamping part 1 has a locking fitting part
  • the moving part 410 has a locking part.
  • the locking fitting part and the locking part can move relative to the locking position.
  • the locking portion and the locking matching portion can form a lock in time to prevent the moving member 410 and the connecting arm 420 from moving toward the front end of the clamping member 1 and prevent clamping. Arms 100 are opened.
  • the locking part is a clamping platform 4122 provided on the moving part 410
  • the locking fitting part is an elastic buckle 330 extending inward.
  • the elastic buckle 330 is provided on the path along which the clamping platform 4122 moves to the rear end.
  • the clamping platform 4122 can move to the rear end and cross the position of the elastic buckle 330 .
  • the clamping platform 4122 can be reset to the front end along with the moving member 410 for a small distance.
  • the elastic buckle 330 abuts against the clamping platform 4122
  • the clamping platform 4122 will be prevented from continuing to move toward the front end of the clamping member 1, thus forming a lock.
  • the outer wall of the clamping platform 4122 may form an inclined surface 4122a extending along its longitudinal direction.
  • the elastic buckle 330 is formed by extending inwardly from a partial area of the support arm 300 .
  • the elastic buckle 330 and the support arm 300 are an integrally formed structure. This structure is simple to manufacture and can be formed in one piece, for example, by laser cutting without adding other parts.
  • the elastic buckle 330 can utilize the longitudinal space to make the elastic buckle 330 longer and have better elasticity while the clamping member 1 maintains the same length.
  • both support arms 300 may be provided with elastic buckles 330 .
  • one support arm 300 may have an elastic buckle 330, and the other support arm 300 may have a limiter provided along its longitudinal direction.
  • the positioning guide portion (such as the guide groove 320 ) is used to limit the longitudinal movement of the moving member 410 along the clamping member 1 .
  • the locking conditions of the elastic buckle 330 are simpler and the locking is more reliable.
  • the limiting and guiding function of the limiting guide on the other side can make the elastic buckle 330 and the clamping platform 4122 of the moving part 410 have a smaller radial swing range, thereby ensuring a more stable locking.
  • the reaction force of the target tissue 2 to open the clamping arm 100 is converted into a relative limiting position of the connecting arm 420 through the connecting arm 420.
  • the lateral displacement of the component 310 causes the force exerted on the front end of the moving component 410 to become very small.
  • the elastic buckle 330 only needs to bear a small force to the front end to achieve the locking of the entire clip. Therefore, usually one The elastic buckle 330 can achieve locking.
  • the bendable part 120 is a semi-cylindrical structure.
  • the bendable part 120 can be enclosed into a cylindrical structure.
  • the semi-cylindrical shape refers to a non-complete cylindrical shape, which does not have to be half of the cylindrical structure, and can also be one-third of the entire cylindrical structure or other sizes.
  • the bendable portion 120 can also be in other structures, such as sheet shape, etc., and is not limited to the semi-cylindrical structure.
  • the bendable portion 120 includes a plurality of first contraction slit groups 121 and second contraction slit groups 122 .
  • Each first contraction seam group 121 has at least one first contraction seam 1211
  • each second contraction seam group 122 has at least one second contraction seam 1221 .
  • the first contraction seam 1211 and the second contraction seam 1221 are along the bendable portion 120 circumferential extension setting.
  • the first contraction seam group 121 and the second contraction seam group 122 are spaced apart and staggered along the longitudinal direction of the clamping arm 100 , and a first contraction seam group 121 is spaced between the two second contraction seam groups 122 .
  • the overlapping area between the first shrinkage seam 1211 and the second shrinkage seam 1221 forms a twist deformation section 124, so that the bendable portion 120 can bend and twist deformation.
  • the clamping member 1 is maintained in the clamped state in the initial state, the first contraction seams 1211 are maintained in the initial state, and each part of the bendable portion 120 does not deform.
  • the bendable portion 120 deforms outward, the first shrinkage seam 1211 and the second shrinkage seam 1221 shrink, and the twisted deformation section 124 undergoes bending and torsional deformation, thereby causing The outer sides of the bendable portion 120 (the side of the clamping arms 100 facing away from each other) contract, causing the entire clamping head 110 to expand.
  • the first shrinkage seam group 121 and the second shrinkage seam group 122 can be integrally formed by laser cutting on the pipe or sheet. For example, laser cutting of pipes or sheets with a wall thickness of 2mm
  • two second contraction seams 1221 are provided between the adjacent first contraction seam groups 121, and the two second contraction seams 1221 are provided on both sides of the bendable portion 120. And the second contraction seam 1221 extends outward to the corresponding side of the bendable portion 120 .
  • the number of the first shrinkage seam groups 121 is 6-10, and the second shrinkage seam groups 122 are distributed at both ends of the bendable part 120. Therefore, The number of the second shrinkage seam group 122 is one more than that of the first shrinkage seam group 121, and the number ranges from 7 to 11. With this quantity, the bendable portion 120 can be easily bent and the strength can be ensured to prevent the bendable portion 120 from being too soft to support the clamping head 110 .
  • the number of the second shrinkage seam groups 122 is eight, and the number of the first shrinkage seam groups 121 is seven.
  • first shrinkage slits 1211 are arranged in parallel
  • second shrinkage slits 1221 are arranged in parallel.
  • first shrinkage slits 1211 and the second shrinkage slits 1221 can also be arranged in other non-parallel arrangements.
  • first shrinkage slits 1211 uniformly and parallelly along the circumferential direction of the bendable portion 120, the bending deformation directions of the first shrinkage slits 1211 can be unified, making the bending deformation of the clamping member 1 smoother and more stable.
  • the first contraction seam 1211 has a gap in the longitudinal direction of the bendable portion 120 . Please refer to FIG. 19 .
  • the first contraction seam 1211 is in the shape of a long groove, and the middle part of the first contraction seam 1211 has two relatively convex arc-shaped edges. When the clamp 1 is opened to the limited position, the arcuate edges will contact each other, thereby determining the maximum opening angle.
  • the second contraction seam 1221 is arranged in a straight line in the circumferential direction. In other embodiments, the second contraction seam 1221 can also be provided in other shapes.
  • the moving part 410 needs to move together with the clamping arm 100 to a predetermined locking position for locking, that is, the clamping table 4122 needs to move to Only the position corresponding to the elastic buckle 330 can achieve locking.
  • the closing angle of the clamping member 1 will be limited. Because the closing angle is related to the stroke of the moving part 410, at this time, the moving part 410 cannot move to the locking position, and the clamping arm 100 cannot remain in the clamping state.
  • the bendable portion 120 has a deformation portion 123 arranged along the longitudinal direction.
  • the clamping arm 100 When the clamping arm 100 is in the clamping state, if a larger target tissue 2 is clamped, it is difficult for the clamping arm 100 , the moving part 410 and the connecting arm 420 to move to achieve self-locking and locking with the limiting part 310 The position where the mating part is locked.
  • the deformation part 123 When greater pulling force is continued to be applied to the transmission member 510, the deformation part 123 will be forced to be extruded and deformed longitudinally inward to drive the clamping arm 100, the moving part 410 and the connecting arm 420 as a whole relative to the supporting part and the limiting part 310.
  • the clamping arm 100 clamps the thin target tissue 2
  • the clamping arm 100 can be closed normally, the deformation part 123 maintains a normal gap, and the moving part 410 and the clamping arm 100 can be as described above.
  • the clamping arm 100 is accurately moved to the position of the locking structure to lock the clamping arm 100 in the clamping state.
  • Figures 21 and 22 When the clamping arms 100 clamp the thick target tissue 2, the clamping arms 100 cannot be closed to the extent shown in Figure 20. At this time, force is continued to be applied to the moving part 410.
  • the deformation portion 123 undergoes substantial deformation, thereby compensating for the lost stroke on the clamping arm 100 and the moving part 410, so that the clamping arm 100 can finally be locked to the locking structure. superior.
  • the deformation part 123 provides an adaptive stroke range for the moving part 410, and produces a larger deformation range after receiving a specific pulling force, always allowing elasticity.
  • the buckle 330 can be locked accurately and reliably, and allows the connecting arm 420 and the limiting member 310 to realize self-locking.
  • the deformation part 123 in order to enable the deformation part 123 to better produce longitudinal deformation, may be in an annular shape, or may be in a front arch shape, a rear arch shape, or other shapes.
  • the deformation part 123 has a front arch part 1231 protruding toward the front end of the deformation part 123 and/or a rear arch part 1232 protruding toward the rear end of the deformation part 123.
  • the front arch part 1231 and /Or the rear arch 1232 can be extruded and deformed inwardly when subjected to external force, so that the two come into contact with each other or tend to approach each other.
  • the deformation portion 123 has an elliptical structure.
  • the deformation portion 123 can also be in other shapes, such as a circular structure or a rhombus structure.
  • the first contraction joint group 121 and the second contraction joint group 122 are provided on the front side of the deformation part 123, and the twist deformation section 124 is connected to the front part of the deformation part 123, that is, the upper wall of the deformation part 123 (such as the front arch) 1231) is connected to the twisted deformation section 124 of the clamping arm 100.
  • the lower wall of the deformation part 123 (such as the rear arch part 1232) is connected to the connecting part 140 (described in detail later).
  • the deformation amplitude of the deformation part 123 can be determined based on the difference between the actual stroke and the expected stroke between the connecting arm 420 and the stopper 310 when the clamping arm 100 clamps the larger target tissue 2, that is, as shown in Figure 23.
  • the distance between the connecting arm 420 and the limiting member 310 from the locking and self-locking positions determines the deformation size of the deformation portion 123 .
  • the maximum distance a of the inward extrusion deformation of the deformation part 123 ranges from 0.1 mm ⁇ a ⁇ 1.0 mm, for example, 0.3-0.8 mm.
  • the deformation part 123 can adaptively float and deform in the clamping direction, so that when the clamping member 1 clamps the target tissue 2 , the bendable part 120 can adaptively bend and deform according to the volume of the target tissue 2 to provide the clamping arm 100 with a
  • the adaptive stroke range always allows the moving part 410 and the clamping arm 100 to move to the locking position, achieving accurate and reliable locking.
  • the deformation part 123 is designed so that when the operator opens and closes the clamp 1 normally, the operating force does not cause the clamp to lock, but it needs to be released when the operator intends to release the clamp. Large deformation, resulting in stable and reliable locking.
  • the number of the deformation portion 123 is not limited to one.
  • the number of the deformation portion 123 is also two or more.
  • These deformation portions 123 are connected in sequence along the longitudinal direction of the clamping arm 100. . Through the deformation superposition of multiple deformation parts 123, each deformation part 123 is slightly deformed when compressed inward, and finally superimposed together to obtain a larger displacement toward the rear end, which is used to compensate for the tolerance of the elastic buckle 330. , so that it can be locked reliably, and the connecting arm 420 and the limiting member 310 can realize self-locking.
  • first shrinkage seam group 121 and the second shrinkage seam group 122 can also be omitted, and the bendable portion 120 is composed of a plurality of deformation portions 123. These deformations The portions 123 are connected in sequence along the longitudinal direction of the clamping arm 100, and the opening and closing of the clamping arm 100 is achieved through the deformation of these deformation portions 123.
  • the above embodiment shows a structure in which the bendable part 120 realizes bending deformation by opening the first shrinkage slit group 121, the second shrinkage slit group 122 and the twist deformation section 124.
  • the structure of the bendable part 120 in this embodiment is not limited to This can also be achieved in other ways.
  • the thickness of the bendable part 120 can also be set to be thinner than other parts, such as the clamping head 110 and the connecting part 140 , so that the moving part 410 When the clamping arm 100 is driven to move, the bendable portion 120 can be bent and deformed preferentially.
  • the bendable portion 120 in the clamping arm 100 , can have a material and structure that is more easily bendable and deformable, such as a material that is more easily bendable and deformable than the clamping head 110 and the connecting portion 140 , such as one with better bending performance.
  • a material that is more easily bendable and deformable than the clamping head 110 and the connecting portion 140 such as one with better bending performance.
  • Metal material, plastic material or wire mesh, etc. so that when the moving part 410 drives the clamping arm 100 to move, the bendable part 120 can be bent and deformed preferentially.
  • the bendable portion 120 can also adopt other structures with better bending deformation performance, such as metal braided structures.
  • first stroke, the second stroke and the third stroke are three parts of the entire movement stroke of the transmission member 510.
  • the three strokes may be in the same direction, or at least two strokes may be in different directions.
  • Each stroke can be completely separated and not related at all, or at least two strokes can be continuous or overlapping.
  • the third stroke can be closely connected to the second stroke.
  • the second stroke and the third stroke can also be two separate and non-continuous parts.
  • the transmission member 510 is in the first stroke. At this time, the transmission member 510 is away from the control handle 3 along its axial direction, moves to the front end, and drives the clamping arm 100 outward. Open, thereby moving the clamping arm 100 to an open state.
  • the transmission member 510 is in the second stroke.
  • the transmission member 510 is close to the control handle 3 along its axial direction and moves to the rear end.
  • the transmission member 510 can drive the clamping arm 100 inward. approach each other, so that the clamping arms 100 move to the clamping state.
  • the transmission member 510 is in the third stroke.
  • the transmission member 510 is close to the control handle 3 along its axial direction.
  • the third stroke and The second strokes are in the same direction and closely connected. That is, after the clamping arm 100 moves to the clamping state, the transmission member 510 switches from the second stroke to the third stroke.
  • the third stroke can be divided into a plurality of sub-strokes, and these sub-strokes include a locking stroke, an inner disengagement stroke and an outer disengagement stroke.
  • the transmission member 510 After the transmission member 510 completes the locking stroke, it enters the inner disengagement stroke. When the transmission member 510 moves to the position shown in the figure, the clamping arm 100 is separated from the transmission member 510. The transmission member 510 can no longer drive the clamping arm 100 to move, and the control of the clamping arm 100 is lost, and the clamping arm 100 is Remain locked. During this process, the movement stroke of the transmission member 510 is the inner disengagement stroke.
  • the transmission member 510 After the transmission member 510 completes the inner disengagement stroke, it enters the outer disengagement stroke. When the transmission member 510 moves to the position shown in the figure, the clamping arm 100 and the separation base 200 are separated. At this point, the clamping arm 100 is left on the target tissue 2 it clamps. The separation base 200 and the transmission member 510 can be extracted from the patient's body. During this process, the movement stroke of the transmission member 510 is the outer disengagement stroke.
  • Figures 13-18 and Figures 27-32 only show one embodiment of the third stroke.
  • the transmission member 510 separates the clamping arm 100 from the transmission member 510 and separates the base. 200 and the clamping arm 100 can be separated from each other at the same time, or any one action can be achieved before the other action.
  • the locking stroke, the inner disengagement stroke and the outer disengagement stroke can also be overlapped. For example, the inner disengagement stroke and the outer disengagement stroke overlap, and the inner disengagement and the outer disengagement are realized simultaneously.
  • this application provides an example in which the front end of the transmission member 510 has a first engaging portion, and the rear end of the moving member 410 has a second engaging portion.
  • the first latching part and the second latching part are latched together.
  • at least one of the first clamping part and the second clamping part is a deformable structure.
  • the deformable structure refers to a structure that can be deformed only when the tensile force reaches a set value.
  • This structure can be realized through material and structural design. For example, elastic materials are used to make the deformable structure.
  • first snap-in part and the second snap-in part one is a deformable connection part and the other is a mating slot, and the deformable connecting part is snap-connected in the mating slot.
  • the deformable connecting portion 511 is provided on the transmission member 510, and the matching slot 413 (which can be a through hole or a blind hole) is provided at the bottom of the moving member 410.
  • the shape of the matching slot 413 matches the shape of the deformable connecting part 511 to lock the deformable connecting part 511 .
  • the deformable connecting part 511 includes at least one deformable hook, and the deformable hook is connected in the corresponding matching slot 413.
  • the deformable hook can be pulled to deform and fall off from the matching slot 413 .
  • a long slot can be opened in the middle of the rear end of the transmission member 510, and a limiting pin passes through it.
  • the bottom is cylindrical and is connected to a traction member (such as a traction rope).
  • a traction member such as a traction rope
  • the deformable connecting part 511 includes two deformable hooks, and the two deformable hooks are arranged away from each other.
  • the matching slot 413 can be provided with two cavities connected symmetrically to the left and right.
  • the deformable connecting part 511 can also have at least one intermediate limiting body 512.
  • the intermediate limiting body 512 is located between the two deformable hooks to prevent the two deformable hooks from excessive deformation to the opposite side. The separation force is not uniform enough.
  • the clamping arm 100 includes a connecting part 140, which is provided on the rear side of the bendable part 120.
  • the connecting part 140, the bendable part 120, and the clamping The head 110 and the support arm 300 are an integrally formed structure.
  • the connecting part 140 is used to connect the flexible part 120 , the clamping head 110 and the supporting arm 300 to the separation base 200 .
  • the separation base 200 and the connection part 140 may be integrally formed, or may be separately manufactured and then fixedly connected.
  • the separation base 200 is rotatably connected to the casing assembly 520, so that the clamping member 1 can rotate as a whole relative to the casing assembly 520.
  • the clamping arm 100 and the supporting arm 300 are integrated with the separation base 200 through the first tearing part 210 .
  • the separation base 200 and other parts of the clamping member 1 are integrally formed, and the two are connected into one body through the first tearing portion 210 .
  • the separation base 200 and other parts of the clamping member 1 can also be integrally connected by snapping or other means.
  • the separation base 200 has a follower 220.
  • the follower 220 is used to receive an external force to drive the separation base 200 from the first tearing part 210 to the clamping part.
  • Part 1 is broken in other parts.
  • the external force exerted by the operator can be transmitted to the first tearing part 210 through the moving part 410 or other components.
  • the follower 220 is driven to move by the moving part 410. Specifically, the follower 220 is located on the movement trajectory of the moving part 410. When the moving part 410 moves to the position of the follower 220, the follower 220 can be driven to move toward the control handle 3 side together. Therefore, under the action of the moving part 410 , the separation base 200 and the connecting part 140 are broken from the first tearing part 210 .
  • first tearing portion 210 there is at least one first tearing portion 210, and the entire end of the clamping arm 100 and the supporting arm 300 opposite to the separation base 200 has a concave area 150.
  • the recessed area 150 is provided on the connecting portion 140 .
  • the first tearing part 210 is provided in the recessed area 150 , and the separation base 200 is connected to the clamping arm 100 and the supporting arm 300 only through the first tearing part 210 .
  • This design allows the fracture surface of the first tear portion 210 to be stored in the concave area 150 after the first tear portion 210 is broken, thereby preventing the sharp burrs from being exposed after the break and causing damage to the surgical object.
  • the separation base 200 includes a cylindrical main body 230 and a hanging portion 240.
  • the side wall of the main body 230 has a hanging cavity 231, and the hanging portion 240 is placed in the hanging cavity. inside cavity 231.
  • the hanging portion 240 is aligned with and connected to the first tear portion 210 .
  • the hanging part 240 is provided with the above-mentioned follower 220.
  • the follower 220 is a limiting shaft fixedly installed on the hanging part 240, and the limiting shaft traverses the hanging part 240.
  • the follower 220 is used to drive the suspension portion 240 and the transmission member 510 to move toward the rear end when the transmission member 510 moves along the third stroke.
  • Both sides of the hanging portion 240 are connected to the main body 230 through the hanging arms 241, so that the hanging portion 240 can deform relative to the main body 230 to tear the first tearing portion 210.
  • the moving part 410 may also be provided with a limiting groove 513 opened along its axial direction, and the follower 220 is placed at the bottom of the limiting groove 513.
  • the top of the limiting groove 513 moves to the follower 220, thereby starting to drive the follower 220 and the suspension part 240.
  • Move toward the control handle 3 side thereby causing the separation base 200 to separate from the connecting portion 140 .
  • the follower 220 is a limiting shaft, and the limiting shaft is placed in the limiting groove 513.
  • the width of the first tearing portion 210 can be reserved as needed, and multiple first tearing portions 210 can also be provided according to functional requirements to make the structure more reliable and stable.
  • first tearing parts 210 and hanging parts 240 there are at least two first tearing parts 210 and hanging parts 240, and the first tearing parts 210 are distributed along the circumferential direction of the separation base 200. Each first tearing portion 210 is provided with a corresponding hanging portion 240 . Uniform distribution refers to the same distance or angle between adjacent first tear portions 210 or hanging portions 240 .
  • the follower 220 can also play a stroke limiting role on the moving part 410, restricting the moving part 410 to move within a set range, so as to limit the extreme stroke of the moving part 410 to the front end, thereby limiting the clamping part 1 the opening stroke. Please refer to FIG. 3 .
  • the follower 220 blocks the transmission member 510 , thereby limiting the forward movement of the moving member 410 and the opening stroke of the clamping member 1 .
  • both sides of the suspension part 240 are connected to the main body 230 through suspension arms 241 so that the suspension part 240 can be deformed relative to the main body 230 more easily.
  • the entire separation base 200 is supported by the sleeve assembly 520 and cannot move toward the control handle 3 alone.
  • the moving part 410 pulls the hanging part 240
  • the main body 230 of the separation base 200 remains stationary, and the suspension arm 241 of the hanging part 240 is deformed under the pulling force of the moving part 410 .
  • the main body 230 of the separation base 200 forms a reverse support for the clamping arm 100 and the like, and then the materials of the hanging arm 241 and the first tearing part 210 are gradually elongated.
  • Figures 30-32 when the yield limit is reached, fracture occurs, and the hanging part 240 and the connecting part 140 achieve external separation. Thereafter, the separation base 200 together with the transmission assembly 5 can be taken out of the surgical subject's body.
  • the suspension cavity 231 has a guide arranged along the axial direction of the separation base 200. Groove 232, the hanging part 240 is placed in the guide groove 232 to guide the hanging part 240 to move into the guide groove 232. The guiding direction defined by the guide groove 232 is aligned with the first tearing portion 210 , thereby making it easier for the hanging portion 240 to break from the first tearing portion 210 .

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Abstract

An insertion-type tissue clipping device and a clamping member (1) thereof. The clamping member (1) comprises at least two clamping arms (100), wherein each clamping arm (100) comprises a clamping head (110) and a bendable portion (120); the clamping head (110) is used for clamping target tissue; the clamping head (110) and the bendable portion (120) remain relatively fixed to each other; the bendable portion (120) is provided with a bending structure capable of bending towards the closing direction of the clamping arms (100) and/or towards the opening direction of the clamping arms (100); in addition, the bending structure is provided with at least one deformation portion (123) arranged in a longitudinal direction; and when the clamping arms (100) are in a clamping state, the deformation portion (123) can be pressed inwards and deform in the longitudinal direction under the action of an external force, so as to drive the clamping arms (100) to integrally move towards a rear end of the clamping member (1), thereby solving the problem of the clamping member (1) being unable to move to a locking position when clamping certain larger target tissue.

Description

插入式组织夹闭装置及其夹持件Insertable tissue clamping device and clamping parts thereof 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, and specifically to the structure of an insertable tissue clamping device 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。An insertable tissue clamping device is an inserted medical device used to clamp tissues in the human or animal body to stop bleeding or close the device. 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 gastrointestinal 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 the site of gastrointestinal bleeding or trauma.
现有的夹持器械结构复杂,尺寸大。例如,以止血夹(或组织夹)这一类夹闭装置为例,一类止血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。Existing clamping instruments have complex structures and large sizes. For example, take a clamping device such as a hemostatic clip (or tissue clip). A type of hemostatic clip mainly achieves opening and clamping through the cooperation of the clamping arm and the sleeve. Specifically, the left and right clamping arms pass through A pin is loosely assembled and the clamping arm can be retracted into a sleeve to achieve closure. The clamping arms can also extend from the sleeve to allow for expansion. This structure utilizes the axial space of the sleeve to close the clamping arm, so part of the clamping arm must be contracted in the sleeve. As a result, after the hemostatic clamp is separated, the overall length remaining in the patient's body is longer, making it easier to remove the clamping arm. causing injury and discomfort to the patient.
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 through a rotating shaft, and then there is a track that slides 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 a strip-shaped hole is opened on the clamping arm. The fixed shaft passes through the strip-shaped hole of the clamping arm at the same time. By pushing and pulling the sliding shaft, the two clamping arms are driven to move up and down. After being hindered by the fixed shaft, the clamping arms are forced to move along the path of the elongated hole, thereby achieving opening and closing. This structure improves the control accuracy and the size of the clip becomes smaller, but there are more parts, the structure will become complex, and the cost will be higher.
技术问题technical problem
本申请提供一种插入式组织夹闭装置的夹持件,以展示一种结构更加简单的夹持件。The present application provides a clamping member of an insertable tissue clamping device to demonstrate a clamping member with a simpler structure.
本申请提供一种插入式组织夹闭装置,其采用了上述的夹持件。The present application provides an insertable tissue clamping device, which adopts the above-mentioned clamping member.
技术解决方案Technical solutions
基于上述目的,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,包括至少两个夹持臂,所述夹持臂包括夹持头和可弯曲部,所述夹持头用于夹持目标组织,所述夹持头和所述可弯曲部之间保持相对固定,所述可弯曲部具有能够向所述夹持臂的闭合方向弯曲和/或向所述夹持臂的张开方向弯曲的弯曲结构;Based on the above objectives, one embodiment of the present application provides a clamping member of an insertable tissue clamping device, which includes at least two clamping arms. The clamping arms include a clamping head and a bendable portion. The holding head is used to clamp the target tissue, and the holding head and the bendable part are kept relatively fixed. The bendable part has a function that can bend in the closing direction of the clamping arm and/or towards the clamping arm. The curved structure bends in the opening direction of the holding arm;
所述弯曲结构具有至少一个沿纵向设置的变形部,在所述夹持臂处于夹持状态时,所述变形部能够向内挤压变形,以带动所述夹持臂整体向夹持件的后端移动。The bending structure has at least one deformation portion arranged longitudinally. When the clamping arm is in the clamping state, the deformation portion can be extruded and deformed inward to drive the entire clamping arm toward the clamping member. Backend moves.
一种实施例中,所述变形部具有朝向所述变形部前端凸起的前拱部和/或朝向所述变形部后端凸起的后拱部,所述前拱部和/或所述后拱部能够在受到外力时向内挤压变形。In one embodiment, the deformation portion has a front arch portion protruding toward the front end of the deformation portion and/or a rear arch portion protruding toward the rear end of the deformation portion, and the front arch portion and/or the The rear arch can be deformed inwardly when subjected to external forces.
一种实施例中,所述弯曲结构包括若干个第一收缩缝组以及第二收缩缝组,每个所述第一收缩缝组具有至少一条第一收缩缝,每个所述第二收缩缝组具有至少一条第二收缩缝,所述第一收缩缝和所述第二收缩缝沿所述可弯曲部的周向延伸设置;所述第一收缩缝组和所述第二收缩缝组沿所述夹持臂的纵向间隔且错开排列;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。In one embodiment, the curved structure includes a plurality of first contraction seam groups and a second contraction seam group, each of the first contraction seam groups has at least one first contraction seam, and each of the second contraction seam groups has at least one first contraction seam group. The group has at least one second contraction seam, and the first contraction seam and the second contraction seam extend along the circumferential direction of the bendable portion; the first contraction seam group and the second contraction seam group extend along the The clamping arms are longitudinally spaced and staggered; the overlapping area between the first contraction seam and the second contraction seam forms a torsion deformation section, so that the bendable portion can bend and twist deformation.
一种实施例中,所述第一收缩缝组和所述第二收缩缝组设于所述变形部的前侧,所述扭曲变形段与所述变形部的前部连接。In one embodiment, the first contraction seam group and the second contraction seam group are provided on the front side of the deformation part, and the twist deformation section is connected to the front part of the deformation part.
一种实施例中,所述夹持头和所述可弯曲部为在同一基材上通过激光切割工艺切割而成的一体成型结构。In one embodiment, the clamping head and the bendable part are an integral structure cut on the same base material through a laser cutting process.
一种实施例中,所述夹持臂包括一对支撑臂,所述支撑臂位于两个所述夹持臂之间,所述变形部与所述支撑臂之间具有间隙,以在所述变形部的外周形成避空区。In one embodiment, the clamping arm includes a pair of support arms, the support arm is located between the two clamping arms, and there is a gap between the deformation part and the support arm to allow the The outer periphery of the deformation part forms a shelter area.
一种实施例中,所述夹持臂和所述支撑臂为在同一基材上通过激光切割工艺切割而成的一体成型结构。In one embodiment, the clamping arm and the supporting arm are an integral structure cut on the same base material through a laser cutting process.
一种实施例中,所述夹持件具有锁止配合部,所述锁止配合部用于与运动件锁止,以防止所述夹持臂张开。In one embodiment, the clamping part has a locking fitting part, and the locking fitting part is used to lock with the moving part to prevent the clamping arm from opening.
一种实施例中,所述夹持臂包括支撑臂,所述支撑臂位于两个所述夹持臂之间,所述锁止配合部为由所述支撑臂的部分区域向内伸出而形成的弹性卡扣。In one embodiment, the clamping arm includes a support arm, the support arm is located between the two clamping arms, and the locking fitting portion extends inward from a partial area of the support arm. Elastic buckle formed.
基于上述目的,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 objectives, one embodiment of the present application provides an insertable tissue clamping device, including:
如上述任一项所述的夹持件;A clamping member as described in any of the above;
以及运动控制组件,所述运动控制组件包括运动件,所述运动件以可沿所述夹持件轴向运动的方式设置于所述夹持件内,所述运动件与所述夹持臂连接,以驱动所述夹持臂张开和闭合。And a motion control component, the motion control component includes a moving part, the moving part is disposed in the clamping part in a manner that can move axially along the clamping part, the moving part and the clamping arm Connected to drive the clamping arms open and closed.
有益效果beneficial effects
依据上述实施例的夹持件,该夹持件包括至少两个夹持臂,夹持臂包括夹持头和可弯曲部。该夹持头用于夹持目标组织,夹持头和可弯曲部之间保持相对固定,可弯曲部具有能够向夹持臂的闭合方向弯曲和/或向夹持臂的张开方向弯曲的弯曲结构。该结构中,省略了现有结构中的套筒,整个组织夹闭装置零件更少,结构更加简单,装配要求更低。而且,该弯曲结构具有至少一个沿纵向设置的变形部,在夹持臂处于夹持状态时,变形部能够在外力作用下沿纵向向内挤压变形,以带动夹持臂整体向夹持件的后端移动,从而解决夹持件在夹持某些较大目标组织时无法运动到锁止位置的问题。According to the clamping member of the above embodiment, the clamping member includes at least two clamping arms, and the clamping arms include a clamping head and a bendable portion. The clamping head is used to clamp the target tissue, and the clamping head and the bendable part are kept relatively fixed. The bendable part has a shape that can bend in the closing direction of the clamping arm and/or bend in the opening direction of the clamping arm. Curved structure. In this structure, the sleeve in the existing structure is omitted, and the entire tissue clamping device has fewer parts, a simpler structure, and lower assembly requirements. Moreover, the curved structure has at least one deformation portion arranged longitudinally. When the clamping arm is in the clamping state, the deformation portion can be extruded and deformed longitudinally inward under the action of external force to drive the entire clamping arm toward the clamping member. The rear end moves, thereby solving the problem that the clamping member cannot move to the locking position when clamping some larger target tissues.
附图说明Description of the 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,其中传动组件采用了省略画法;Figure 1 is a schematic structural diagram of an insertion-type tissue clamping device in an embodiment of the present application, in which the transmission component is omitted;
图2为本申请一种实施例中夹持臂处于张开状态时的结构示意图;Figure 2 is a schematic structural diagram of the clamping arm in an open state in an embodiment of the present application;
图3和4为本申请一种实施例中夹持件处于张开状态时的剖视图,此时传动件处于第一行程中,传动件运动方向如箭头所示;Figures 3 and 4 are cross-sectional views of the clamping member in an open state in an embodiment of the present application. At this time, the transmission member is in the first stroke, and the movement direction of the transmission member is as shown by the arrow;
图5为本申请一种实施例中夹持臂处于夹持状态时的结构示意图;Figure 5 is a schematic structural diagram of the clamping arm in a clamping state according to an embodiment of the present application;
图6和7为本申请一种实施例中夹持件处于夹持状态时的剖视图,此时传动件处于第二行程中,传动件运动方向如箭头所示;Figures 6 and 7 are cross-sectional views of the clamping member in the clamping state in an embodiment of the present application. At this time, the transmission member is in the second stroke, and the movement direction of the transmission member is as shown by the arrow;
图8为本申请一种实施例中前端各部分的分解示意图;Figure 8 is an exploded schematic diagram of each part of the front end in an embodiment of the present application;
图9为本申请一种实施例中连接臂与限位件的配合结构示意图;Figure 9 is a schematic diagram of the matching structure of the connecting arm and the limiting member in an embodiment of the present application;
图10为本申请一种实施例中限位件与支撑臂的配合结构示意图;Figure 10 is a schematic diagram of the matching structure of the limiting member and the supporting arm in an embodiment of the present application;
图11为本申请一种实施例中连接臂与运动件的配合结构分解示意图;Figure 11 is an exploded schematic diagram of the matching structure of the connecting arm and the moving part in one embodiment of the present application;
图12为本申请一种实施例中连接臂结构示意图;Figure 12 is a schematic structural diagram of a connecting arm in an embodiment of the present application;
图13为本申请一种实施例中夹持臂处于夹持且自锁状态时的结构示意图,此时传动件处于第三行程中,传动件运动方向如箭头所示;Figure 13 is a structural schematic diagram of an embodiment of the present application when the clamping arm is in a clamping and self-locking state. At this time, the transmission member is in the third stroke, and the movement direction of the transmission member is as shown by the arrow;
图14和15为本申请一种实施例中夹持臂处于夹持且自锁状态时的剖视图;Figures 14 and 15 are cross-sectional views of the clamping arm in a clamping and self-locking state according to an embodiment of the present application;
图16为本申请一种实施例中夹持臂处于夹持且锁止状态时的结构示意图;Figure 16 is a schematic structural diagram of the clamping arm in a clamping and locked state in an embodiment of the present application;
图17和18为本申请一种实施例中夹持臂处于夹持且锁止状态时的剖视图,此时传动件处于第三行程中,传动件运动方向如箭头所示;Figures 17 and 18 are cross-sectional views of the clamping arm in an embodiment of the present application when it is in a clamped and locked state. At this time, the transmission member is in the third stroke, and the movement direction of the transmission member is as shown by the arrow;
图19为本申请一种实施例中筒状的夹持件沿纵向展开后的示意图;Figure 19 is a schematic view of the cylindrical clamping member expanded longitudinally in an embodiment of the present application;
图20为本申请一种实施例中环形的变形部自然状态下的结构示意图;Figure 20 is a schematic structural diagram of the annular deformation portion in its natural state in an embodiment of the present application;
图21为本申请一种实施例中环形的变形部向内挤压变形后的结构示意图;Figure 21 is a schematic structural diagram of an annular deformation portion after inward extrusion and deformation in an embodiment of the present application;
图22为本申请一种实施例中夹持件夹持较厚组织时变形部的变形方向示意图,变形方向如箭头所示;Figure 22 is a schematic diagram of the deformation direction of the deformation part when the clamping member clamps thicker tissue in an embodiment of the present application. The deformation direction is shown by the arrow;
图23为本申请另一种实施例中夹持件夹持较厚组织时限位件距离锁止槽长度的示意图;Figure 23 is a schematic diagram of the length of the limiting member from the locking groove when the clamping member clamps thicker tissue in another embodiment of the present application;
图24为本申请一种实施例中具有两个变形部时自然状态下的结构示意图;Figure 24 is a schematic structural diagram of the natural state when there are two deformation parts in an embodiment of the present application;
图25为本申请一种实施例中具有两个变形部时向内挤压变形后的结构示意图;Figure 25 is a schematic structural diagram after inward extrusion and deformation when there are two deformation parts in an embodiment of the present application;
图26为本申请一种实施例中具有多个变形部时的结构示意图;Figure 26 is a schematic structural diagram of an embodiment of the present application with multiple deformation portions;
图27为本申请一种实施例中夹持臂处于夹持状态,运动件与传动件内分离后的结构示意图;Figure 27 is a schematic structural diagram of the clamping arm in the clamping state and the moving part and the transmission part separated in an embodiment of the present application;
图28为本申请一种实施例中夹持臂处于夹持状态,运动件与传动件内分离后的剖视图,此时传动件处于第三行程中,传动件运动方向如箭头所示;Figure 28 is a cross-sectional view of an embodiment of the present application in which the clamping arm is in the clamping state and the moving part and the transmission part are separated. At this time, the transmission part is in the third stroke, and the movement direction of the transmission part is as shown by the arrow;
图29为本申请一种实施例中运动件与传动件内分离过程的剖视示意图;Figure 29 is a schematic cross-sectional view of the separation process of the moving parts and the transmission parts in one embodiment of the present application;
图30和31为本申请一种实施例中夹持臂处于夹持状态,分离基座和夹持臂以及支撑臂外分离后的结构示意图;Figures 30 and 31 are structural schematic diagrams of an embodiment of the present application in which the clamping arm is in a clamping state and the base is separated from the clamping arm and the support arm is separated;
图32为本申请一种实施例中夹持臂处于夹持状态,分离基座与夹持臂以及支撑臂外分离后的剖视图,此时传动件处于第三行程中,传动件运动方向如箭头所示。Figure 32 is a cross-sectional view of the clamping arm in the clamping state and the separation base from the clamping arm and the support arm in an embodiment of the present application. At this time, the transmission member is in the third stroke, and the movement direction of the transmission member is as shown by the arrow. shown.
本发明的实施方式Embodiments of the 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。其中不同实施方式中类似元件采用了相关联的类似的元件标号。在以下的实施方式中,很多细节描述是为了使得本申请能被更好的理解。然而,本领域技术人员可以毫不费力的认识到,其中部分特征在不同情况下是可以省略的,或者可以由其他元件、材料、方法所替代。在某些情况下,本申请相关的一些操作并没有在说明书中显示或者描述,这是为了避免本申请的核心部分被过多的描述所淹没,而对于本领域技术人员而言,详细描述这些相关操作并不是必要的,他们根据说明书中的描述以及本领域的一般技术知识即可完整了解相关操作。The present invention will be further described in detail below through specific embodiments in conjunction with the accompanying drawings. Similar elements in different embodiments use associated similar element numbers. In the following embodiments, many details are described in order to make the present application better understood. However, those skilled in the art can readily recognize that some of the features may be omitted in different situations, or may be replaced by other elements, materials, and methods. In some cases, some operations related to the present application are not shown or described in the specification. This is to avoid the core part of the present application being overwhelmed by excessive descriptions. For those skilled in the art, it is difficult to describe these in detail. The relevant operations are not necessary, and they can fully understand the relevant operations based on the descriptions in the instructions and general technical knowledge in the field.
另外,说明书中所描述的特点、操作或者特征可以以任意适当的方式结合形成各种实施方式。同时,方法描述中的各步骤或者动作也可以按照本领域技术人员所能显而易见的方式进行顺序调换或调整。因此,说明书和附图中的各种顺序只是为了清楚描述某一个实施例,并不意味着是必须的顺序,除非另有说明其中某个顺序是必须遵循的。Additionally, the features, operations, or characteristics described in the specification may be combined in any suitable manner to form various embodiments. At the same time, each step or action in the method description can also be sequentially exchanged or adjusted in a manner that is obvious to those skilled in the art. Therefore, the various sequences in the description and drawings are only for clearly describing a certain embodiment, and do not imply a necessary sequence, unless otherwise stated that a certain sequence must be followed.
本文中为部件所编序号本身,例如“第一”、“第二”等,仅用于区分所描述的对象,不具有任何顺序或技术含义。而本申请所说“连接”、“联接”,如无特别说明,均包括直接和间接连接(联接)。The serial numbers assigned to components in this article, such as "first", "second", etc., are only used to distinguish the described objects and do not have any sequential or technical meaning. The terms "connection" and "connection" mentioned in this application include direct and indirect connections (connections) unless otherwise specified.
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(统称为目标组织),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。该夹闭装置可以为一次性器械,也可以为重复使用器械。This embodiment provides an insertable tissue clamping device (hereinafter referred to as a clamping device for convenience of description). The clamping device is used to clamp tissues (collectively referred to as target tissues) in humans or animals to stop bleeding. Or closing function, which may include but is not limited to hemostatic clips, tissue clips, etc. The clamping device can be a disposable instrument or a reusable instrument.
请参考图1-7,一种实施例中,该夹闭装置包括夹持件1、控制手柄3、运动控制组件4以及传动组件5等相关部件。Please refer to Figures 1-7. In one embodiment, the clamping device includes a clamping member 1, a control handle 3, a motion control component 4, a transmission component 5 and other related components.
控制手柄3是控制夹闭装置的操作部件,操作者可手动通过该控制手柄3,来操作夹持件1的张开和闭合,以夹持目标组织2。其中,为了方便描述,本申请将整个夹闭装置中夹持件1所在一端定义为前端,控制手柄3所在一端定义为后端,其他部件中的前后方向均以此方向为基准。The control handle 3 is an operating component that controls the clamping device. The operator can manually operate the opening and closing of the clamping member 1 through the control handle 3 to clamp the target tissue 2 . Among them, for the convenience of description, this application defines the end of the entire clamping device where the clamping member 1 is located as the front end, and the end where the control handle 3 is located as the rear end. The front and rear directions of other components are based on this direction.
该夹持件包括至少两个夹持臂。该夹持臂100包括夹持头110和可弯曲部120,该夹持头110用于夹持目标组织2。夹持头110和可弯曲部120之间保持相对固定。这种相对固定既可以通过一体成型结构(如图2-7所示实施例)实现,也可以通过卡接、焊接、粘接、螺钉锁紧、铆接等固定方式连接为一体。The clamping member includes at least two clamping arms. The clamping arm 100 includes a clamping head 110 and a bendable portion 120 . The clamping head 110 is used to clamp the target tissue 2 . The clamping head 110 and the bendable portion 120 remain relatively fixed. This relative fixation can be achieved through an integrally formed structure (the embodiment shown in Figure 2-7), or can be connected into one body through clamping, welding, bonding, screw locking, riveting and other fixing methods.
为了能够更好的夹持目标组织2,一些实施例中,该夹持臂100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2-7所示实施例中,当夹持臂100为两组时,两个夹持臂100相对设置,当其如图5-7所示闭合(此时处于夹持状态)时,即可抓取目标物。在其他实施例中,当夹持臂100为不同数量时,其可能具有不同的夹爪式结构,例如,当夹持臂100为三个时,该三个夹持臂100可以呈三角形排布,以抓取目标物。In order to better clamp the target tissue 2, in some embodiments, the clamping arms 100 are arranged in a jaw-like structure to clamp the target object. The jaw-type structure is a structure that can firmly grasp the target object. For example, in the embodiment shown in FIGS. 2-7, when there are two sets of clamping arms 100, the two clamping arms 100 are arranged oppositely. When closed as shown in 5-7 (in the clamping state at this time), the target object can be grasped. In other embodiments, when the number of clamping arms 100 is different, they may have different jaw structures. For example, when there are three clamping arms 100 , the three clamping arms 100 may be arranged in a triangle. , to grab the target object.
与现有技术中通过套筒对夹持臂100限位而实现夹持臂100的开合不同,在本实施例中,夹持臂100的张开和闭合主要依靠可弯曲部120的弯曲结构变形。其中,可弯曲部120具有能够向夹持件1的闭合方向弯曲和/或向夹持件1的张开方向弯曲的结构。请参考图5-7,图示实施例中,该夹持件1的初始状态为夹持状态,即可弯曲部120在不变形的情况下,夹持件1处于夹持状态。此时,该可弯曲部120至少具有能够向夹持件1张开方向弯曲的结构,从而如图2-4所示,实现夹持件1的张开。Different from the prior art in which the clamping arm 100 is opened and closed by limiting the position of the clamping arm 100 with a sleeve, in this embodiment, the opening and closing of the clamping arm 100 mainly relies on the bending structure of the bendable portion 120 Deformation. The bendable portion 120 has a structure capable of bending in the closing direction of the clamping member 1 and/or bending in the opening direction of the clamping member 1 . Please refer to Figures 5-7. In the illustrated embodiment, the initial state of the clamping member 1 is the clamping state, that is, the clamping member 1 is in the clamping state when the bending portion 120 does not deform. At this time, the bendable portion 120 at least has a structure that can be bent in the opening direction of the clamping member 1, so as to realize the opening of the clamping member 1 as shown in FIGS. 2-4.
其中,该夹持头110为硬段,相对可弯曲部120来说不易变形。在运动件410向前端和向后端运动过程中,该可弯曲部120的弯曲变形先于夹持头110,以保证夹持臂100向目标物提供更好的咬合效果。该可弯曲部120的弯曲变形通过其结构变形实现,例如可通过在可弯曲部120上设置能够扭曲变形的弯曲结构实现,也可以通过使可弯曲部120的材料厚度变化而实现,或者通过选择更容易变形的材料而实现,当然,还可以通过其他的结构实现。该可弯曲部120这种弯曲变形为可逆的,即可弯曲部120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。The clamping head 110 is a hard segment, which is not easily deformed relative to the bendable portion 120 . During the movement of the moving member 410 to the front end and the rear end, the bendable portion 120 bends and deforms before the clamping head 110 to ensure that the clamping arm 100 provides a better bite effect to the target object. The bending deformation of the bendable portion 120 is achieved through structural deformation. For example, it can be achieved by providing a bending structure capable of torsional deformation on the bendable portion 120 , or by changing the material thickness of the bendable portion 120 , or by selecting It is realized by using materials that are more easily deformed. Of course, it can also be realized by other structures. The bending deformation of the bendable portion 120 is reversible, that is, the bending portion 120 has elasticity and can rebound and reset when the external force is lost, so the bending deformation can be repeated.
该结构中,省略了现有结构中的套筒,结合可弯曲部120的形变状态,该夹持件1能够基于运动件410的位置变化而张开和闭合。在同样开幅要求下,该夹持件1的长度比现有技术中夹持臂与套筒的组合更短。采用了该夹持件1后,整个组织夹闭装置零件更少,结构更加简单,装配要求更低,成本得到极大的缩减。In this structure, the sleeve in the existing structure is omitted, and combined with the deformation state of the bendable portion 120, the clamping member 1 can open and close based on the position change of the moving member 410. Under the same opening width requirement, the length of the clamping member 1 is shorter than the combination of the clamping arm and the sleeve in the prior art. After adopting the clamping member 1, the entire tissue clamping device has fewer parts, a simpler structure, lower assembly requirements, and the cost is greatly reduced.
该运动控制组件4的作用是驱动夹持臂100向张开方向和闭合方向运动。请参考图2-7以及图11-12,该运动控制组件4包括运动件410。该运动件410以可沿夹持件1轴向运动的方式设置于夹持件1内。该运动件410与夹持臂100直接或间接连接而形成联动结构。The function of the motion control component 4 is to drive the clamping arm 100 to move in the opening direction and the closing direction. Please refer to FIGS. 2-7 and 11-12 , the motion control component 4 includes a moving part 410 . The moving member 410 is disposed in the clamping member 1 in a manner that can move along the axial direction of the clamping member 1 . The moving part 410 is directly or indirectly connected to the clamping arm 100 to form a linkage structure.
请参考图2-7以及图11-12,一种实施例中,该还运动控制组件4包括至少两个连接臂420。两个连接臂420呈交叉状分布,两个连接臂420的一端铰接在运动件410上,另一端分别各自与一个夹持臂100连接,例如通过激光或其他形式的卡接、焊接、粘接、螺钉锁紧、铆接等固定方式连接。例如,请参考图2-8,一种实施例中,该连接臂420的前端具有凸起连接部421,凸起连接部421插入对应的夹持臂100中,并与夹持臂100固定连接,例如通过超声波焊接。Please refer to FIGS. 2-7 and 11-12 . In one embodiment, the motion control assembly 4 includes at least two connecting arms 420 . The two connecting arms 420 are distributed in a cross shape, one end of the two connecting arms 420 is hinged on the moving part 410, and the other end is connected to a clamping arm 100, for example, through laser or other forms of clamping, welding, and bonding. , screw locking, riveting and other fixed methods of connection. For example, please refer to Figures 2-8. In one embodiment, the front end of the connecting arm 420 has a raised connecting portion 421. The raised connecting portion 421 is inserted into the corresponding clamping arm 100 and is fixedly connected to the clamping arm 100. , for example by ultrasonic welding.
此外,在其他实施例中,该运动件410也可与连接臂420形成为一体成型结构,此时连接臂420只是运动件410上的一部分,在运动件410运动时,该连接臂420可产生弹性形变,以适应夹持臂100张开和闭合的需要。In addition, in other embodiments, the moving part 410 can also be formed into an integrated structure with the connecting arm 420. In this case, the connecting arm 420 is only a part of the moving part 410. When the moving part 410 moves, the connecting arm 420 can generate Elastic deformation to adapt to the opening and closing needs of the clamping arm 100.
当然,在另一些实施例中,该运动件410也可通过其他方式与连接臂420形成运动控制组件4,例如,连接臂420铰接在运动件410上,但不形成交叉结构。Of course, in other embodiments, the moving part 410 can also form the motion control assembly 4 with the connecting arm 420 in other ways. For example, the connecting arm 420 is hinged on the moving part 410 but does not form a cross structure.
当运动件410向夹闭装置的前端运动时,可通过连接臂420撑开两个夹持臂100,从而使夹持臂100处于张开状态。当运动件410向夹闭装置的后端运动时,可通过连接臂420拉动两个夹持臂100相互靠近,从而使夹持臂100运动至闭合,处于夹持状态。When the moving member 410 moves toward the front end of the clamping device, the two clamping arms 100 can be spread apart through the connecting arm 420, so that the clamping arms 100 are in an open state. When the moving member 410 moves toward the rear end of the clamping device, the two clamping arms 100 can be pulled close to each other through the connecting arm 420, so that the clamping arms 100 move to a closed state and are in a clamping state.
该传动组件5包括传动件510和套管组件520。该传动件510与运动件410连接,分离基座200连接在套管组件520上,从而使整个夹持件1被支撑在套管组件520上。该套管组件520与控制手柄3连接,该控制手柄3与传动件510形成联动结构,以控制传动件510和运动件410的运动。The transmission assembly 5 includes a transmission member 510 and a sleeve assembly 520 . The transmission member 510 is connected to the moving member 410 , and the separation base 200 is connected to the sleeve assembly 520 , so that the entire clamping member 1 is supported on the sleeve assembly 520 . The sleeve assembly 520 is connected to the control handle 3 , and the control handle 3 forms a linkage structure with the transmission member 510 to control the movement of the transmission member 510 and the moving member 410 .
请参考图1,一种实施例中,该控制手柄3可包括用来控制传动件510的控制部31 和供操作者抓持的抓持部32,该控制部31可相对抓持部32运动。在图1中,该抓持部32为供操作者大拇指插入的结构,控制部31可相对抓持部32前后运动。该控制部31可通过一个牵引件与传动件510连接,以形成联动结构。该牵引件可采用但不限于钢丝绳或其他材质的牵引绳以及其他可作为夹闭装置牵引结构的部件。通过该牵引件,操作者可通过控制部32驱动传动件510以及运动件410运动,进而控制夹持臂100的张开和闭合。Please refer to FIG. 1 . In one embodiment, the control handle 3 may include a control part 31 for controlling the transmission member 510 and a gripping part 32 for the operator to grasp. The control part 31 may move relative to the gripping part 32 . In FIG. 1 , the gripping part 32 is a structure for the operator's thumb to be inserted into, and the control part 31 can move forward and backward relative to the gripping part 32 . The control part 31 can be connected to the transmission part 510 through a traction part to form a linkage structure. The traction component may be, but is not limited to, a steel wire rope or a traction rope made of other materials, as well as other components that can be used as the traction structure of the clamping device. Through the traction member, the operator can drive the transmission member 510 and the moving member 410 to move through the control part 32, thereby controlling the opening and closing of the clamping arm 100.
其中,传动件510不同的运动行程对应着夹闭装置不同的状态。具体地,该传动件510具有第一行程、第二行程和第三行程。在第一行程中,传动件510带动夹持头110相互远离,使夹持臂100运动至张开状态,如图2-4所示;在第二行程中,传动件510带动夹持头110相互靠近,夹持臂100运动至夹持状态,以夹持目标组织2,如图5-7所示;在第三行程中,夹持臂100锁止在夹持状态,夹持臂100从传动件510以及分离基座200上分离,如图13-18以及图27-32所示。当夹持臂100完全从传动件510以及分离基座200上分离后,夹持臂100可保留在患者体内,与夹持臂100脱离的部分从患者体内取出。上述过程即为该夹闭装置整个使用过程的大致介绍。Among them, different movement strokes of the transmission member 510 correspond to different states of the clamping device. Specifically, the transmission member 510 has a first stroke, a second stroke and a third stroke. In the first stroke, the transmission member 510 drives the clamping heads 110 away from each other, causing the clamping arms 100 to move to the open state, as shown in Figure 2-4; in the second stroke, the transmission member 510 drives the clamping heads 110 approaching each other, the clamping arm 100 moves to the clamping state to clamp the target tissue 2, as shown in Figure 5-7; during the third stroke, the clamping arm 100 is locked in the clamping state, and the clamping arm 100 moves from The transmission member 510 and the separation base 200 are separated, as shown in Figures 13-18 and 27-32. When the clamping arm 100 is completely separated from the transmission member 510 and the separation base 200, the clamping arm 100 can remain in the patient's body, and the part separated from the clamping arm 100 can be removed from the patient's body. The above process is a rough introduction to the entire use process of the clamping device.
进一步地,该夹持件1还包括与夹持臂100连接的分离基座200。这种连接既可以为一体成型结构(如图2-7所示实施例),该一体成型结构可以是目标对象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。该一体式成型结构(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。此外,夹持臂100和分离基座200之间也可以通过卡接、焊接、粘接、螺钉锁紧、铆接等固定方式将夹持头和可弯曲部连接为一体。Further, the clamp 1 further includes a separation base 200 connected to the clamp arm 100 . This kind of connection can be a one-piece structure (as shown in the embodiment shown in Figure 2-7). The one-piece structure can be that the target object is made of the same material and is not assembled by a combination of two or more parts. The one-piece molded structure (including other one-piece molded structures described below) can be made by, but not limited to, injection molding, laser cutting, and other machining processes. In particular, when laser cutting is used, extremely small gaps can be processed, which is conducive to miniaturization of the overall structure and improvement of compactness. In addition, the clamping arm 100 and the separation base 200 can also be integrated with the clamping head and the bendable portion through fastening methods such as clamping, welding, bonding, screw locking, riveting, etc.
当夹持臂100夹持目标组织2后,目标组织2对夹持臂100有反向作用力,因此为了能够牢固的夹住目标组织2,需要保证夹闭装置能够给夹持臂100提供足够的咬合力。针对这一问题,请参考图2-10,一些实施例中,该夹持件1还包括位于两个夹持臂100之间的一对支撑臂300,该支撑臂300与夹持臂100和分离基座200连接。这种连接既可以通过一体成型结构(如图2-7所示实施例)实现,也可以通过卡接、焊接、粘接、螺钉锁紧、铆接等固定方式连接为一体。该一对支撑臂300上设有限位件310,如图4所示,该限位件310位于两个连接臂420所形成且靠近运动件410的交叉区域421内。请参考图2-7,在运动件410向后端运动时,限位件310能够至少在夹持臂100处于夹持状态时接触至少一个连接臂420,并对至少一个连接臂420形成杠杆结构的支点。When the clamping arm 100 clamps the target tissue 2, the target tissue 2 exerts a reaction force on the clamping arm 100. Therefore, in order to firmly clamp the target tissue 2, it is necessary to ensure that the clamping device can provide sufficient power to the clamping arm 100. bite force. To address this problem, please refer to Figures 2-10. In some embodiments, the clamp 1 also includes a pair of support arms 300 located between the two clamp arms 100. The support arms 300 are connected to the clamp arms 100 and Separate base 200 connection. This kind of connection can be realized through an integrally formed structure (the embodiment shown in Figure 2-7), or it can be connected into one body through clamping, welding, bonding, screw locking, riveting and other fixing methods. The pair of support arms 300 is provided with a limiting member 310 . As shown in FIG. 4 , the limiting member 310 is located in the intersection area 421 formed by the two connecting arms 420 and close to the moving member 410 . Please refer to Figures 2-7. When the moving member 410 moves to the rear end, the limiting member 310 can contact at least one connecting arm 420 at least when the clamping arm 100 is in the clamping state, and form a lever structure for the at least one connecting arm 420. fulcrum.
在图2-8所示实施例中,该连接臂420既作为连接夹持臂100与运动件410的关键零件,又作为与限位件310配合实现杠杆结构的零件。要满足上述两项功能,故连接臂420面向限位件310的外边缘需要能够与限位件310产生作用力。因为连接臂420前端与夹持臂100中部固定连接(如焊接),此时可以将夹持臂100和连接臂420视为同一个力系,而限位件310可作为夹持臂100的杠杆旋转支点。在运动件410向后端运动的过程中,运动件410向后端的位移要转换成夹持臂100的闭合,此时连接臂420靠近限位件310一侧的外边缘与限位件310之间既有相对的滑动位移,又有相对的旋转位移。来自于控制手柄3的拉力转换成连接臂420相对限位件310的下压力,通过该作为杠杆支点的限位件310作用,可将作用力有效的传递到连接臂420另一端,进而传递至夹持臂100的前端,从而获得更大的夹持力度(咬合力)。In the embodiment shown in FIGS. 2-8 , the connecting arm 420 not only serves as a key component connecting the clamping arm 100 and the moving member 410 , but also serves as a component that cooperates with the limiting member 310 to implement the lever structure. To satisfy the above two functions, the outer edge of the connecting arm 420 facing the limiting member 310 needs to be able to generate force with the limiting member 310 . Because the front end of the connecting arm 420 is fixedly connected (such as welding) to the middle part of the clamping arm 100, the clamping arm 100 and the connecting arm 420 can be regarded as the same force system, and the stopper 310 can be used as a lever for the clamping arm 100. Pivot of rotation. During the movement of the moving part 410 to the rear end, the displacement of the moving part 410 to the rear end is converted into the closing of the clamping arm 100. At this time, the outer edge of the connecting arm 420 close to the limiting member 310 is connected with the limiting member 310. There are both relative sliding displacement and relative rotational displacement. The pulling force from the control handle 3 is converted into a downward force of the connecting arm 420 relative to the limiting member 310. Through the action of the limiting member 310 as a lever fulcrum, the force can be effectively transmitted to the other end of the connecting arm 420, and then to the other end of the connecting arm 420. The front end of the clamping arm 100 is clamped to obtain greater clamping force (biting force).
为了保证至少在夹持臂100处于夹持状态时,该限位件310与连接臂420所形成的杠杆结构是省力杠杆,因此,一种实施例中,请参考图7,至少在夹持臂100处于夹持状态时,该连接臂420相对运动件410的转动中心距离限位件310中心的力臂b大于连接臂420与夹持头110的连接中心距离限位件310中心的力臂c。这样,当夹持臂100处于夹持状态时,操作者可以用更省力的方式,使夹持臂100获得更大的咬合力。In order to ensure that at least when the clamping arm 100 is in the clamping state, the lever structure formed by the limiting member 310 and the connecting arm 420 is a labor-saving lever. Therefore, in one embodiment, please refer to FIG. 7 . When 100 is in the clamping state, the force arm b between the rotation center of the connecting arm 420 relative to the moving member 410 and the center of the limiting member 310 is greater than the force arm c between the connecting center of the connecting arm 420 and the clamping head 110 and the center of the limiting member 310 . . In this way, when the clamping arm 100 is in the clamping state, the operator can use a more labor-saving manner to obtain a greater bite force on the clamping arm 100 .
当然,在其他实施例中,至少在夹持臂100处于夹持状态时,该连接臂420相对运动件410的转动中心距离限位件310中心的力臂b也可等于或小于连接臂420与夹持头110的连接中心距离限位件310中心的力臂c。此时,主要利用杠杆来改变力的方向,使操作者更容易通过拉动传动件510而使夹持臂100更好的咬合目标组织2。Of course, in other embodiments, at least when the clamping arm 100 is in the clamping state, the force arm b between the rotation center of the connecting arm 420 relative to the moving member 410 and the center of the limiting member 310 may also be equal to or smaller than the connecting arm 420 and the center of the limiting member 310 . The connection center of the clamping head 110 is distanced from the center of the limiting member 310 by a moment arm c. At this time, the lever is mainly used to change the direction of the force, making it easier for the operator to make the clamping arm 100 better engage the target tissue 2 by pulling the transmission member 510 .
进一步地,当夹持臂100咬合目标组织2后,为了避免目标组织2的反向作用力撑开夹持臂100,一种实施例中,还可通过限位件310和连接臂420组合而形成一个自锁结构。请参考图12和15,一种实施例中,两个连接臂420具有锁止配合面422,在夹持臂100处于夹持状态时,两个连接臂420的锁止配合面422围成锁止槽423,限位件310位于锁止槽423内,以阻止两个夹持臂100横向交叉运动,使夹持臂100保持在夹持状态。Furthermore, when the clamping arm 100 engages the target tissue 2, in order to avoid the reaction force of the target tissue 2 from spreading the clamping arm 100, in one embodiment, the limiting member 310 and the connecting arm 420 can also be combined. Form a self-locking structure. Please refer to Figures 12 and 15. In one embodiment, the two connecting arms 420 have locking mating surfaces 422. When the clamping arm 100 is in the clamping state, the locking mating surfaces 422 of the two connecting arms 420 form a lock. The stop groove 423 and the limiting member 310 are located in the locking groove 423 to prevent the two clamping arms 100 from lateral cross movement and keep the clamping arms 100 in the clamping state.
该自锁的实现原理是,夹持臂100处于夹持状态时,该目标组织2撑开夹持臂100的反向作用力通过连接臂420,转化为连接臂420相对限位件310的横向位移,对运动件410向前端的作用力变得很小,此时该限位件310位于锁止槽423内,可阻止连接臂420交叉横向移动,进而组织夹持臂100打开。The realization principle of this self-locking is that when the clamping arm 100 is in the clamping state, the reaction force of the target tissue 2 to open the clamping arm 100 passes through the connecting arm 420 and is converted into the lateral direction of the connecting arm 420 relative to the limiting member 310 Displacement, the force acting on the front end of the moving part 410 becomes very small. At this time, the limiting part 310 is located in the locking groove 423, which can prevent the connecting arm 420 from moving crosswise, and then the tissue clamping arm 100 is opened.
一种实施例中,锁止槽423在横向的尺寸略大于或等于限位件310的横向尺寸,这样既可以保证限位件310能够进入锁止槽423内,也可以避免因锁止槽423与限位件310之间空隙太多而导致夹持臂100产生较大的横向移动,避免夹持臂100松开目标组织2。In one embodiment, the lateral size of the locking groove 423 is slightly larger than or equal to the lateral size of the limiting member 310 , which can not only ensure that the limiting member 310 can enter the locking groove 423 , but also avoid the locking groove 423 Too much gap between the clamping arm 100 and the limiting member 310 will cause the clamping arm 100 to move larger laterally, preventing the clamping arm 100 from loosening the target tissue 2 .
在连接臂420向后端运动的过程中,限位件310基本保持不动,因此为了引导锁止槽423卡套在限位件310上,一些实施例中,还可以提供一种导向结构。请参考图7、12和15,一种实施例中,两个连接臂420具有导向面424,在夹持臂100自张开状态向夹持状态运动时,随着连接臂420的运动变化,导向面424围成导向空间425。该限位件310设于导向空间425内,且该导向空间425与锁止槽423连通。在连接臂420向后端运动,带动夹持臂100向夹持状态运动时,该导向空间425引导锁止槽423卡在限位件310上。During the movement of the connecting arm 420 to the rear end, the limiting member 310 remains basically stationary. Therefore, in order to guide the locking groove 423 to be clamped on the limiting member 310, in some embodiments, a guide structure may also be provided. Please refer to Figures 7, 12 and 15. In one embodiment, the two connecting arms 420 have guide surfaces 424. When the clamping arm 100 moves from the open state to the clamping state, as the movement of the connecting arms 420 changes, The guide surface 424 encloses a guide space 425. The limiting member 310 is disposed in the guide space 425 , and the guide space 425 is connected with the locking groove 423 . When the connecting arm 420 moves to the rear end and drives the clamping arm 100 to move to the clamping state, the guide space 425 guides the locking groove 423 to get stuck on the limiting member 310 .
如图7和15所示,一种实施例中,该锁止槽423对接于导向空间425的前侧,导向空间425的横向尺寸自后向前逐渐缩小。As shown in Figures 7 and 15, in one embodiment, the locking groove 423 is connected to the front side of the guide space 425, and the lateral size of the guide space 425 gradually decreases from the back to the front.
为了形成如图7和15所示的导向结构,一种实施例中,请参考图7、12以及15,该连接臂420具有倾斜设置的导向面424,该两个倾斜的导向面424可以在夹持臂100自张开状态向夹持状态运动时,配合形成类似八字形的导向空间425。当连接臂420与限位件310的接触点越过连接臂420的导向面424的转折点后,将进入锁止槽423,此时夹持臂100与限位件310互锁。In order to form the guide structure as shown in Figures 7 and 15, in one embodiment, please refer to Figures 7, 12 and 15, the connecting arm 420 has an inclined guide surface 424, and the two inclined guide surfaces 424 can be at When the clamping arm 100 moves from the open state to the clamping state, it cooperates to form a figure-eight-shaped guide space 425. When the contact point of the connecting arm 420 and the limiting member 310 passes the turning point of the guide surface 424 of the connecting arm 420, it will enter the locking groove 423. At this time, the clamping arm 100 and the limiting member 310 are interlocked.
当然,在其他实施例中,该导向面424也可以为其他形状,从而形成其他形状的导向空间425。Of course, in other embodiments, the guide surface 424 can also be in other shapes, thereby forming guide spaces 425 in other shapes.
为了形成如图7和15所示的自锁结构,一种实施例中,请参考图7、12以及15,该连接臂420具有呈弧形的锁止配合面422。锁止配合面422位于导向面424的前侧。在夹持臂100处于夹持状态时,两个连接臂420的锁止配合面422围成弧形的锁止槽423。当限位件310为圆柱形结构(如限位轴)时,该弧形的锁止槽423可以与限位件310更加贴合。In order to form the self-locking structure as shown in Figures 7 and 15, in one embodiment, please refer to Figures 7, 12 and 15, the connecting arm 420 has an arc-shaped locking mating surface 422. The locking mating surface 422 is located on the front side of the guide surface 424 . When the clamping arm 100 is in the clamping state, the locking mating surfaces 422 of the two connecting arms 420 enclose an arc-shaped locking groove 423. When the limiting member 310 is a cylindrical structure (such as a limiting shaft), the arc-shaped locking groove 423 can fit more closely with the limiting member 310 .
请参考图12和15,一种实施例中,该锁止配合面422还具有直线段426,夹持臂100处于夹持状态时,该两个锁止配合面422的直线段426能够配合形成锁止槽423的竖直进出口,该竖直进出口延伸方向与运动件410的轴向一致。该竖直进出口可提高限位件310从锁止槽423内滑出的难度。Please refer to Figures 12 and 15. In one embodiment, the locking mating surface 422 also has a straight line segment 426. When the clamping arm 100 is in the clamping state, the straight line segments 426 of the two locking mating surfaces 422 can cooperate to form The vertical inlet and outlet of the locking groove 423 extends in the same direction as the axial direction of the moving part 410 . This vertical inlet and outlet can make it more difficult for the limiting member 310 to slide out of the locking groove 423 .
当然,在其他一些实施例中,该竖直进出口也可替换为内大外小的八字形进出口或其他形式的进出口,使得进入锁止槽423的限位件310,更难以从该八字形进出口滑出。Of course, in some other embodiments, the vertical inlet and outlet can also be replaced by a figure-eight inlet and outlet with a large inside and a small outside or other forms of inlets and outlets, so that it is more difficult to enter the limiting member 310 of the locking groove 423 from the The figure-eight entrance and exit slide out.
进一步地,当运动件410向夹闭装置前端运动时,可带动连接臂420撑开支撑臂300,从而使支撑臂300切换为张开状态。为了限定支撑臂300的张开角度,可在支撑臂300上设置角度限位结构,也可以在运动件410和/或连接臂420上设置角度限位结构。Further, when the moving member 410 moves toward the front end of the clamping device, the connecting arm 420 can be driven to open the support arm 300, thereby switching the support arm 300 to an open state. In order to limit the opening angle of the support arm 300, an angle limiting structure may be provided on the support arm 300, or an angle limiting structure may be provided on the moving part 410 and/or the connecting arm 420.
例如,请参考图8和11,一种实施例中,该运动件410的前端具有角度限位结构414,在夹持臂100处于张开状态时,角度限位结构414在限位件310的后侧形成限位,以阻止运动件410继续向前端运动,限制夹持臂100的打开角度。For example, please refer to Figures 8 and 11. In one embodiment, the front end of the moving member 410 has an angle limiting structure 414. When the clamping arm 100 is in an open state, the angle limiting structure 414 is on the limiting member 310. A limit is formed on the rear side to prevent the moving member 410 from continuing to move toward the front end and limit the opening angle of the clamping arm 100 .
一种实施例中,该角度限位结构414为设置在运动件410的前端背离对应夹持臂100的一面的限位槽,例如第一座体411和第二座体412上均具有该限位槽。该限位槽作为角度限位结构414,当夹持臂100处于张开状态时,限位槽的底部能够与限位件310接触,从而形成限位,以阻止运动件410继续向前端运动,限制夹持臂100的打开角度。In one embodiment, the angle limiting structure 414 is a limiting groove provided on a side of the front end of the moving part 410 away from the corresponding clamping arm 100. For example, the first base body 411 and the second base body 412 both have the limiting groove. bit slot. The limit groove serves as the angle limit structure 414. When the clamping arm 100 is in the open state, the bottom of the limit groove can contact the limit member 310, thereby forming a limit to prevent the moving member 410 from continuing to move to the front end. The opening angle of the clamping arm 100 is limited.
另一种实施例中,也可通过摇臂420来形成角度限位结构。请参考图2-4以及图12,一种实施例中,两个摇臂420连接于运动件410的一端具有凸出设置的限位部427。在夹持臂100处于张开状态时,两个限位部427形成角度限位结构,例如呈交叉状或刚好左右对齐。该角度限位结构在限位件310的后侧形成限位,以阻止运动件410继续向前端运动,从而限制夹持臂100的打开角度。当设置了该限位部427后,可不再另外设置角度限位结构。该限位部427直接设于摇臂420上,可一体成型制造,结构简单,同时也可简化整个夹闭装置的结构。In another embodiment, the angle limiting structure can also be formed by the rocker arm 420 . Please refer to FIGS. 2-4 and 12 . In one embodiment, one end of the two rocker arms 420 connected to the moving member 410 has a protruding limiting portion 427 . When the clamping arm 100 is in the open state, the two limiting portions 427 form an angle limiting structure, for example, in a cross shape or just aligned left and right. The angle limiting structure forms a limit on the rear side of the limiting member 310 to prevent the moving member 410 from continuing to move toward the front end, thereby limiting the opening angle of the clamping arm 100 . After the limiting portion 427 is provided, no additional angle limiting structure can be provided. The limiting portion 427 is directly provided on the rocker arm 420 and can be manufactured in one piece. The structure is simple and the structure of the entire clamping device can also be simplified.
一种实施例中,连接臂420可为一体成型,例如利用钣金通过激光切割或冲压成型。一种实施例中,当采用钣金材料时,该连接臂420的厚度可选择在0.3-0.6mm之间,如此既可保证连接臂420的强度,也可以避免连接臂420重量过重。此外,连接臂420也可以为多个部件分开制造后固定连接在一起。In one embodiment, the connecting arm 420 may be integrally formed, for example, using sheet metal through laser cutting or stamping. In one embodiment, when sheet metal material is used, the thickness of the connecting arm 420 can be selected to be between 0.3-0.6 mm, so as to ensure the strength of the connecting arm 420 and avoid the excessive weight of the connecting arm 420. In addition, the connecting arm 420 can also be made of multiple components separately and then fixedly connected together.
进一步地,考虑到某些情况下,连接臂420和运动件410之间需要能够自动调整相对位置,例如在夹持臂100打开和闭合过程中,由于受到夹持件1内部空间的限制,需要在很小的内径空间内实现连接臂420的复杂运动轨迹,因此连接臂420在运动过程中难免与夹持件1形成运动干涉。针对这一问题,一种实施例中,在运动件410和连接臂420中,其一具有转轴,另一个具有自调整槽,转轴设于自调整槽内,转轴和自调整槽能够在连接臂420运动过程中,自适应地调整运动件410和连接臂420在横向上的相对位置。该自调整槽的内腔大于转轴,因此转轴可自适应的调整在自调整槽内的位置。Furthermore, considering that in some cases, the relative position between the connecting arm 420 and the moving part 410 needs to be automatically adjusted, for example, during the opening and closing process of the clamping arm 100, due to the limitation of the internal space of the clamping part 1, it is necessary to The complex motion trajectory of the connecting arm 420 is realized in a small inner diameter space, so the connecting arm 420 inevitably interferes with the movement of the clamping member 1 during the movement. To address this problem, in one embodiment, one of the moving parts 410 and the connecting arm 420 has a rotating shaft and the other has a self-adjusting groove. The rotating shaft is provided in the self-adjusting groove. The rotating shaft and the self-adjusting groove can be in the connecting arm. During the movement of 420, the relative positions of the moving part 410 and the connecting arm 420 in the transverse direction are adaptively adjusted. The inner cavity of the self-adjusting groove is larger than the rotating shaft, so the rotating shaft can adaptively adjust its position in the self-adjusting groove.
请参考图4和7,一种实施例中,该自调整槽428设于连接臂420上,而转轴4111固定设置在运动件410上。在图示实施例中,该自调整槽428为长条形,转轴4111能够相对地在长条形结构中移动。当夹持臂100处于夹持状态时,如图7所示,该两个自调整槽428相对设置,且自调整槽428的后端一同向两个连接臂420之间倾斜,以便于连接臂420在运动过程中能够横向调整位置。Please refer to FIGS. 4 and 7 . In one embodiment, the self-adjusting groove 428 is provided on the connecting arm 420 , and the rotating shaft 4111 is fixedly provided on the moving part 410 . In the illustrated embodiment, the self-adjusting groove 428 is elongated, and the rotating shaft 4111 can move relatively in the elongated structure. When the clamping arm 100 is in the clamping state, as shown in FIG. 7 , the two self-adjusting grooves 428 are arranged oppositely, and the rear ends of the self-adjusting grooves 428 are tilted toward the space between the two connecting arms 420 to facilitate the connecting arms. The 420 can adjust its position laterally during movement.
当然,在其他实施例中,该自调整槽428也可设于运动件410上,而转轴4111设于连接臂420上。在另一些其他实施例中,自调整槽428也可其他形状,例如内径大于转轴4111外径的圆形或椭圆形。Of course, in other embodiments, the self-adjusting groove 428 can also be provided on the moving part 410, and the rotating shaft 4111 is provided on the connecting arm 420. In some other embodiments, the self-adjusting groove 428 may also have other shapes, such as a circular or elliptical shape with an inner diameter larger than the outer diameter of the rotating shaft 4111 .
请参考图4和7,一种实施例中,该两个连接臂420与运动件410分别通过各自的转轴4111连接,两个连接臂420与运动件410的转动轴线分开且平行。在其他实施例中,该两个连接臂420也可与运动件410通过共同的转轴4111连接。Please refer to FIGS. 4 and 7 . In one embodiment, the two connecting arms 420 are connected to the moving part 410 through respective rotation axes 4111 . The two connecting arms 420 are separated from and parallel to the rotation axes of the moving part 410 . In other embodiments, the two connecting arms 420 can also be connected to the moving part 410 through a common rotating shaft 4111.
进一步地,请参考图7和8,为了避免在夹持目标组织2时,避免连接臂420的影响,一种实施例中,连接臂420的前端背离对应夹持臂100的一面具有凹陷部4210,凹陷部4210用于避让被夹持头110夹住的组织。Further, please refer to Figures 7 and 8. In order to avoid the influence of the connecting arm 420 when clamping the target tissue 2, in one embodiment, the front end of the connecting arm 420 has a recess 4210 on a side facing away from the corresponding clamping arm 100. , the recessed portion 4210 is used to avoid the tissue clamped by the clamping head 110 .
进一步地,请参考图10,一种实施例中,一对支撑臂300相对地设置于两个夹持臂100之间的缺口处,限位件310两端分别与一个支撑臂300固定连接,例如通过激光或其他形式卡接、焊接、粘接、螺钉锁紧、铆接或其他固定形式,以形成稳固的限位结构。Further, please refer to Figure 10. In one embodiment, a pair of support arms 300 are disposed oppositely at the gap between the two clamping arms 100, and both ends of the limiter 310 are fixedly connected to one support arm 300 respectively. For example, laser or other forms of clamping, welding, bonding, screw locking, riveting or other fixing forms are used to form a stable limiting structure.
请参考图8-10,一种实施例中,限位件310具有沿其轴向设置的两个限位块311,两个限位块311之间形成限位空间,两个连接臂420沿限位件310的轴向层叠设于限位空间处,以阻止两个连接臂420沿限位件310的轴向脱离,限制连接臂420向两端外侧滑动,防止夹持臂100的齿不能准确对位。Please refer to Figures 8-10. In one embodiment, the limiting member 310 has two limiting blocks 311 arranged along its axial direction. A limiting space is formed between the two limiting blocks 311. The two connecting arms 420 are arranged along the axial direction of the limiting member 310. The axial layer of the limiting member 310 is stacked in the limiting space to prevent the two connecting arms 420 from disengaging along the axial direction of the limiting member 310, restricting the connecting arms 420 from sliding outward at both ends, and preventing the teeth of the clamping arm 100 from being unable to move. Accurate alignment.
在图10所示实施例中,该限位件310为轴状结构,两个限位块311在限位件310上呈哑铃状分布。当然,该限位件310在其他实施例中,也可以为其他结构。In the embodiment shown in FIG. 10 , the limiting member 310 has a shaft-shaped structure, and the two limiting blocks 311 are distributed in a dumbbell shape on the limiting member 310 . Of course, the limiting member 310 may also have other structures in other embodiments.
进一步地,该运动件410作用在于能够在夹持件1内运动并带动连接臂420移动,运动件410相对夹持件1的运动可以是但不限于滑动、滚动等。该运动件410可采用任意符合上述要求的形状和结构。Furthermore, the moving part 410 is capable of moving within the holding part 1 and driving the connecting arm 420 to move. The movement of the moving part 410 relative to the holding part 1 may be, but is not limited to, sliding, rolling, etc. The moving part 410 can adopt any shape and structure that meets the above requirements.
请参考图8、9和11,一种实施例中,该运动件410为滑块,该运动件410滑动设置于夹持件1内。该运动件410包括第一座体411和第二座体412,连接臂420连接并被限制于第一座体411和第二座体412之间,第一座体411和第二座体412拼接形成运动件410。该结构中,将运动件410分为第一座体411和第二座体412,分开制造,可降低制造难度。这种拼装结构可先将连接臂420安装到第一座体411上,然后将第二座体412扣合到第一座体411上,既完成运动件410的组装,也完成了连接臂420的安装。Please refer to FIGS. 8 , 9 and 11 . In one embodiment, the moving member 410 is a slider, and the moving member 410 is slidably disposed in the clamping member 1 . The moving part 410 includes a first base 411 and a second base 412. The connecting arm 420 is connected and limited between the first base 411 and the second base 412. The first base 411 and the second base 412 The moving parts 410 are formed by splicing. In this structure, the moving part 410 is divided into the first base 411 and the second base 412, and are manufactured separately, which can reduce manufacturing difficulty. In this assembled structure, the connecting arm 420 can be installed on the first base 411 first, and then the second base 412 can be fastened to the first base 411. This not only completes the assembly of the moving part 410, but also completes the connecting arm 420. installation.
请参考图11,一种实施例中,该第一座体411具有转轴4111,连接臂420套设在转轴4111上。第二座体412可扣合在第一座体411上,为了与第二座体412扣合,该第一座体411上设有凸起4112,该第二座体412设有凹陷部4121,该凸起部4112和凹陷部4121插接配合,以形成横向的定位。Please refer to Figure 11. In one embodiment, the first base 411 has a rotating shaft 4111, and the connecting arm 420 is sleeved on the rotating shaft 4111. The second base body 412 can be buckled on the first base body 411. In order to buckle with the second base body 412, the first base body 411 is provided with protrusions 4112, and the second base body 412 is provided with a recessed portion 4121. , the protruding portion 4112 and the recessed portion 4121 are plug-fitted to form lateral positioning.
当然,在其他实施例中,该运动件410也可为其他结构,例如可为一体成型结构或者由三个或更多的子部件拼接而成,连接臂420通过其他方式安装到运动件410上。Of course, in other embodiments, the moving part 410 can also be of other structures, for example, it can be a one-piece structure or spliced from three or more sub-components, and the connecting arm 420 is installed on the moving part 410 in other ways. .
一些实施例中,该运动件410可以是钢管激光切割加工,也可以是粉末冶金成型(装配更加简单)。In some embodiments, the moving part 410 can be laser cut from a steel pipe or formed by powder metallurgy (assembly is simpler).
进一步地,一种实施例中,为了防止运动件410在夹持件1内转动,至少一个支撑臂300具有沿其纵向设置的限位导向部,运动件410具有至少一个限位导向配合部,限位导向配合部与限位导向部配合,以限制运动件410沿限位导向部限定的方向运动。Further, in one embodiment, in order to prevent the moving member 410 from rotating in the clamping member 1, at least one support arm 300 has a limiting guide portion arranged along its longitudinal direction, and the moving member 410 has at least one limiting guide fitting portion, The limiting guide fitting part cooperates with the limiting guide part to limit the movement of the moving part 410 in the direction defined by the limiting guide part.
其中,一种实施例中,该限位导向部和限位导向配合部中其一为导槽,另一个为凸起设置的导向块,导向块伸入导槽内。例如,请参考图6和8,一种实施例中,该导向块4113设置在运动件410上,具体设置在第一座体411的外壁上。该导槽320设置于与该第一座体411对应的支撑臂300上。当然,当需要两侧进行导向时,第二座体412上也可设置导向块4113,与第二座体412对应的另一个支撑臂300上,也可设置导槽320。In one embodiment, one of the limiting guide part and the limiting guide matching part is a guide groove, and the other is a guide block provided with a protrusion, and the guide block extends into the guide groove. For example, please refer to FIGS. 6 and 8 . In one embodiment, the guide block 4113 is provided on the moving part 410 , specifically on the outer wall of the first base 411 . The guide groove 320 is provided on the support arm 300 corresponding to the first base 411 . Of course, when guidance is required on both sides, guide blocks 4113 can also be provided on the second base body 412, and guide grooves 320 can also be provided on the other support arm 300 corresponding to the second base body 412.
进一步地,在传动件510沿第二行程运动时,除了上述限位件310与连接臂420配合进行自锁外,还可另设锁止结构进行锁定,以阻止运动件410复位而促使夹持臂100不期望的打开。Furthermore, when the transmission member 510 moves along the second stroke, in addition to the above-mentioned limiting member 310 cooperating with the connecting arm 420 for self-locking, another locking structure can also be provided for locking to prevent the moving member 410 from returning and promote clamping. Arm 100 opens unexpectedly.
一种实施例中,该夹持件1具有锁止配合部,运动件410具有锁止部。当夹持臂100处于夹持状态时,该锁止配合部和锁止部可相对运动到锁止位置。如此,当夹持臂100从传动件510上分离时,锁止部与锁止配合部能够及时形成锁止,以阻止运动件410及连接臂420向夹持件1的前端运动,防止夹持臂100张开。In one embodiment, the clamping part 1 has a locking fitting part, and the moving part 410 has a locking part. When the clamping arm 100 is in the clamping state, the locking fitting part and the locking part can move relative to the locking position. In this way, when the clamping arm 100 is separated from the transmission member 510, the locking portion and the locking matching portion can form a lock in time to prevent the moving member 410 and the connecting arm 420 from moving toward the front end of the clamping member 1 and prevent clamping. Arms 100 are opened.
请参考图16-18,一种实施例中,该锁止部为设置在运动件410上的卡台4122,锁止配合部为向内伸出的弹性卡扣330。弹性卡扣330设于卡台4122向后端运动的路径上,在夹持臂100处于夹持状态时,该卡台4122能够向后端运动而越过弹性卡扣330的位置。当夹持臂100从传动件510上分离时,在夹持臂100的弹性复位力下,卡台4122可随运动件410向前端复位少许距离,当弹性卡扣330抵接在卡台4122的前侧时,将阻止卡台4122继续向夹持件1的前端运动,从而形成锁止。Please refer to Figures 16-18. In one embodiment, the locking part is a clamping platform 4122 provided on the moving part 410, and the locking fitting part is an elastic buckle 330 extending inward. The elastic buckle 330 is provided on the path along which the clamping platform 4122 moves to the rear end. When the clamping arm 100 is in the clamping state, the clamping platform 4122 can move to the rear end and cross the position of the elastic buckle 330 . When the clamping arm 100 is separated from the transmission member 510, under the elastic restoring force of the clamping arm 100, the clamping platform 4122 can be reset to the front end along with the moving member 410 for a small distance. When the elastic buckle 330 abuts against the clamping platform 4122 When moving to the front side, the clamping platform 4122 will be prevented from continuing to move toward the front end of the clamping member 1, thus forming a lock.
请参考图16-18,一种实施例中,为了更好地引导弹性卡扣330向卡台4122运动,该卡台4122的外壁可形成沿其纵向延伸设置的斜面4122a。Please refer to FIGS. 16-18 . In one embodiment, in order to better guide the elastic buckle 330 to move toward the clamping platform 4122 , the outer wall of the clamping platform 4122 may form an inclined surface 4122a extending along its longitudinal direction.
请参考图16-18,一种实施例中,该弹性卡扣330由支撑臂300的部分区域向内伸出而形成,弹性卡扣330与支撑臂300为一体成型结构。这种结构制造简单,可以一体成型,例如可以在不需要增加其它零件的情况下,通过激光切割加工而成。而且,弹性卡扣330可以利用纵向的空间,在夹持件1保持同样长度的情况下,使弹性卡扣330更加长,弹性更好。Please refer to FIGS. 16-18 . In one embodiment, the elastic buckle 330 is formed by extending inwardly from a partial area of the support arm 300 . The elastic buckle 330 and the support arm 300 are an integrally formed structure. This structure is simple to manufacture and can be formed in one piece, for example, by laser cutting without adding other parts. Moreover, the elastic buckle 330 can utilize the longitudinal space to make the elastic buckle 330 longer and have better elasticity while the clamping member 1 maintains the same length.
一些实施例中,两个支撑臂300均可设有弹性卡扣330。当某一个支撑臂300设有上述限位导向部时,请参考图14,一种实施例中,也可以一个支撑臂300具有弹性卡扣330,另一个支撑臂300具有沿其纵向设置的限位导向部(如导槽320),限位导向部用于限制运动件410沿夹持件1的纵向运动。该实施例中,弹性卡扣330的锁闭条件更加单一,锁闭更加可靠。如果是两个弹性卡扣330,不但占用空间,而且同时让两个弹性卡扣330准确对齐卡台4122和进行锁止,对零件的制造和装配精度要求更高。同时,该另一侧的限位导向部的限位导向作用,可让弹性卡扣330与运动件410的卡台4122在径向摆动范围更小,从而保证更稳定的锁止。In some embodiments, both support arms 300 may be provided with elastic buckles 330 . When a certain support arm 300 is provided with the above-mentioned limiting guide, please refer to Figure 14. In one embodiment, one support arm 300 may have an elastic buckle 330, and the other support arm 300 may have a limiter provided along its longitudinal direction. The positioning guide portion (such as the guide groove 320 ) is used to limit the longitudinal movement of the moving member 410 along the clamping member 1 . In this embodiment, the locking conditions of the elastic buckle 330 are simpler and the locking is more reliable. If there are two elastic buckles 330, it not only takes up space, but also allows the two elastic buckles 330 to be accurately aligned with the clamping table 4122 and locked at the same time, which requires higher precision in the manufacturing and assembly of parts. At the same time, the limiting and guiding function of the limiting guide on the other side can make the elastic buckle 330 and the clamping platform 4122 of the moving part 410 have a smaller radial swing range, thereby ensuring a more stable locking.
同时,当具有上述的限位件310和连接臂420所形成的自锁结构时,该目标组织2撑开夹持臂100的反向作用力通过连接臂420,转化为连接臂420相对限位件310的横向位移,对运动件410向前端的作用力变得很小,这也意味着弹性卡扣330仅需要承担较小向前端的力,即可实现整个夹子的锁闭,因此通常一个弹性卡扣330就可实现锁止。At the same time, when there is a self-locking structure formed by the above-mentioned limiting member 310 and the connecting arm 420, the reaction force of the target tissue 2 to open the clamping arm 100 is converted into a relative limiting position of the connecting arm 420 through the connecting arm 420. The lateral displacement of the component 310 causes the force exerted on the front end of the moving component 410 to become very small. This also means that the elastic buckle 330 only needs to bear a small force to the front end to achieve the locking of the entire clip. Therefore, usually one The elastic buckle 330 can achieve locking.
进一步地,请参考图2-7,一种实施例中,可弯曲部120为半筒形结构,在夹持臂100闭合时,可弯曲部120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120也可为其他结构,如片状等,并不限于该半筒状结构。Further, please refer to FIGS. 2-7 . In one embodiment, the bendable part 120 is a semi-cylindrical structure. When the clamping arm 100 is closed, the bendable part 120 can be enclosed into a cylindrical structure. The semi-cylindrical shape refers to a non-complete cylindrical shape, which does not have to be half of the cylindrical structure, and can also be one-third of the entire cylindrical structure or other sizes. In addition, in other embodiments, the bendable portion 120 can also be in other structures, such as sheet shape, etc., and is not limited to the semi-cylindrical structure.
进一步地,请参考图1-7以及图19,一种实施例中,该可弯曲部120包括若干个第一收缩缝组121以及第二收缩缝组122。每个第一收缩缝组121具有至少一条第一收缩缝1211,每个第二收缩缝组122具有至少一条第二收缩缝1221,第一收缩缝1211和第二收缩缝1221沿可弯曲部120的周向延伸设置。该第一收缩缝组121和第二收缩缝组122沿夹持臂100的纵向间隔且错开排列,两个第二收缩缝组122之间间隔一个第一收缩缝组121。其中,第一收缩缝1211与第二收缩缝1221之间的交叠区域形成扭曲变形段124,以使可弯曲部120能够弯曲扭转变形。Further, please refer to FIGS. 1-7 and 19 . In one embodiment, the bendable portion 120 includes a plurality of first contraction slit groups 121 and second contraction slit groups 122 . Each first contraction seam group 121 has at least one first contraction seam 1211 , and each second contraction seam group 122 has at least one second contraction seam 1221 . The first contraction seam 1211 and the second contraction seam 1221 are along the bendable portion 120 circumferential extension setting. The first contraction seam group 121 and the second contraction seam group 122 are spaced apart and staggered along the longitudinal direction of the clamping arm 100 , and a first contraction seam group 121 is spaced between the two second contraction seam groups 122 . Wherein, the overlapping area between the first shrinkage seam 1211 and the second shrinkage seam 1221 forms a twist deformation section 124, so that the bendable portion 120 can bend and twist deformation.
一种实施例中,如图5和19所示,夹持件1在初始状态下保持在夹持状态,第一收缩缝1211之间维持在初始状态,可弯曲部120各部分不产生形变。如图2和19所示,当需要张开夹持件1时,可弯曲部120向外形变,第一收缩缝1211和第二收缩缝1221收缩,扭曲变形段124发生弯曲扭转变形,从而使可弯曲部120的外侧(夹持臂100相互背离的一侧)收缩,使得整个夹持头110张开。In one embodiment, as shown in FIGS. 5 and 19 , the clamping member 1 is maintained in the clamped state in the initial state, the first contraction seams 1211 are maintained in the initial state, and each part of the bendable portion 120 does not deform. As shown in Figures 2 and 19, when the clamping member 1 needs to be opened, the bendable portion 120 deforms outward, the first shrinkage seam 1211 and the second shrinkage seam 1221 shrink, and the twisted deformation section 124 undergoes bending and torsional deformation, thereby causing The outer sides of the bendable portion 120 (the side of the clamping arms 100 facing away from each other) contract, causing the entire clamping head 110 to expand.
一种实施例中,该第一收缩缝组121以及第二收缩缝组122可通过在管材或者片材上通过激光切割而一体成型。例如,在壁厚为2mm的管材或片材激光切割而成In one embodiment, the first shrinkage seam group 121 and the second shrinkage seam group 122 can be integrally formed by laser cutting on the pipe or sheet. For example, laser cutting of pipes or sheets with a wall thickness of 2mm
其中,请参考图19,一种实施例中,该相邻第一收缩缝组121之间设置两个第二收缩缝1221,两个第二收缩缝1221分设在可弯曲部120的两侧,且第二收缩缝1221向外贯通延伸至可弯曲部120上对应的侧边。19, in one embodiment, two second contraction seams 1221 are provided between the adjacent first contraction seam groups 121, and the two second contraction seams 1221 are provided on both sides of the bendable portion 120. And the second contraction seam 1221 extends outward to the corresponding side of the bendable portion 120 .
其中,在可弯曲部120的纵向上,相同距离内,扭曲变形段124分布的越密集,该可弯曲部120的弯曲变形就越柔软。同时为了兼顾可弯曲部120的强度,一种实施例中,该第一收缩缝组121的数量为6-10个,该第二收缩缝组122分布在可弯曲部120的两端,因此,第二收缩缝组122的数量比第一收缩缝组121多一个,数量范围为7-11个。该数量下,可弯曲部120既可以容易的弯曲,也可以保证强度,避免可弯曲部120过于柔软而无法支撑夹持头110。在操作者正常开启和关闭夹持件1时,只需要用很小的力量即可实现开合,手感较好。如图19所示,图中所示实施例,该第二收缩缝组122为8个,第一收缩缝组121的数量为7个。通过调整的第一收缩缝1211和第二收缩缝1221的周向长度以及彼此之间的距离,也可以改变弯曲的柔软度或者支撑性,可根据需求而灵活设置该周向长度以及该距离。Among them, in the longitudinal direction of the bendable part 120, within the same distance, the more densely the twisted deformation segments 124 are distributed, the softer the bending deformation of the bendable part 120 becomes. At the same time, in order to take into account the strength of the bendable part 120, in one embodiment, the number of the first shrinkage seam groups 121 is 6-10, and the second shrinkage seam groups 122 are distributed at both ends of the bendable part 120. Therefore, The number of the second shrinkage seam group 122 is one more than that of the first shrinkage seam group 121, and the number ranges from 7 to 11. With this quantity, the bendable portion 120 can be easily bent and the strength can be ensured to prevent the bendable portion 120 from being too soft to support the clamping head 110 . When the operator opens and closes the clamping member 1 normally, only a small amount of force is needed to achieve opening and closing, and the hand feeling is good. As shown in FIG. 19 , in the embodiment shown in the figure, the number of the second shrinkage seam groups 122 is eight, and the number of the first shrinkage seam groups 121 is seven. By adjusting the circumferential length of the first shrinkage seam 1211 and the second shrinkage seam 1221 and the distance between them, the bending softness or supportability can also be changed, and the circumferential length and the distance can be flexibly set according to needs.
请参考图19,一种实施例中,第一收缩缝1211之间平行设置,第二收缩缝1221之间平行设置。Please refer to Figure 19. In one embodiment, the first shrinkage slits 1211 are arranged in parallel, and the second shrinkage slits 1221 are arranged in parallel.
当然,该第一收缩缝1211和第二收缩缝1221之间除了相互平行,也可设置成其他非平行的排列方式。而将第一收缩缝1211设置为统一沿可弯曲部120周向平行排列,可统一各第一收缩缝1211的弯曲变形方向,使夹持件1的弯曲变形更加顺畅和稳定。Of course, in addition to being parallel to each other, the first shrinkage slits 1211 and the second shrinkage slits 1221 can also be arranged in other non-parallel arrangements. By arranging the first shrinkage slits 1211 uniformly and parallelly along the circumferential direction of the bendable portion 120, the bending deformation directions of the first shrinkage slits 1211 can be unified, making the bending deformation of the clamping member 1 smoother and more stable.
进一步地,一种实施例中,该第一收缩缝1211在可弯曲部120的纵向上具有间隙。请参考图19,该第一收缩缝1211为长条形槽状,该第一收缩缝1211的中部具有两个相对凸起的弧形边。当夹持件1打开至限定位置时,该弧形边会相互接触,从而决定打开的最大角度。Further, in one embodiment, the first contraction seam 1211 has a gap in the longitudinal direction of the bendable portion 120 . Please refer to FIG. 19 . The first contraction seam 1211 is in the shape of a long groove, and the middle part of the first contraction seam 1211 has two relatively convex arc-shaped edges. When the clamp 1 is opened to the limited position, the arcuate edges will contact each other, thereby determining the maximum opening angle.
在图19所示实施例中,该第二收缩缝1221在周向上呈直线型设置。在其他实施例中,该第二收缩缝1221也可呈其他形状设置。In the embodiment shown in FIG. 19 , the second contraction seam 1221 is arranged in a straight line in the circumferential direction. In other embodiments, the second contraction seam 1221 can also be provided in other shapes.
进一步地,请参考图22和23,当夹持臂100夹持目标组织2后,运动件410需与夹持臂100一起运动到预定的锁止位置进行锁止,即卡台4122需运动到弹性卡扣330对应的位置才能实现锁止。但是,在实际使用中,当夹持件1夹持人体组织的硬度或者厚度不同时(如图22示),会限制夹持件1的闭合角度。因为闭合角度与运动件410行程关联,此时,造成运动件410无法运动到锁止位置,夹持臂100无法保持在夹持状态。Further, please refer to Figures 22 and 23. After the clamping arm 100 clamps the target tissue 2, the moving part 410 needs to move together with the clamping arm 100 to a predetermined locking position for locking, that is, the clamping table 4122 needs to move to Only the position corresponding to the elastic buckle 330 can achieve locking. However, in actual use, when the hardness or thickness of the human tissue held by the clamping member 1 is different (as shown in Figure 22), the closing angle of the clamping member 1 will be limited. Because the closing angle is related to the stroke of the moving part 410, at this time, the moving part 410 cannot move to the locking position, and the clamping arm 100 cannot remain in the clamping state.
针对该问题,请参考图19-24,该可弯曲部120具有沿纵向设置的变形部123。在夹持臂100处于夹持状态时,如果夹持到较大的目标组织2,夹持臂100、运动件410以及连接臂420难以运动到能够实现与限位件310自锁以及与锁止配合部锁止的位置。当继续向传动件510施加更大拉力时,将促使该变形部123能够沿纵向向内挤压变形,以带动夹持臂100、运动件410和连接臂420整体相对支撑部以及限位件310向插入式组织夹闭装置的后端移动,进而实现连接臂420与限位件310的自锁以及运动件410与锁止配合部的锁止。该变形部123与支撑臂300之间具有间隙,以在变形部123的外周形成避空区,进而更便于产生形变。To address this problem, please refer to Figures 19-24. The bendable portion 120 has a deformation portion 123 arranged along the longitudinal direction. When the clamping arm 100 is in the clamping state, if a larger target tissue 2 is clamped, it is difficult for the clamping arm 100 , the moving part 410 and the connecting arm 420 to move to achieve self-locking and locking with the limiting part 310 The position where the mating part is locked. When greater pulling force is continued to be applied to the transmission member 510, the deformation part 123 will be forced to be extruded and deformed longitudinally inward to drive the clamping arm 100, the moving part 410 and the connecting arm 420 as a whole relative to the supporting part and the limiting part 310. Move toward the rear end of the plug-in tissue clamping device to achieve self-locking of the connecting arm 420 and the limiting part 310 and locking of the moving part 410 and the locking mating part. There is a gap between the deformation part 123 and the support arm 300 to form an escape area around the outer periphery of the deformation part 123 to facilitate deformation.
具体地,请参考图20,当夹持臂100夹持较薄的目标组织2时,夹持臂100可正常闭合,变形部123保持正常间隙,运动件410和夹持臂100可如上述内容所示,准确的运动到锁止结构的位置,将夹持臂100锁止在夹持状态。请参考图21和22,当夹持臂100夹持较厚的目标组织2时,夹持臂100之间无法闭合到如图20所示的程度,此时,继续向运动件410施力,在操作者有意图的施加更大力气时,该变形部123产生大幅度变形,从而补偿夹持臂100和运动件410上损失的行程,使夹持臂100最后能够被锁止到锁止结构上。Specifically, please refer to Figure 20. When the clamping arm 100 clamps the thin target tissue 2, the clamping arm 100 can be closed normally, the deformation part 123 maintains a normal gap, and the moving part 410 and the clamping arm 100 can be as described above. As shown in the figure, the clamping arm 100 is accurately moved to the position of the locking structure to lock the clamping arm 100 in the clamping state. Please refer to Figures 21 and 22. When the clamping arms 100 clamp the thick target tissue 2, the clamping arms 100 cannot be closed to the extent shown in Figure 20. At this time, force is continued to be applied to the moving part 410. When the operator intentionally exerts greater force, the deformation portion 123 undergoes substantial deformation, thereby compensating for the lost stroke on the clamping arm 100 and the moving part 410, so that the clamping arm 100 can finally be locked to the locking structure. superior.
请参考图19-23,夹持臂100在不同开幅状态下,变形部123给运动件410提供一个自适应的行程范围,在受到特定的下拉力后产生较大的变形幅度,始终让弹性卡扣330能够准确可靠锁定,并且让连接臂420与限位件310实现自锁。Please refer to Figures 19-23. In different opening states of the clamping arm 100, the deformation part 123 provides an adaptive stroke range for the moving part 410, and produces a larger deformation range after receiving a specific pulling force, always allowing elasticity. The buckle 330 can be locked accurately and reliably, and allows the connecting arm 420 and the limiting member 310 to realize self-locking.
一种实施例中,为了使变形部123能够更好的产生纵向形变,该变形部123可以为环形状,还可以为前拱形、后拱形或其他形状。一种实施例中,请参考图19,该变形部123具有朝向变形部123前端凸起的前拱部1231和/或朝向变形部123后端凸起的后拱部1232,前拱部1231和/或后拱部1232能够在受到外力时向内挤压变形,进而两者相互接触或趋于相互接近。In one embodiment, in order to enable the deformation part 123 to better produce longitudinal deformation, the deformation part 123 may be in an annular shape, or may be in a front arch shape, a rear arch shape, or other shapes. In one embodiment, please refer to FIG. 19 , the deformation part 123 has a front arch part 1231 protruding toward the front end of the deformation part 123 and/or a rear arch part 1232 protruding toward the rear end of the deformation part 123. The front arch part 1231 and /Or the rear arch 1232 can be extruded and deformed inwardly when subjected to external force, so that the two come into contact with each other or tend to approach each other.
请参考图19,一种实施例中,变形部123为椭圆形结构。当然,在其他实施例中,该变形部123也可为其他形状,如圆形结构或菱形结构等。Please refer to Figure 19. In one embodiment, the deformation portion 123 has an elliptical structure. Of course, in other embodiments, the deformation portion 123 can also be in other shapes, such as a circular structure or a rhombus structure.
具体地,第一收缩缝组121和第二收缩缝组122设于变形部123的前侧,扭曲变形段124与变形部123的前部连接,即变形部123的上壁体(如前拱部1231)与夹持臂100的扭曲变形段124连接。变形部123的下壁体(如后拱部1232)与连接部140(后文中作详细介绍)连接,变形部123在横向上与支撑臂300留有一定间隙,避免干涉。变形部123受力后弧度会逐渐加大,甚至呈直线状态,上下壁体的象限点也会重叠。Specifically, the first contraction joint group 121 and the second contraction joint group 122 are provided on the front side of the deformation part 123, and the twist deformation section 124 is connected to the front part of the deformation part 123, that is, the upper wall of the deformation part 123 (such as the front arch) 1231) is connected to the twisted deformation section 124 of the clamping arm 100. The lower wall of the deformation part 123 (such as the rear arch part 1232) is connected to the connecting part 140 (described in detail later). There is a certain gap between the deformation part 123 and the support arm 300 in the transverse direction to avoid interference. After receiving force, the arc of the deformation part 123 will gradually increase, and even become a straight line, and the quadrant points of the upper and lower walls will also overlap.
该变形部123的变形幅度可以根据夹持臂100夹持较大目标组织2时,连接臂420与限位件310之间的实际行程与期望行程之差来决定,即如图23所示,连接臂420与限位件310距离锁止和自锁位置还差多远的距离,决定了变形部123的变形尺寸。经过反复的实验,一种实施例中,该变形部123的向内挤压变形的最大距离a的取值范围为:0.1mm≤a≤1.0mm,例如可为0.3-0.8mm。The deformation amplitude of the deformation part 123 can be determined based on the difference between the actual stroke and the expected stroke between the connecting arm 420 and the stopper 310 when the clamping arm 100 clamps the larger target tissue 2, that is, as shown in Figure 23. The distance between the connecting arm 420 and the limiting member 310 from the locking and self-locking positions determines the deformation size of the deformation portion 123 . After repeated experiments, in one embodiment, the maximum distance a of the inward extrusion deformation of the deformation part 123 ranges from 0.1 mm ≤ a ≤ 1.0 mm, for example, 0.3-0.8 mm.
该变形部123能够向夹持方向自适应浮动变形,以便夹持件1夹持目标组织2时,可弯曲部120能够根据目标组织2的体积而自适应弯曲变形,向夹持臂100提供一个自适应的行程范围,始终让运动件410和夹持臂100能够运动到锁止位置,实现准确可靠锁定。该变形部123的设计使得操作者正常开启和闭合夹持件1时的操作力度不至于让夹持件进行锁闭,而是需要在操作者有意图要进行夹持件释放时才会让其大幅度变形,从而稳定可靠的锁闭。The deformation part 123 can adaptively float and deform in the clamping direction, so that when the clamping member 1 clamps the target tissue 2 , the bendable part 120 can adaptively bend and deform according to the volume of the target tissue 2 to provide the clamping arm 100 with a The adaptive stroke range always allows the moving part 410 and the clamping arm 100 to move to the locking position, achieving accurate and reliable locking. The deformation part 123 is designed so that when the operator opens and closes the clamp 1 normally, the operating force does not cause the clamp to lock, but it needs to be released when the operator intends to release the clamp. Large deformation, resulting in stable and reliable locking.
进一步地,该变形部123的数量也不限于一个,例如请参考图24和25,该变形部123的数量也为两个或者两个以上,这些变形部123沿夹持臂100的纵向依次连接。通过多个变形部123的变形叠加,让每一段变形部123在向内压缩时都发生轻微变形,最终叠加在一起后的获得较大的向后端的位移,用于补偿弹性卡扣330的公差,使其可靠锁止,并且让连接臂420与限位件310实现自锁。Furthermore, the number of the deformation portion 123 is not limited to one. For example, please refer to Figures 24 and 25. The number of the deformation portion 123 is also two or more. These deformation portions 123 are connected in sequence along the longitudinal direction of the clamping arm 100. . Through the deformation superposition of multiple deformation parts 123, each deformation part 123 is slightly deformed when compressed inward, and finally superimposed together to obtain a larger displacement toward the rear end, which is used to compensate for the tolerance of the elastic buckle 330. , so that it can be locked reliably, and the connecting arm 420 and the limiting member 310 can realize self-locking.
此外,请参考图26,在另一种实施例中,也可省略前述的第一收缩缝组121以及第二收缩缝组122,可弯曲部120采用多个变形部123组合而成,这些变形部123沿夹持臂100的纵向依次连接,通过这些变形部123的变形实现夹持臂100的张开和闭合。In addition, please refer to Figure 26. In another embodiment, the aforementioned first shrinkage seam group 121 and the second shrinkage seam group 122 can also be omitted, and the bendable portion 120 is composed of a plurality of deformation portions 123. These deformations The portions 123 are connected in sequence along the longitudinal direction of the clamping arm 100, and the opening and closing of the clamping arm 100 is achieved through the deformation of these deformation portions 123.
上述实施例展示了一种可弯曲部120通过开设第一收缩缝组121、第二收缩缝组122和扭曲变形段124而实现弯曲变形的结构,本实施例可弯曲部120的结构并不限于此,其还可通过其他方式实现。The above embodiment shows a structure in which the bendable part 120 realizes bending deformation by opening the first shrinkage slit group 121, the second shrinkage slit group 122 and the twist deformation section 124. The structure of the bendable part 120 in this embodiment is not limited to This can also be achieved in other ways.
例如,一种实施例中,在夹持臂100中,还可将可弯曲部120的厚度设置为较其他部分更薄,例如较夹持头110和连接部140更薄,从而使得运动件410带动夹持臂100运动时,该可弯曲部120能够优先弯曲变形。For example, in one embodiment, in the clamping arm 100 , the thickness of the bendable part 120 can also be set to be thinner than other parts, such as the clamping head 110 and the connecting part 140 , so that the moving part 410 When the clamping arm 100 is driven to move, the bendable portion 120 can be bent and deformed preferentially.
一种实施例中,在夹持臂100中,该可弯曲部120可具有更易弯曲变形的材料和结构,例如比夹持头110和连接部140更易弯曲变形的材料,如弯曲性能较好的金属材质、塑料材质或金属丝编织网等,从而使得运动件410带动夹持臂100运动时,该可弯曲部120能够优先弯曲变形。当然,该可弯曲部120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。In one embodiment, in the clamping arm 100 , the bendable portion 120 can have a material and structure that is more easily bendable and deformable, such as a material that is more easily bendable and deformable than the clamping head 110 and the connecting portion 140 , such as one with better bending performance. Metal material, plastic material or wire mesh, etc., so that when the moving part 410 drives the clamping arm 100 to move, the bendable part 120 can be bent and deformed preferentially. Of course, the bendable portion 120 can also adopt other structures with better bending deformation performance, such as metal braided structures.
进一步地,该第一行程、第二行程和第三行程为传动件510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。各行程之间可以完全分离开,完全没有关联,也可以至少两个行程之间为连续或重叠,例如第三行程可紧密连接于第二行程之后。当然,第二行程和第三行程也可为两个分离、无连续的部分。Furthermore, the first stroke, the second stroke and the third stroke are three parts of the entire movement stroke of the transmission member 510. The three strokes may be in the same direction, or at least two strokes may be in different directions. Each stroke can be completely separated and not related at all, or at least two strokes can be continuous or overlapping. For example, the third stroke can be closely connected to the second stroke. Of course, the second stroke and the third stroke can also be two separate and non-continuous parts.
作为一种示例,请参考图2-4,此时,该传动件510处于第一行程中,此时传动件510沿其轴向背离控制手柄3,向前端运动,带动夹持臂100向外张开,从而使夹持臂100运动至张开状态。As an example, please refer to Figures 2-4. At this time, the transmission member 510 is in the first stroke. At this time, the transmission member 510 is away from the control handle 3 along its axial direction, moves to the front end, and drives the clamping arm 100 outward. Open, thereby moving the clamping arm 100 to an open state.
请参考图5-7,此时,该传动件510处于第二行程中,该传动件510沿其轴向靠近控制手柄3,向后端运动,该传动件510能够带动夹持臂100向内相互靠近,从而使夹持臂100运动至夹持状态。Please refer to Figures 5-7. At this time, the transmission member 510 is in the second stroke. The transmission member 510 is close to the control handle 3 along its axial direction and moves to the rear end. The transmission member 510 can drive the clamping arm 100 inward. approach each other, so that the clamping arms 100 move to the clamping state.
请参考图13-18以及图27-32,此时,该传动件510处于第三行程中,该传动件510沿其轴向靠近控制手柄3,背离夹持臂100时,该第三行程与第二行程同方向,且紧密连接,即当夹持臂100运动到夹持状态后,传动件510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。Please refer to Figures 13-18 and 27-32. At this time, the transmission member 510 is in the third stroke. The transmission member 510 is close to the control handle 3 along its axial direction. When it is away from the clamping arm 100, the third stroke and The second strokes are in the same direction and closely connected. That is, after the clamping arm 100 moves to the clamping state, the transmission member 510 switches from the second stroke to the third stroke. The third stroke can be 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16-18,当传动件510切换至第三行程起,直至运动至图示位置,此时夹持臂100被锁止,传动件510无法反向运动而再打开夹持臂100。此过程中传动件510的运动行程为锁止行程。Please refer to Figures 16-18. When the transmission member 510 switches to the third stroke and moves to the position shown in the figure, the clamping arm 100 is locked at this time, and the transmission member 510 cannot move reversely and open the clamping arm 100 again. During this process, the movement stroke of the transmission member 510 is the locking stroke.
请参考图27-29,传动件510完成锁止行程后,进入内脱离行程。当传动件510运动至图示位置时,此时夹持臂100从传动件510上分离,传动件510无法再带动夹持臂100移动,失去对夹持臂100的控制,夹持臂100被保持在锁止状态。此过程中传动件510的运动行程为内脱离行程。Please refer to Figures 27-29. After the transmission member 510 completes the locking stroke, it enters the inner disengagement stroke. When the transmission member 510 moves to the position shown in the figure, the clamping arm 100 is separated from the transmission member 510. The transmission member 510 can no longer drive the clamping arm 100 to move, and the control of the clamping arm 100 is lost, and the clamping arm 100 is Remain locked. During this process, the movement stroke of the transmission member 510 is the inner disengagement stroke.
请参考图30-32,传动件510完成内脱离行程后,进入外脱离行程。当传动件510运动至图示位置时,此时夹持臂100和分离基座200脱离,至此,夹持臂100被留在其所夹持的目标组织2上。分离基座200以及传动件510可从患者体内抽出。此过程中传动件510的运动行程为外脱离行程。Please refer to Figures 30-32. After the transmission member 510 completes the inner disengagement stroke, it enters the outer disengagement stroke. When the transmission member 510 moves to the position shown in the figure, the clamping arm 100 and the separation base 200 are separated. At this point, the clamping arm 100 is left on the target tissue 2 it clamps. The separation base 200 and the transmission member 510 can be extracted from the patient's body. During this process, the movement stroke of the transmission member 510 is the outer disengagement stroke.
当然,图13-18以及图27-32仅示出了第三行程的一种实施例中,该传动件510在第三行程中,该夹持臂100从传动件510上分离,分离基座200与夹持臂100脱离可以同时实现,也可以任一个动作先于另一个动作实现。在其他实施例,该锁止行程、内脱离行程和外脱离行程也可重叠进行,例如内脱离行程和外脱离行程重叠,内脱离和外脱离同步实现。Of course, Figures 13-18 and Figures 27-32 only show one embodiment of the third stroke. During the third stroke, the transmission member 510 separates the clamping arm 100 from the transmission member 510 and separates the base. 200 and the clamping arm 100 can be separated from each other at the same time, or any one action can be achieved before the other action. In other embodiments, the locking stroke, the inner disengagement stroke and the outer disengagement stroke can also be overlapped. For example, the inner disengagement stroke and the outer disengagement stroke overlap, and the inner disengagement and the outer disengagement are realized simultaneously.
为了实现内脱离,本申请提供了一种示例,该传动件510的前端具有第一卡接部,运动件410的后端具有第二卡接部。第一卡接部和第二卡接部卡接。其中,第一卡接部和第二卡接部中至少其一为可变形结构,在传动件510沿第三行程运动时,可变形结构能够在传动件510的拉力下发生形变,使第一卡接部和第二卡接部脱离,运动件410与传动件510分开。In order to achieve internal disengagement, this application provides an example in which the front end of the transmission member 510 has a first engaging portion, and the rear end of the moving member 410 has a second engaging portion. The first latching part and the second latching part are latched together. Wherein, at least one of the first clamping part and the second clamping part is a deformable structure. When the transmission member 510 moves along the third stroke, the deformable structure can deform under the pulling force of the transmission member 510, so that the first The latching part and the second latching part are disengaged, and the moving part 410 is separated from the transmission part 510 .
其中,该可变形结构是指只有当拉力达到设定值后才能够使产生变形的结构,该结构可通过材料和结构设计来实现,例如采用弹性材料制成可变形结构。The deformable structure refers to a structure that can be deformed only when the tensile force reaches a set value. This structure can be realized through material and structural design. For example, elastic materials are used to make the deformable structure.
在第一卡接部和第二卡接部中,其一为可变形连接部,另一个为配合卡槽,可变形连接部卡扣连接在配合卡槽内。请参考图8、28以及29中,该可变形连接部511设于传动件510上,而配合卡槽413(可以是通孔或者盲孔)设于运动件410的底部。该配合卡槽413的形状与可变形连接部511的形状匹配,以卡住可变形连接部511。Among the first snap-in part and the second snap-in part, one is a deformable connection part and the other is a mating slot, and the deformable connecting part is snap-connected in the mating slot. Please refer to Figures 8, 28 and 29. The deformable connecting portion 511 is provided on the transmission member 510, and the matching slot 413 (which can be a through hole or a blind hole) is provided at the bottom of the moving member 410. The shape of the matching slot 413 matches the shape of the deformable connecting part 511 to lock the deformable connecting part 511 .
请参考图8、28以及29,一种实施例中,该可变形连接部511包括至少一个可变形卡勾,可变形卡勾连接在对应的配合卡槽413内。当施加的拉力达到设定值时,可拉动该可变形卡勾形变,从而从该配合卡槽413内脱落。Please refer to Figures 8, 28 and 29. In one embodiment, the deformable connecting part 511 includes at least one deformable hook, and the deformable hook is connected in the corresponding matching slot 413. When the applied pulling force reaches a set value, the deformable hook can be pulled to deform and fall off from the matching slot 413 .
该传动件510的后端中间可开有一长槽,有一限位销钉穿过,底部为筒状,与牵引件(如牵引绳)连接。当牵引绳的拉力大于可变形卡勾的承载极限时,可变形卡勾发生向内的形变,从而与运动件410实现脱离。A long slot can be opened in the middle of the rear end of the transmission member 510, and a limiting pin passes through it. The bottom is cylindrical and is connected to a traction member (such as a traction rope). When the pulling force of the traction rope is greater than the load-bearing limit of the deformable hook, the deformable hook deforms inward and is separated from the moving part 410 .
为了卡扣效果更好,请参考图8、28以及29,一种实施例中,该可变形连接部511包括两个可变形卡勾,两个可变形卡勾相背离设置,该配合卡槽413可设置有左右对称连通的两个腔。此外,该可变形连接部511还可具有至少一个中间限位体512,该中间限位体512位于两个可变形卡勾之间,以阻止两个可变形卡勾向对侧过度变形,而造成分离力不够均匀。For a better buckling effect, please refer to Figures 8, 28 and 29. In one embodiment, the deformable connecting part 511 includes two deformable hooks, and the two deformable hooks are arranged away from each other. The matching slot 413 can be provided with two cavities connected symmetrically to the left and right. In addition, the deformable connecting part 511 can also have at least one intermediate limiting body 512. The intermediate limiting body 512 is located between the two deformable hooks to prevent the two deformable hooks from excessive deformation to the opposite side. The separation force is not uniform enough.
当然,该运动件410和传动件510之间也可采用其他内脱离结构来代替上述实施例所示结构。Of course, other internal disengagement structures can also be used between the moving member 410 and the transmission member 510 to replace the structure shown in the above embodiment.
进一步地,请参考图2-7,一种实施例中,该夹持臂100包括连接部140,连接部140设于可弯曲部120的后侧,连接部140、可弯曲部120、夹持头110以及支撑臂300为一体成型结构。该连接部140用于将可弯曲部120、夹持头110以及支撑臂300整体与分离基座200连接。其中,分离基座200与连接部140之间可以为一体成型,也可以为分开制造后固定连接。Further, please refer to Figures 2-7. In one embodiment, the clamping arm 100 includes a connecting part 140, which is provided on the rear side of the bendable part 120. The connecting part 140, the bendable part 120, and the clamping The head 110 and the support arm 300 are an integrally formed structure. The connecting part 140 is used to connect the flexible part 120 , the clamping head 110 and the supporting arm 300 to the separation base 200 . The separation base 200 and the connection part 140 may be integrally formed, or may be separately manufactured and then fixedly connected.
为了实现外脱离,一种实施例中,请参考图2、30-32,该分离基座200可转动的连接在套管组件520上,以便夹持件1能够整体相对套管组件520转动,夹持臂100和支撑臂300通过第一撕裂部210与分离基座200连为一体。该实施例中,分离基座200与夹持件1其他部位为一体成型结构,两者通过第一撕裂部210连为一体。此外,该分离基座200与夹持件1的其他部分之间也可以通过卡接等方式连接为一体。In order to achieve external detachment, in one embodiment, please refer to Figures 2 and 30-32. The separation base 200 is rotatably connected to the casing assembly 520, so that the clamping member 1 can rotate as a whole relative to the casing assembly 520. The clamping arm 100 and the supporting arm 300 are integrated with the separation base 200 through the first tearing part 210 . In this embodiment, the separation base 200 and other parts of the clamping member 1 are integrally formed, and the two are connected into one body through the first tearing portion 210 . In addition, the separation base 200 and other parts of the clamping member 1 can also be integrally connected by snapping or other means.
一种实施例中,请参考图30-32,该分离基座200具有随动件220,随动件220用于接收外力,以带动分离基座200自第一撕裂部210处与夹持件1其他部位断裂。例如,操作者施加的外力可通过运动件410或者其他部件传递至第一撕裂部210上。In one embodiment, please refer to Figures 30-32. The separation base 200 has a follower 220. The follower 220 is used to receive an external force to drive the separation base 200 from the first tearing part 210 to the clamping part. Part 1 is broken in other parts. For example, the external force exerted by the operator can be transmitted to the first tearing part 210 through the moving part 410 or other components.
请继续参考图30-32,一种实施例中,通过运动件410来驱动随动件220移动。具体地,随动件220位于运动件410的移动轨迹上,当运动件410运动至随动件220位置时,可驱动随动件220一起向控制手柄3一侧运动。从而在运动件410作用下,使分离基座200与连接部140等自第一撕裂部210处断裂。Please continue to refer to Figures 30-32. In one embodiment, the follower 220 is driven to move by the moving part 410. Specifically, the follower 220 is located on the movement trajectory of the moving part 410. When the moving part 410 moves to the position of the follower 220, the follower 220 can be driven to move toward the control handle 3 side together. Therefore, under the action of the moving part 410 , the separation base 200 and the connecting part 140 are broken from the first tearing part 210 .
进一步地,请参考图30-32,在外脱离结构中,该第一撕裂部210为至少一个,夹持臂100和支撑臂300整体与分离基座200相对的端部具有内凹区域150,例如内凹区域150设置在连接部140上。该第一撕裂部210设于内凹区域150内,分离基座200与夹持臂100和支撑臂300仅通过第一撕裂部210连接。该设计使得第一撕裂部210断裂后,其断裂面能够收纳于内凹区域150内,避免断裂后的尖锐毛刺外露,避免对手术对象造成损伤。Further, please refer to Figures 30-32. In the external detachment structure, there is at least one first tearing portion 210, and the entire end of the clamping arm 100 and the supporting arm 300 opposite to the separation base 200 has a concave area 150. For example, the recessed area 150 is provided on the connecting portion 140 . The first tearing part 210 is provided in the recessed area 150 , and the separation base 200 is connected to the clamping arm 100 and the supporting arm 300 only through the first tearing part 210 . This design allows the fracture surface of the first tear portion 210 to be stored in the concave area 150 after the first tear portion 210 is broken, thereby preventing the sharp burrs from being exposed after the break and causing damage to the surgical object.
进一步地,请参考图20以及图30-32,一种实施例中,分离基座200包括筒状的主体230和悬挂部240,主体230的侧壁具有悬挂腔231,悬挂部240置于悬挂腔231内。悬挂部240与第一撕裂部210对齐并连接。悬挂部240设有上述随动件220,例如随动件220为固定安装在悬挂部240上的限位轴,该限位轴横穿在悬挂部240上。该随动件220用于在传动件510沿第三行程运动时,带动悬挂部240与传动件510一同向后端一侧运动。悬挂部240的两侧通过悬挂臂241与主体230连接,以使悬挂部240能够相对主体230变形而撕裂第一撕裂部210。Further, please refer to Figure 20 and Figures 30-32. In one embodiment, the separation base 200 includes a cylindrical main body 230 and a hanging portion 240. The side wall of the main body 230 has a hanging cavity 231, and the hanging portion 240 is placed in the hanging cavity. inside cavity 231. The hanging portion 240 is aligned with and connected to the first tear portion 210 . The hanging part 240 is provided with the above-mentioned follower 220. For example, the follower 220 is a limiting shaft fixedly installed on the hanging part 240, and the limiting shaft traverses the hanging part 240. The follower 220 is used to drive the suspension portion 240 and the transmission member 510 to move toward the rear end when the transmission member 510 moves along the third stroke. Both sides of the hanging portion 240 are connected to the main body 230 through the hanging arms 241, so that the hanging portion 240 can deform relative to the main body 230 to tear the first tearing portion 210.
具体地,请参考图30-32,该运动件410上还可设有沿其轴向开设的限位槽513,该随动件220置于限位槽513的底部。随着运动件410向控制手柄3一侧的移动,当运动件410进入外脱离行程时,该限位槽513的顶部运动至随动件220处,从而开始带动随动件220以及悬挂部240向控制手柄3一侧运动,进而促使分离基座200与连接部140分离。Specifically, please refer to Figures 30-32. The moving part 410 may also be provided with a limiting groove 513 opened along its axial direction, and the follower 220 is placed at the bottom of the limiting groove 513. As the moving part 410 moves to the side of the control handle 3, when the moving part 410 enters the outer disengagement stroke, the top of the limiting groove 513 moves to the follower 220, thereby starting to drive the follower 220 and the suspension part 240. Move toward the control handle 3 side, thereby causing the separation base 200 to separate from the connecting portion 140 .
作为更具体地实施例,请参考图30-32,随动件220为限位轴,限位轴置于限位槽513内。As a more specific embodiment, please refer to Figures 30-32. The follower 220 is a limiting shaft, and the limiting shaft is placed in the limiting groove 513.
一种实施例中,可根据需要而预留第一撕裂部210的宽度,还可以根据功能需要设置成多个第一撕裂部210,使结构更可靠稳定。In one embodiment, the width of the first tearing portion 210 can be reserved as needed, and multiple first tearing portions 210 can also be provided according to functional requirements to make the structure more reliable and stable.
为了均匀受力,请参考图30-32,一种实施例中,第一撕裂部210和悬挂部240均至少为两个,第一撕裂部210沿分离基座200的周向分布,每个第一撕裂部210对应设有一个悬挂部240。均匀分布是指相邻第一撕裂部210或悬挂部240之间间隔相同的距离或角度。In order to bear uniform force, please refer to Figures 30-32. In one embodiment, there are at least two first tearing parts 210 and hanging parts 240, and the first tearing parts 210 are distributed along the circumferential direction of the separation base 200. Each first tearing portion 210 is provided with a corresponding hanging portion 240 . Uniform distribution refers to the same distance or angle between adjacent first tear portions 210 or hanging portions 240 .
此外,该随动件220还可对运动件410起到行程限位作用,将运动件410限制在设定范围内运动,以限定出运动件410向前端的极限行程,进而限定夹持件1的张开行程。请参考图3,当限位槽513向前端运动至随动件220的位置时,随动件220阻挡传动件510,进而限定运动件410的向前运动和夹持件1的张开行程。In addition, the follower 220 can also play a stroke limiting role on the moving part 410, restricting the moving part 410 to move within a set range, so as to limit the extreme stroke of the moving part 410 to the front end, thereby limiting the clamping part 1 the opening stroke. Please refer to FIG. 3 . When the limiting groove 513 moves to the front end to the position of the follower 220 , the follower 220 blocks the transmission member 510 , thereby limiting the forward movement of the moving member 410 and the opening stroke of the clamping member 1 .
进一步地,请参考图30-32,一种实施例中,该悬挂部240的两侧通过悬挂臂241与主体230连接,以使悬挂部240能够更容易地相对主体230变形。Further, please refer to FIGS. 30-32 . In one embodiment, both sides of the suspension part 240 are connected to the main body 230 through suspension arms 241 so that the suspension part 240 can be deformed relative to the main body 230 more easily.
具体地,当运动件410沿外脱离行程运动时,分离基座200整体在套管组件520的支撑下,无法单独向控制手柄3一侧运动。在运动件410拉动悬挂部240时,分离基座200的主体230保持不动,而悬挂部240的悬挂臂241则在运动件410的拉力下发生变形。在悬挂部240变形过程中,分离基座200的主体230对夹持臂100等形成反向支撑,进而悬挂臂241和第一撕裂部210的材料被逐步拉长。如图30-32所示,当达到屈服极限时发生断裂,该悬挂部240与连接部140实现外脱离。其后,可将分离基座200连同传动组件5一起从手术对象体内取出。Specifically, when the moving member 410 moves along the outer disengagement stroke, the entire separation base 200 is supported by the sleeve assembly 520 and cannot move toward the control handle 3 alone. When the moving part 410 pulls the hanging part 240 , the main body 230 of the separation base 200 remains stationary, and the suspension arm 241 of the hanging part 240 is deformed under the pulling force of the moving part 410 . During the deformation process of the hanging part 240, the main body 230 of the separation base 200 forms a reverse support for the clamping arm 100 and the like, and then the materials of the hanging arm 241 and the first tearing part 210 are gradually elongated. As shown in Figures 30-32, when the yield limit is reached, fracture occurs, and the hanging part 240 and the connecting part 140 achieve external separation. Thereafter, the separation base 200 together with the transmission assembly 5 can be taken out of the surgical subject's body.
为了防止运动件410拉动悬挂部240时,悬挂部240向不期望的方向变形,请参考图30-32,一种实施例中,该悬挂腔231具有沿分离基座200的轴向设置的导向槽232,悬挂部240置于导向槽232内,以引导悬挂部240向导向槽232内运动。该导向槽232限定的导向方向与第一撕裂部210对齐,进而使悬挂部240更容易从第一撕裂部210处断裂。In order to prevent the suspension part 240 from deforming in an unintended direction when the moving part 410 pulls the suspension part 240, please refer to Figures 30-32. In one embodiment, the suspension cavity 231 has a guide arranged along the axial direction of the separation base 200. Groove 232, the hanging part 240 is placed in the guide groove 232 to guide the hanging part 240 to move into the guide groove 232. The guiding direction defined by the guide groove 232 is aligned with the first tearing portion 210 , thereby making it easier for the hanging portion 240 to break from the first tearing portion 210 .
具有本领域技术的人将认识到,在不脱离本发明的基本原理的情况下,可以对上述实施例的细节进行许多改变。因此,本发明的范围应根据以下权利要求确定。Those skilled in the art will recognize that many changes may be made in the details of the embodiments described above without departing from the basic principles of the invention. Accordingly, the scope of the invention should be determined from the following claims.

Claims (16)

  1. 一种插入式组织夹闭装置的夹持件A clamping member of an insertable tissue clamping device , , 其特征在于,包括至少两个夹持臂,所述夹持臂包括夹持头和可弯曲部,所述夹持头用于夹持目标组织,所述夹持头和所述可弯曲部之间保持相对固定,所述可弯曲部具有能够向所述夹持臂的闭合方向弯曲和It is characterized in that it includes at least two clamping arms, the clamping arms include a clamping head and a bendable part, the clamping head is used to clamp the target tissue, and the clamping head and the bendable part are remain relatively fixed, and the bendable portion has a structure capable of bending toward the closing direction of the clamping arm and // 或向所述夹持臂的张开方向弯曲的弯曲结构;Or a curved structure bent in the opening direction of the clamping arm;
    所述弯曲结构具有至少一个沿纵向设置的变形部,在所述夹持臂处于夹持状态时,所述变形部能够向内挤压变形,以带动所述夹持臂整体向夹持件的后端移动。The bending structure has at least one deformation portion arranged longitudinally. When the clamping arm is in the clamping state, the deformation portion can be extruded and deformed inward to drive the entire clamping arm toward the clamping member. Backend moves.
  2. 如权利such as rights 要求Require 11 所述的夹持件,其特征在于,所述变形部具有朝向所述变形部前端凸起的前拱部和The clamping member is characterized in that the deformation part has a front arch part protruding toward the front end of the deformation part and // 或朝向所述变形部后端凸起的后拱部,所述前拱部和or a rear arch protruding toward the rear end of the deformation portion, the front arch and // 或所述后拱部能够在受到外力时向内挤压变形。Or the rear arch portion can be compressed and deformed inwardly when subjected to external force.
  3. 如权利such as rights 要求Require 11 or 22 所述的夹持件,其特征在于,所述弯曲结构包括若干个第一收缩缝组以及第二收缩缝组,每个所述第一收缩缝组具有至少一条第一收缩缝,每个所述第二收缩缝组具有至少一条第二收缩缝,所述第一收缩缝和所述第二收缩缝沿所述可弯曲部的周向延伸设置;所述第一收缩缝组和所述第二收缩缝组沿所述夹持臂的纵向间隔且错开排列;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 clamping member is characterized in that the curved structure includes a plurality of first contraction seam groups and a second contraction seam group, each of the first contraction seam groups has at least one first contraction seam, and each of the first contraction seam groups has at least one first contraction seam group. The second shrinkage seam group has at least one second shrinkage seam, and the first shrinkage seam and the second shrinkage seam extend along the circumferential direction of the bendable portion; the first shrinkage seam group and the third shrinkage seam group Two shrinkage seam groups are spaced and staggered along the longitudinal direction of the clamping arm; the overlapping area between the first shrinkage seam and the second shrinkage seam forms a twisted deformation section to enable the bendable portion to bend Torsional deformation.
  4. 如权利such as rights 要求Require 33 所述的夹持件,其特征在于,所述第一收缩缝组和所述第二收缩缝组设于所述变形部的前侧,所述扭曲变形段与所述变形部的前部连接。The clamping member is characterized in that the first contraction seam group and the second contraction seam group are provided on the front side of the deformation part, and the twist deformation section is connected to the front part of the deformation part. .
  5. 如权利such as rights 要求Require 1-41-4 任一项所述的夹持件,其特征在于,所述变形部为至少两个,所述变形部沿所述支撑臂的纵向依次连接。The clamping member according to any one of the preceding paragraphs, characterized in that there are at least two deformation parts, and the deformation parts are connected in sequence along the longitudinal direction of the support arm.
  6. 如权利such as rights 要求Require 1-51-5 任一项所述的夹持件,其特征在于,所有所述变形部的向内挤压变形的最大距离The clamping member according to any one of the preceding paragraphs, characterized in that the maximum distance of the inward extrusion deformation of all the deformation portions is aa 的取值范围为:The value range is: 0.1mm0.1mm aa 1.0mm1.0mm .
  7. 如权利such as rights 要求Require 1-61-6 任一项所述的夹持件,其特征在于,所述变形部大致为椭圆形结构、圆形结构或菱形结构。The clamping member according to any one of the preceding paragraphs, characterized in that the deformation part is generally in an elliptical structure, a circular structure or a rhombus structure.
  8. 如权利such as rights 要求Require 1-71-7 任一项所述的夹持件,其特征在于,所述夹持头和所述可弯曲部为在同一基材上通过激光切割工艺切割而成的一体成型结构。The clamping member according to any one of the preceding paragraphs, wherein the clamping head and the bendable portion are an integral structure cut on the same base material by a laser cutting process.
  9. 如权利such as rights 要求Require 1-81-8 任一项所述的夹持件,其特征在于,所述夹持件具有锁止配合部,所述锁止配合部用于与运动件锁止,以防止所述夹持臂张开。The clamping member according to any one of the preceding paragraphs, characterized in that the clamping member has a locking fitting part, and the locking fitting part is used to lock with the moving part to prevent the clamping arm from opening.
  10. 如权利such as rights 要求Require 99 所述的夹持件,其特征在于,所述夹持臂包括支撑臂,所述支撑臂位于两个所述夹持臂之间,所述锁止配合部为由所述支撑臂的部分区域向内伸出而形成的弹性卡扣。The clamping member is characterized in that the clamping arm includes a support arm, the support arm is located between the two clamping arms, and the locking fitting part is formed by a partial area of the support arm. An elastic buckle formed by extending inward.
  11. 如权利such as rights 要求Require 1010 所述的夹持件,其特征在于,所述变形部与所述支撑臂之间具有间隙,以在所述变形部的外周形成避空区。The clamping member is characterized in that there is a gap between the deformation part and the support arm to form an avoidance area on the outer periphery of the deformation part.
  12. 如权利such as rights 要求Require 1010 or 1111 所述的夹持件,其特征在于,所述夹持臂和所述支撑臂为在同一基材上通过激光切割工艺切割而成的一体成型结构。The clamping member is characterized in that the clamping arm and the supporting arm are an integral structure cut on the same base material through a laser cutting process.
  13. 如权利such as rights 要求Require 10-1210-12 任一项所述的夹持件,其特征在于,一对所述支撑臂上横向设置有限位件,所述限位件横跨在两个所述夹持臂之间。The clamping member according to any one of the preceding paragraphs, characterized in that a pair of support arms is provided with limiting members transversely, and the limiting members span between the two clamping arms.
  14. 一种插入式组织夹闭装置A plug-in tissue clamping device , , 其特征在于,包括:It is characterized by:
    如权利such as rights 要求Require 1-131-13 任一项所述的夹持件;The clamping member described in any one of the items;
    以及运动控制组件,所述运动控制组件包括运动件,所述运动件以可沿所述夹持件轴向运动的方式设置于所述夹持件内,所述运动件与所述夹持臂连接,以驱动所述夹持臂张开和闭合。And a motion control component, the motion control component includes a moving part, the moving part is disposed in the clamping part in a manner that can move axially along the clamping part, the moving part and the clamping arm Connected to drive the clamping arms open and closed.
  15. 如权利such as rights 要求Require 1414 所述的插入式组织夹闭装置,其特征在于,所述运动件具有锁止部,所述锁止部用于在所述夹持臂从传动件上分离时与所述夹持臂锁止,以阻止所述夹持臂张开。The plug-in tissue clamping device is characterized in that the moving part has a locking part, and the locking part is used to lock the clamping arm when the clamping arm is separated from the transmission part. , to prevent the clamping arm from opening.
  16. 如权利such as rights 要求Require 1515 所述的插入式组织夹闭装置,其特征在于,所述锁止部为设置在所述运动件上的卡台。The plug-in tissue clamping device is characterized in that the locking part is a clamping platform provided on the moving part.
PCT/CN2022/116303 2022-08-31 2022-08-31 Insertion-type tissue clipping device and clamping member thereof WO2023173694A1 (en)

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PCT/CN2022/116303 WO2023173694A1 (en) 2022-08-31 2022-08-31 Insertion-type tissue clipping device and clamping member thereof
CN202280024122.7A CN117098503A (en) 2022-08-31 2022-08-31 Insertion type tissue clamping device and clamping piece thereof

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CN1045521A (en) * 1989-03-06 1990-09-26 新墨西哥大学 System of applying deformable plastic surgical clip
DE102013011199A1 (en) * 2013-07-04 2015-01-08 Carl Stahl Gmbh Medical clip
CN109953800A (en) * 2019-05-05 2019-07-02 南京微创医学科技股份有限公司 A kind of chute-type multi-arm folder
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CN110393564A (en) * 2018-04-25 2019-11-01 杭州安杰思医学科技股份有限公司 Clamping device
CN214017645U (en) * 2019-12-27 2021-08-24 北京术锐技术有限公司 Rod body for operation and operation tool
CN215306369U (en) * 2021-06-09 2021-12-28 刘冰熔 Anchoring needle type suture clip device for suture under digestive endoscopy
CN216876514U (en) * 2021-02-21 2022-07-05 复旦大学附属华山医院 Bendable small-diameter ureter internal incision knife
CN114938984A (en) * 2022-06-08 2022-08-26 常州昕美达微创医疗器械科技有限公司 Clamping device for endoscope inspection and clamping method

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1045521A (en) * 1989-03-06 1990-09-26 新墨西哥大学 System of applying deformable plastic surgical clip
DE102013011199A1 (en) * 2013-07-04 2015-01-08 Carl Stahl Gmbh Medical clip
US20190321047A1 (en) * 2018-04-24 2019-10-24 Covidien Lp Ligation clip with retention features
CN110393564A (en) * 2018-04-25 2019-11-01 杭州安杰思医学科技股份有限公司 Clamping device
CN109953800A (en) * 2019-05-05 2019-07-02 南京微创医学科技股份有限公司 A kind of chute-type multi-arm folder
CN214017645U (en) * 2019-12-27 2021-08-24 北京术锐技术有限公司 Rod body for operation and operation tool
CN216876514U (en) * 2021-02-21 2022-07-05 复旦大学附属华山医院 Bendable small-diameter ureter internal incision knife
CN215306369U (en) * 2021-06-09 2021-12-28 刘冰熔 Anchoring needle type suture clip device for suture under digestive endoscopy
CN114938984A (en) * 2022-06-08 2022-08-26 常州昕美达微创医疗器械科技有限公司 Clamping device for endoscope inspection and clamping method

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