CN101467911B - Surgical forceps with coil spring - Google Patents

Surgical forceps with coil spring Download PDF

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Publication number
CN101467911B
CN101467911B CN2008101852357A CN200810185235A CN101467911B CN 101467911 B CN101467911 B CN 101467911B CN 2008101852357 A CN2008101852357 A CN 2008101852357A CN 200810185235 A CN200810185235 A CN 200810185235A CN 101467911 B CN101467911 B CN 101467911B
Authority
CN
China
Prior art keywords
shank
handle
sleeve
connecting rod
helical spring
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Fee Related
Application number
CN2008101852357A
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Chinese (zh)
Other versions
CN101467911A (en
Inventor
T·奥厄
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Olympus Winter and Ibe GmbH
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Olympus Winter and Ibe GmbH
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 Olympus Winter and Ibe GmbH filed Critical Olympus Winter and Ibe GmbH
Publication of CN101467911A publication Critical patent/CN101467911A/en
Application granted granted Critical
Publication of CN101467911B publication Critical patent/CN101467911B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • A61B2017/2919Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0813Accessories designed for easy sterilising, i.e. re-usable

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Ophthalmology & Optometry (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)

Abstract

A surgical clamp (1) is provided with branch parts (4, 5) which are articulated on the far-middle end of tubular handle part (2) with a mode of movable with each other. The branch parts are driven by a handle (15) through the relative movement of connecting rod (7) penetrating a shank through the shank. In two handle components (14, 16) of handle, the handle component (16) of connecting rod is detachably articulated on the far-middle end of connecting rod (7), and the handle component (14) of shank is connected with the near-middle end of handle through a sleeve (21). The sleeve surrounds the connecting rod (7) and is supported on the handle component (14) of shank with a mode that the longitudinal movement is allowed. The sleeve is detachable fixed on the near-middle end of shank and is surrounded by a spiral spring (19) which is supported on the sleeve with the far-middle end and is supported on the handle component of shank with the near-middle end. The invention is characterized in that the sleeve is installed to project from the handle component of shank with a mode of supporting at least one bigger component of the area of spiral spring in the far-middle direction.

Description

Have helical spring surgical forceps
Technical field
The present invention relates to a kind of surgical forceps.
Background technology
This type clamp is provided with elongated shank, is used for the use of endoscope.Because cover removably is connected with shank, clamp this position between shank and handle can be taken apart each other.This detachability has at first provided improve to clean and the disinfectant probability, thereby, even clamp still can be reused after being used in the surgical operations of many bacterium.
This type clamp also is equipped with a spring, it when jaws close with big closing force elastic deflection.This can be used for different purpose, and limiting overload for example damages to prevent clamp, or for the bonded situation of clamp retaining mechanism under can keep constant power for a long time.
Clamp by known a kind of this type of DE 29917554U1.Yet for this known structural design, helical spring set-up mode by the housing component sealing cover of handle is imperfect, even after handle and shank disengagement, still so keep.Spring is already very complicated on space structure; Its this sealing cover has caused the clanability of non-constant, in addition, and in known this structural design; Because it is so former thereby make to clean and become more difficult; That is, be being connected of handle and shank to realize that through additional mechanism providing additional operation that has a lasting sealing cover it further makes again to clean and obviously becomes difficult.
Summary of the invention
The objective of the invention is, a kind of clamp of this type is provided, it has better clanability.
For this reason; The present invention provides a kind of surgical forceps; Has the branching portion on the distal end that can be hinged on a tubular handle with moving each other; Said branching portion is driven through the relative motion of shank with respect to the connecting rod that passes this shank by the leader; In two handle members that can move each other of handle, a connecting rod handle member removably is hinged on the nearly middle-end of connecting rod, and a shank handle member is connected with the nearly middle-end of shank through a sleeve; Said sleeve surrounds connecting rod supporting with longitudinal movement on the shank handle member; This sleeve removably is fixed on the nearly middle-end of shank and by a helical spring and surrounds, and said helical spring is bearing on the sleeve and with its nearly middle-end with its distal end and is bearing on the shank handle member, it is characterized by: at least one bigger part direction in the distance that said sleeve is set to support with it helical spring zone protrudes in the shank handle member.
According to the present invention, sleeve supports helical spring zone with it and is set to, and makes it protrude in the shank spare of handle.Therefore, after handle and shank separated, helical spring was externally opened fully.Therefore this geometry very complicated parts can be especially effectively and be cleaned up hill and dale and detoxicating.
Advantageously, be provided with one and removably surround helical spring protecting cover, it externally covers spring during use, that is for example eliminating sandwiches helical spring danger, but helical spring is exposed, so that clean.
This protecting cover advantageously is located on the shank, it is taken off when handle separates with shank automatically, and helical spring is exposed, to clean.
Advantageously, the probability of the rotation between handle and the shank being provided on the sleeve, is rotatable thereby make grip finger with respect to handle.
Do not have locking device, the clamp that has spring for example can only prevent overload.If be advantageously provided a device that is used for locking clamp under the situation of helical spring tensioning; Clamp can be locked in tensioning state so, and this is favourable when using as the pin retainer for example, perhaps; In further favourable design; A device that is used between branching portion, producing heat is set, between each branching portion, can produces heat, for example can make blood vessel under the effect of constant clamping force, realize condensing whereby.
Description of drawings
In the accompanying drawings, for example in unique Fig. 1, the present invention has been shown, an axial cutaway view of its expression surgical forceps of the present invention.
The specific embodiment
Accompanying drawing is expressed the surgical forceps 1 that has a tubular handle 2, and a grip finger 3 with two movable branching portions 4,5 is set on its distal end, and branching portion supports around axis 6 pivotally.
The connecting rod 7 that passes shank acts on the grip finger 3, and along shank 2 lengthwise movements the time, branching portion 4,5 is relatively rotated with respect to each other.When connecting rod 7 is pulled back along arrow 8 directions are past, branching portion 4,5 is applied a closing force, make their closures, until the position of complete closure.
On the stub area in clamp 1 near, be provided with the two poles of the earth plug 9, on it, can connect unshowned conduction connection cord, so that plug is connected with a high frequency electric source.Two conduction connecting lines 10,11 pass shank 2 one through to grip finger 3 in clamp inside from plug 9; And there with branching portion 4,5 acting surfaces on unshowned electrode be connected; So that carry high frequency voltage, thereby clamping when organizing at branching portion 4, coming heat tissue through electric current between 5 to them.
Jaw 3 can take off from shank 2 by unshowned method, and is for example fixing through bayonet coupling or the like.
Shank 2 has the protecting cover 12 of the nearly split shed that a tubulose enlarges on its nearly middle-end, it reaches a head 13 always, and this head is fixed on of handle 15 on the shank handle member 14 of shank 2.One connecting rod handle member 16 of handle 15 is connected with shank handle member 14 through a hinge 17 pivotally, and removably is connected on the single-revolution hinge 18 through the spheric termination of making of connecting rod 7., usefulness can handle the jaw of clamp 3 when holding in hand with operating handle 15.
In order to operate, connecting rod 7 must relatively move with shank 2 each other.That is the head 13 of shank handle 14 must be connected with shank 2.The sleeve 21 that end piece 20 that surrounded by helical spring 19, through in far away is fixed on the shank 2 is used for this connection.
Sleeve 21 surrounds connecting rod 7 and can be bearing in slidably vertically in the head 13 of shank handle 14, and with an outward flange 22 it is fixed with respect to the shank handle, prevents in the distance, to extract on the direction.
End piece in far away embeds through a pin 24 that in a hole, passes protecting cover 12 walls and saidly is fixed on the shank 2 in the external slot 23 of end piece 20 in far away sleeve 21 with it.
Therefore sleeve 21 remains on the head 13, so also just remain on the handle 15.It can take off from shank 2 extracting pin 24 backs.Because motion in the cannelure 23 of pin 24 on sleeve 21, so sleeve, go back jug 15 with it and can rotate freely with respect to shank.For making shank 2, on a rotating handles 25, apply effect with respect to handle 15 rotations.
If shank 2 takes off from handle 15, just protecting cover 12 can be extracted from sleeve 21 direction to far away.Helical spring 19 is exposed fully, can clean well.
Expression is in the embodiment shown, and protecting cover 12 does not contact with head 13 at the internal diameter that its nearly middle-end place enlarges.But also can embrace it, and give additional guiding there from the outside.
In the illustrated embodiment of Fig. 1, protecting cover 12 is designed for the cylindrical guide mechanism of the middle end piece 20 far away of sleeve 21.But the supporting device of sleeve 21 and guide mechanism also can use diverse mode to design on the nearly middle-end of shank 2.Therefore sleeve 21 for example can stretch out in the terminal of shank 2 and correspondingly locking with its distal end with internal diameter of expansion, and necessary words can also be designed to rotatable structure.
In the embodiment shown, protecting cover 12 is configured on the nearly middle-end of shank 2, and takes off from handle 15 with it, so that helical spring 19 exposes.But protecting cover 12 also can be designed to other forms.It for example can be configured on the head 13 of shank handle 14, but must be able to take off from it, helical spring 19 is exposed, so that clean.
As shown in Figure 1, helical spring 19 direction in the distance is supported on the far away middle end piece 20 of sleeve 21, and direction is supported on head 13 near.Because said middle end piece 20 far away is fixed on the shank 2, head 13 is fixed on the handle 15, so can make handle 15 with respect to shank 2 elastic buffers in this way.
Elastic reaction only is used for preventing the clamp overload.But also can be arranged on the locking measure shown in Fig. 1; It is realized through a clip spare 26 in this embodiment; This clip spare 27 is articulated in shank handle member 14 in the position, and available hook 28 is through hook 29 clasp joints on the connecting rod handle member 16, so that handle member 14 and 16 is locked each other.
Through spring and locking device, can with shown in connecting rod 1 for example use as the pin retainer.With the described measure that is used for producing at branching portion 4, between 5 heat, clamp can be used under constant power effect, making coagulation of tissues.
Also can adopt other devices at branching portion 4, be defeated by heat between 5, this device is for example by means of conduction of heat, light radiation, ultrasound wave or otherwise toward infeeding heat in the desirable zone between the branching portion.

Claims (6)

1. surgical forceps (1); Has the branching portion (4 on the distal end that can be hinged on a tubular handle (2) with moving each other; 5); Said branching portion is driven through the relative motion of shank (2) with respect to the connecting rod that passes this shank (7) by leader (15), in two handle members that can move each other (14,16) of handle; One connecting rod handle member (16) removably is hinged on the nearly middle-end of connecting rod (7); One shank handle member (14) is connected with the nearly middle-end of shank (2) through a sleeve (21), and said sleeve surrounds connecting rod (7) and on shank handle member (14), supports with longitudinal movement, and this sleeve removably is fixed on the nearly middle-end of shank (2) and by a helical spring (19) and surrounds; Said helical spring is bearing in sleeve (21) with its distal end and goes up and be bearing on the shank handle member (14) with its nearly middle-end, it is characterized by: said sleeve (21) is set to protrude in shank handle member (14) with at least one bigger part direction in the distance in the zone of its supporting helical spring (19).
2. by the described clamp of claim 1, it is characterized by: be provided with one and removably surround said helical spring protecting cover (12).
3. by the described clamp of claim 2, it is characterized by: said protecting cover (12) is located on the said shank (2).
4. by the described clamp of claim 1, it is characterized by: said sleeve (21) rotatably is connected with said shank (2) and/or handle (15).
5. by the described clamp of claim 1, it is characterized by: a device (28,29) that is used under the situation of helical spring (19) tensioning, locking clamp (1) is set.
6. by the described clamp of claim 1, it is characterized by: a device (10,11) that is used between branching portion (4,5), producing heat is set.
CN2008101852357A 2007-12-27 2008-12-24 Surgical forceps with coil spring Expired - Fee Related CN101467911B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102007063302.7 2007-12-27
DE102007063302A DE102007063302B3 (en) 2007-12-27 2007-12-27 Surgical forceps for endoscope purpose of coagulate tissue of patient, has sleeve supporting shaft gripping part in longitudinal slidable manner, and removably fixed at proximal end of shaft, where sleeve is surrounded by coil spring

Publications (2)

Publication Number Publication Date
CN101467911A CN101467911A (en) 2009-07-01
CN101467911B true CN101467911B (en) 2012-02-01

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Application Number Title Priority Date Filing Date
CN2008101852357A Expired - Fee Related CN101467911B (en) 2007-12-27 2008-12-24 Surgical forceps with coil spring

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CN (1) CN101467911B (en)
DE (1) DE102007063302B3 (en)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5800676B2 (en) * 2011-10-25 2015-10-28 オリンパス株式会社 Medical manipulator
CN102614006B (en) * 2012-04-16 2014-12-03 涂名超 Laparoscope operating forceps capable of allowing bending angle of forceps head to be locked
US9510891B2 (en) 2012-06-26 2016-12-06 Covidien Lp Surgical instruments with structures to provide access for cleaning
DE102012016396B4 (en) * 2012-08-21 2015-04-02 Olympus Winter & Ibe Gmbh Surgical forceps
GB201600546D0 (en) * 2016-01-12 2016-02-24 Gyrus Medical Ltd Electrosurgical device
CN106078668B (en) * 2016-05-31 2018-11-02 泰州市天翎机械制造有限公司 A kind of automatic clamping instrument

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1077367A (en) * 1992-02-21 1993-10-20 哈伯利医疗技术有限公司 Endoscopic surgical instrument
CN1672643A (en) * 2000-03-02 2005-09-28 普雷西梅德公司 Instrument holder for surgical instrument
CN1791364A (en) * 2003-05-19 2006-06-21 普雷西姆德有限公司 Dual reamer holder for surgical use

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE29917554U1 (en) * 1999-10-06 1999-12-16 Aesculap AG & Co. KG, 78532 Tuttlingen Surgical tubular shaft instrument

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1077367A (en) * 1992-02-21 1993-10-20 哈伯利医疗技术有限公司 Endoscopic surgical instrument
CN1672643A (en) * 2000-03-02 2005-09-28 普雷西梅德公司 Instrument holder for surgical instrument
CN1791364A (en) * 2003-05-19 2006-06-21 普雷西姆德有限公司 Dual reamer holder for surgical use

Also Published As

Publication number Publication date
DE102007063302B3 (en) 2009-04-09
CN101467911A (en) 2009-07-01

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