CN101897611A - Intrusion type inverted titanium clips and use method thereof - Google Patents
Intrusion type inverted titanium clips and use method thereof Download PDFInfo
- Publication number
- CN101897611A CN101897611A CN 201010173995 CN201010173995A CN101897611A CN 101897611 A CN101897611 A CN 101897611A CN 201010173995 CN201010173995 CN 201010173995 CN 201010173995 A CN201010173995 A CN 201010173995A CN 101897611 A CN101897611 A CN 101897611A
- Authority
- CN
- China
- Prior art keywords
- inverted
- titanium
- titanium clips
- clips
- inner sleeve
- 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.)
- Pending
Links
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The invention relates to intrusion type inverted titanium clips. The intrusion type inverted titanium clips comprise inverted titanium clips, wherein the inverted titanium clips are M-shaped; the middle V-shaped part of the inverted titanium clips is a release section, the two sides of the inverted titanium clips are clamping sections; two ends of the clamping sections are bended inward; and the each end is provided with at least one sawtooth for meshing. The invention also discloses a use method of the inverted titanium clips. The intrusion type inverted titanium clips can realize multilevel, multiple-degree-of-freedom and free release, effectively close the outer wall of an orifice puncture hole and solve the problems of the bleeding and fistula of the puncture hole after the operation so as to avoid abdominal infection, septicemia and the like caused by gastric fistula, intestinal fistula and the like. When closed, the inverted titanium clips of the invention are shaped like a reverse triangle and can basically intrude orifice issue, and the outside of the orifice is smooth, thus the damage of the visceral organ outside the orifice can be prevented. The intrusion type inverted titanium clips are convenient, fast and reliable to use, has good clamping performance, is characterized by good clamping property and toughness and no displacement after clamping, and overcomes the current bottleneck that the outer wall of the orifice can not be closed.
Description
Technical field
The present invention relates to a kind of health care apparatus and using method thereof, especially a kind of intrusion type inverted titanium clips and using method thereof.
Background technology
Operative scar, in over one hundred year history of surgery development, the inevitable outcome that is considered to perform the operation, and appear in order to obtain sufficient art open country, major operation just must be adopted the otch than major operation, so the saying of " big doctor, otch greatly " is arranged.Advantages such as up to the eighties in last century, the rise of peritoneoscope Minimally Invasive Surgical Technology make people recognize that gradually the little otch through stomach wall can implement the abdominal part routine operation equally, and it is fast to have post-operative recovery, and the little and cosmetic result of patient suffering is good.Along with being rooted in the hearts of the people of less invasive techniques and Wicresoft's idea, people change gradually to the understanding of operative approach in the past, and " big doctor, little otch " is only the direction of following surgery development.In recent years, a kind ofly be close to the very big interest that the brand new technical of overturning the conventional surgical idea has attracted laparoscopic surgeon and endoscope internist, become research and bone of contention, the NOTES that Here it is is called as " no cicatrix operation ": wear intracavity videoendoscopic surgery (Natural Orifice Transluminal Endoscopic Surgery through natural lacuna, NOTES), Shanghai Long March Hospital's minimally invasive surgery Jiang Daozhen.But because not perfect and be subjected to the influence that the research and development of relevant device and apparatus relatively lag behind to the understanding of its correlation theory, NOTES enter clinical before, also have many problems to be solved.
Closing of tract puncturing hole is a very crucial technical essential in the NOTES technology, also is a difficult point simultaneously.Mode is much closed in proposition at present, comprise that stitching, Endoscope hemostasis folder folder close, closing device, intracavity cutting closer, biogum bonding, laser weld and other methods etc. of particular design, but because closing of tract is confined to its inwall, outer wall still is in non-closed state, therefore postoperative still has quite a few experiment case hemorrhage, the fistula of puncturing hole to occur, and then causes abdominal cavity infection, septicemia etc.Therefore, how well closing the internal organs puncturing hole, avoid generations such as gastric fistula, intestinal fistula, is the difficulty that present NOTES at first will overcome, and remains the further research and development of apparatus.The research and development of NOTES special equipment are that NOTES carries out and successful key smoothly.
Developed at present the new apparatus of various adaptation NOTES technology, as Titanium folder under the scope, zoopery confirm its can safe and effective closed diameter less than the blood vessel of mesentery, serous coat even the liver of 5 mm.The heat energy hemostasis device comprises nipper and crush inhury, can carry out clamp and compressing to tissue flexibly and effectively, is applicable to handle mesentery blood vessel, arteria colica, left gastric artery and cystic artery.After application nipper or crush inhury solidify the blood vessel two ends, cut off from the centre, the hemostasis success rate reaches 100% again.
Being exclusively used in the surgical operation of U type or V-type pricked interior piped titanium folder (for example Chinese state patent 200610050576.4,200720109029.9) for envelope in the implant into body, and above product all is the sealing at the tract inwall; But iff the tract inwall is sealed, outer wall still is in open state, is unfavorable for very much the recovery of organ function, especially for gastrointestinal tract, and develops complications easily, closes at the folder of tract outer wall, does not have the report of Related product so far.The tract outer wall be closed with following difficult point: the operation under the Wicresoft all is to carry out in tract medial wall direction, and the clamping outer wall need solve the problem how clip discharges; The tract outer wall is other internal organs, and clip can not have sharp-pointed end after discharging, otherwise may cause certain damage to adjacent organ.
The sealing of tract outer wall, the especially sealing of gastrointestinal tract outer wall, very high to adding the instrument requirement of holding, can not take too much space, again sharp-pointed profile can not be arranged, with other internal organs in the antisitic defect abdominal cavity.And existing U type or V-type folder can't be applied to the folder of gastrointestinal tract outer wall at all and closes.
Summary of the invention
The objective of the invention is for overcoming above-mentioned the deficiencies in the prior art, provide a kind of and can realize the free release of multistage, multiple degrees of freedom, fast, facility, can prevent the damage of the outer internal organs of tract, effectively realize the closure of tract puncturing hole outer wall, solve hemorrhage, the fistula of postoperative puncturing hole, avoid the intrusion type inverted titanium clips and the using method thereof of problems such as abdominal cavity infection that gastric fistula, intestinal fistula etc. cause, septicemia.
For achieving the above object, the present invention adopts following technical proposals:
A kind of intrusion type inverted titanium clips comprises inverted titanium clips, and the profile of described inverted titanium clips is the M type, wherein the intermediary V-type of inverted titanium clips partly is a releasing section, the inverted titanium clips two side portions is a gripping section, two inside bendings in end of gripping section, and these two ends are provided with the sawtooth of at least one engagement.
The angle of described gripping section and releasing section connection is at the 30-45 degree, and the angle of releasing section V-type part is the 30-60 degree, and the angle between the end of gripping section and inwardly bending is the 120-135 degree.
Described releasing section V-type bottom and releasing section and gripping section junction are round-corner transition.
A kind of intrusion type inverted titanium clips using method may further comprise the steps:
1). the releasing section V-type bottom of inverted titanium clips is linked to each other with control stick, releasing section is inserted in the inner sleeve from the V-type bottom, again whole inverted titanium clips sleeve pipe is gone into trocar sheath, under the synergy of trocar sheath, inner sleeve and control stick, inverted titanium clips sent into and wait to seal the tract outside;
2). after inverted titanium clips was fed to assigned address, with the trocar sheath rollback, inverted titanium clips recovered under the effect of gripping section self resilience force and realizes that opening of gripping section, inner sleeve and control stick keep static and guarantee that titanium folder releasing section still suffers restraints;
3). inverted titanium clips is shifted under the synergy of inner sleeve and control stick and is waited to seal in the tract lateral wall, and inner sleeve discharges titanium folder releasing section gradually, and the titanium folder begins to invade waits to seal tract lateral wall tissue;
4). inner sleeve shifts out the tract wall gradually, and inverted titanium clips is realized closed under the effect of releasing section self resilience force, the whole tissue of invading of inverted titanium clips this moment; Control stick continues the effect of tension power afterwards, and inverted titanium clips is realized self-isolation in the triangle rock-steady structure of self, and the pulling force of enough external force opposing control sticks is provided, and disconnects and breaks away from titanium until control stick and press from both sides, and so far, realizes the sealing of tract outer wall.
Described step 1)-4) inner sleeve in is provided with and plays the fixedly groove of inverted titanium clips effect, and inner sleeve can freely rotate, and increases the inverted titanium clips degree of freedom.
The present invention compared with prior art, have the following advantages and effect: the present invention can realize the free release of multistage, multiple degrees of freedom, effectively realize the closure of tract puncturing hole outer wall, solve hemorrhage, the fistula of postoperative puncturing hole, and then avoid problems such as abdominal cavity infection that gastric fistula, intestinal fistula etc. cause, septicemia.In addition, be del after the inverted titanium clips closure of the present invention, and invade cavity organization substantially, the tract outside is smooth, can prevent the damage of the outer internal organs of tract.The present invention is easy to use, quick, reliable, and gripping performance is good, has good clamping and toughness, can not produce after the clamping characteristics such as displacement, and can break through present insurmountable tract outer wall can't closed bottleneck.
Description of drawings
Fig. 1 is a structural representation of the present invention;
Fig. 2 is that the present invention discharges the back sketch map;
Fig. 3 is step 1 sketch map in the embodiment of the invention;
Fig. 4 is step 2 sketch map in the embodiment of the invention;
Fig. 5 is step 3 sketch map in the embodiment of the invention;
Fig. 6 is step 4 sketch map in the embodiment of the invention;
1. releasing sections wherein, 2. gripping section, 3. end, 4. sawtooth, 5. tract, 6. trocar sheath, 7. inner sleeve, 8. control stick, 9. the tract outside.
The specific embodiment
The present invention is further described below in conjunction with drawings and Examples.
Among Fig. 1,2, a kind of intrusion type inverted titanium clips, comprise inverted titanium clips, the profile of described inverted titanium clips is the M type, wherein the intermediary V-type of inverted titanium clips partly is a releasing section 1, the inverted titanium clips two side portions is a gripping section 3, two ends, the 3 inside bendings of gripping section 3, and these two ends 3 are provided with the sawtooth 4 of at least one engagement.
Specific requirement during according to use can customize the inverted titanium clips that all size differs.In general, for gastrointestinal tract NOTES treatment technology, the diameter of trocar sheath 6 requires 3.7-4.2mm, gripping section 2 length of inverted titanium clips are 2-3mm, releasing section 1 length 1-2mm, releasing section 1V type bottom and releasing section 1 are round-corner transition with gripping section 2 junctions, and the radius of corner between gripping section 2 and the releasing section 1 is not less than 2mm.Before the release, inverted titanium clips is restrained condition in trocar sheath 6.The angle of gripping section 2 and releasing section 1 connection is at the 30-45 degree, and the angle of releasing section 1V type part is the 30-60 degree, and the angle between the end 3 of gripping section 2 and inwardly bending is the 120-135 degree.
Shown in Fig. 3-6, a kind of using method of intrusion type inverted titanium clips may further comprise the steps:
1). the releasing section 1V type bottom of inverted titanium clips is linked to each other with control stick 8, releasing section 1 is inserted in the inner sleeve 7 from the V-type bottom, again whole inverted titanium clips sleeve pipe is gone in the trocar sheath 6, under the synergy of trocar sheath 6, inner sleeve 7 and control stick 8, inverted titanium clips sent into and wait to seal the tract outside 9;
2). after inverted titanium clips was fed to assigned address, with trocar sheath 6 rollbacks, inverted titanium clips recovered under gripping section 2 self resilience force effect and realizes that opening of gripping section 2, inner sleeve 7 and control stick 8 keep static and guarantee that titanium folder releasing section 1 still suffers restraints;
3). inverted titanium clips is shifted under the synergy of inner sleeve 7 and control stick 8 and is treated in the enclosed cavity pipeline outer wall, and inner sleeve 7 discharges titanium folder releasing section 1 gradually, and the titanium folder begins to invade treats enclosed cavity pipeline outer wall tissue;
4). inner sleeve 7 shifts out the tract outer wall gradually, and inverted titanium clips is realized closed under releasing section 1 self resilience force effect, the whole tissue of invading of inverted titanium clips this moment; Control stick 8 continues the effect of tension power afterwards, and inverted titanium clips is realized self-isolation in the triangle rock-steady structure of self, and the pulling force of enough external force opposing control sticks 8 is provided, and disconnects and breaks away from titanium until control stick 8 and press from both sides, and so far, realizes the sealing of tract outer wall.
Described step 1)-4) inner sleeve 7 in is provided with and plays the fixedly groove of inverted titanium clips effect, and inner sleeve 7 can freely rotate, and increases the inverted titanium clips degree of freedom.
Be del after the inverted titanium clips closure of the present invention, and invade tract 5 tissues substantially, tract 5 outer walls are smooth, can prevent the damage of the outer internal organs of tract.
Claims (5)
1. intrusion type inverted titanium clips, it is characterized in that: comprise inverted titanium clips, the profile of described inverted titanium clips is the M type, wherein the intermediary V-type of inverted titanium clips partly is a releasing section, the inverted titanium clips two side portions is a gripping section, two inside bendings in end of gripping section, these two ends are provided with the sawtooth of at least one engagement.
2. intrusion type inverted titanium clips according to claim 1, it is characterized in that: the angle of described gripping section and releasing section connection is at the 30-45 degree, the angle of releasing section V-type part is the 30-60 degree, and the angle between the end of gripping section and inwardly bending is the 120-135 degree.
3. intrusion type inverted titanium clips according to claim 1 is characterized in that: described releasing section V-type bottom and releasing section and gripping section junction are round-corner transition.
4. an intrusion type inverted titanium clips using method is characterized in that, may further comprise the steps:
1). the releasing section V-type bottom of inverted titanium clips is linked to each other with control stick, releasing section is inserted in the inner sleeve from the V-type bottom, again whole inverted titanium clips sleeve pipe is gone into trocar sheath, under the synergy of trocar sheath, inner sleeve and control stick, inverted titanium clips sent into and wait to seal the tract outside;
2). after inverted titanium clips was fed to assigned address, with the trocar sheath rollback, inverted titanium clips recovered under the effect of gripping section self resilience force and realizes that opening of gripping section, inner sleeve and control stick keep static and guarantee that titanium folder releasing section still suffers restraints;
3). inverted titanium clips is shifted under the synergy of inner sleeve and control stick and is waited to seal in the tract lateral wall, and inner sleeve discharges titanium folder releasing section gradually, and the titanium folder begins to invade waits to seal tract lateral wall tissue;
4). inner sleeve shifts out the tract wall gradually, and inverted titanium clips is realized closed under the effect of releasing section self resilience force, the whole tissue of invading of inverted titanium clips this moment; Control stick continues the effect of tension power afterwards, and inverted titanium clips is realized self-isolation in the triangle rock-steady structure of self, and the pulling force of enough external force opposing control sticks is provided, and disconnects and breaks away from titanium until control stick and press from both sides, and so far, realizes the sealing of tract outer wall.
5. intrusion type inverted titanium clips using method according to claim 1 is characterized in that: the inner sleeve described step 1)-4) is provided with and plays the fixedly groove of inverted titanium clips effect, and inner sleeve can freely rotate.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010173995 CN101897611A (en) | 2010-07-08 | 2010-07-08 | Intrusion type inverted titanium clips and use method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010173995 CN101897611A (en) | 2010-07-08 | 2010-07-08 | Intrusion type inverted titanium clips and use method thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101897611A true CN101897611A (en) | 2010-12-01 |
Family
ID=43223769
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201010173995 Pending CN101897611A (en) | 2010-07-08 | 2010-07-08 | Intrusion type inverted titanium clips and use method thereof |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN101897611A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103370017A (en) * | 2010-12-07 | 2013-10-23 | 环球科技2000私人有限公司 | Surgical clip and clip manipulation device therefor |
| CN108158617A (en) * | 2018-01-18 | 2018-06-15 | 张建国 | The operation folder that Microendoscopic uses |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0509513A1 (en) * | 1991-04-17 | 1992-10-21 | United States Surgical Corporation | Fasciaclip and instrument |
| EP1384443A1 (en) * | 2002-05-31 | 2004-01-28 | Ethicon Endo-Surgery, Inc. | Device for applying a tissue fastener having a shaft with a reduced cross-section |
| CN2812847Y (en) * | 2005-08-23 | 2006-09-06 | 谢海龙 | Endoscope absorbable tissure clamp |
| US20080173691A1 (en) * | 2007-01-24 | 2008-07-24 | Medtronic Vascular, Inc. | Low-Profile Vascular Closure Systems and Methods of Using Same |
| US20080234703A1 (en) * | 2007-03-23 | 2008-09-25 | Ethicon Endo-Surgery, Inc. | Tissue approximation system |
| CN1969769B (en) * | 2005-11-23 | 2010-11-17 | 伊西康内外科公司 | Surgical clip and applier device and usage method |
| CN201668444U (en) * | 2010-05-17 | 2010-12-15 | 山东大学 | Intrusive reverse titanium clip |
-
2010
- 2010-07-08 CN CN 201010173995 patent/CN101897611A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0509513A1 (en) * | 1991-04-17 | 1992-10-21 | United States Surgical Corporation | Fasciaclip and instrument |
| EP1384443A1 (en) * | 2002-05-31 | 2004-01-28 | Ethicon Endo-Surgery, Inc. | Device for applying a tissue fastener having a shaft with a reduced cross-section |
| CN2812847Y (en) * | 2005-08-23 | 2006-09-06 | 谢海龙 | Endoscope absorbable tissure clamp |
| CN1969769B (en) * | 2005-11-23 | 2010-11-17 | 伊西康内外科公司 | Surgical clip and applier device and usage method |
| US20080173691A1 (en) * | 2007-01-24 | 2008-07-24 | Medtronic Vascular, Inc. | Low-Profile Vascular Closure Systems and Methods of Using Same |
| US20080234703A1 (en) * | 2007-03-23 | 2008-09-25 | Ethicon Endo-Surgery, Inc. | Tissue approximation system |
| CN201668444U (en) * | 2010-05-17 | 2010-12-15 | 山东大学 | Intrusive reverse titanium clip |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103370017A (en) * | 2010-12-07 | 2013-10-23 | 环球科技2000私人有限公司 | Surgical clip and clip manipulation device therefor |
| CN103370017B (en) * | 2010-12-07 | 2016-12-14 | 环球科技2000私人有限公司 | Surgical clamp and the Jaw actuation device for surgical clamp |
| CN108158617A (en) * | 2018-01-18 | 2018-06-15 | 张建国 | The operation folder that Microendoscopic uses |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US10159492B2 (en) | Endoscopic clip applier | |
| US7635374B2 (en) | Endoscopic full thickness resection using surgical compression clips | |
| JP5539897B2 (en) | Device for delivering an anchor device into the wall of a body passage | |
| JP2020072860A (en) | Medical device | |
| US8357170B2 (en) | Devices and methods for placing occlusion fasteners | |
| EP2263572B2 (en) | Delivery system for a surgical clip to compress body tissue | |
| US20100331862A1 (en) | Tissue compression using surgical clips | |
| US20140155699A1 (en) | Access device including shape memory deployment mechanism | |
| US8764773B2 (en) | Surgical port for notes procedures | |
| JP2005503231A (en) | Apparatus and method for compressing body tissue | |
| CN103930051A (en) | Living tissue ligating device | |
| BRPI0709278A2 (en) | tissue securing device, method for endoscopically attaching tissue using a fastener and combination of tissue fastener and dispensing device for said fastener | |
| WO2008081436A2 (en) | Tissue compression using surgical clips | |
| US20140100423A1 (en) | Endoscopic full thickness resection using surgical compression clips | |
| CN107182199B (en) | Biomedical device for watertight sealing of an opening | |
| US8784305B2 (en) | Tissue retractor and method of use | |
| CN102429688A (en) | Demountable type flexible abdominal cavity micro-invasive operation invisible endoscope channel | |
| CN101897611A (en) | Intrusion type inverted titanium clips and use method thereof | |
| CN201668444U (en) | Intrusive reverse titanium clip | |
| EP2624768A2 (en) | Method and device for closure of intraluminal perforations | |
| US11253282B2 (en) | Dissection and ligation cartridge | |
| CN209899477U (en) | Puncture suture needle | |
| EP0519703A1 (en) | Endoscopic suture clip | |
| CN202426593U (en) | Magnetic compression anastomosis ring | |
| US20140276980A1 (en) | Wound closure device and method |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C12 | Rejection of a patent application after its publication | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20101201 |