CN102935006B - Positioning suture hemostatic forceps - Google Patents

Positioning suture hemostatic forceps Download PDF

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Publication number
CN102935006B
CN102935006B CN201210528432.0A CN201210528432A CN102935006B CN 102935006 B CN102935006 B CN 102935006B CN 201210528432 A CN201210528432 A CN 201210528432A CN 102935006 B CN102935006 B CN 102935006B
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CN
China
Prior art keywords
binding clip
clip plate
handle body
plate body
handle
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Expired - Fee Related
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CN201210528432.0A
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Chinese (zh)
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CN102935006A (en
Inventor
赵辉
刘日渊
董思淇
郝青青
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Chinese PLA General Hospital
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Chinese PLA General Hospital
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Priority to CN201210528432.0A priority Critical patent/CN102935006B/en
Publication of CN102935006A publication Critical patent/CN102935006A/en
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Publication of CN102935006B publication Critical patent/CN102935006B/en
Expired - Fee Related legal-status Critical Current
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Abstract

The invention discloses a pair of positioning suture hemostatic forceps, and belongs to medical devices. The pair of positioning suture hemostatic forceps comprises a handle and a clamping head, wherein the handle comprises a handle body I and a handle body II which are movably connected with each other through a rotating shaft and can be closed or opened along the rotating shaft; the clamping head comprises a first clamping head plate body and a second clamping head plate body which are arranged in the way of corresponding to the front ends of the handle body I and the handle body II; the first clamping head plate body and the second clamping head plate body can be driven by the handle body I and the handle body II to close or open; and a blood vessel protection cavity is formed between the two clamping head plate bodies which are closed, and the two clamping head plate bodies which extend towards on side of the blood vessel protection cavity are in a closed state, a plurality of needle hole openings are arrayed on the two clamping head plate bodies which are closed, and projections are respectively formed on the opposite surfaces of the two clamping head plate bodies on one sides, which are far from the blood vessel protection cavity, of the needle hole openings. According to the positioning suture hemostatic forceps, the blood vessel protection cavity which is arranged through the clamping head, the plurality of needle hole openings and the opposite projections are utilized, so that multiple functions of positioning, bleeding stopping and suturing are realized at the same time, and thus, surgical use requirements are well satisfied.

Description

Key approximation suture mosquito forceps
Technical field
The present invention relates to medical instruments field, particularly a kind of key approximation suture mosquito forceps for locating hemostatic suture in cancer surgery.
Background technology
Hospitals at Present surgeon, in the operation for the treatment of patient's neck vascular tumor, is generally adopt the operation plan peeling off excision hemostatic suture to implement radical surgery to Cervical Vessels tumor.In this scheme, generally take to stop blooding after lesion resection to operative site with mosquito forceps, but because the structure of existing mosquito forceps is made up of the binding clip of handle and hemostasis, and the binding clip of hemostasis is under the drive of handle, can only stop blooding to the cross-section place of blood vessel after cut-out in the mode of pressing, and can not when not cutting off blood vessel, pressing hemostasis is carried out to the edge along blood vessel longitudinal direction, also the location to the tumor on blood vessel and seam assist cannot be realized, thus the requirement of Bleeding control in vascular tumor resection operation can not be met, easily make patient produce cerebral ischemia to disable, hemorrhagic shock and even death, add difficulty and the operation risk of surgical.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of key approximation suture mosquito forceps, be convenient to not cutting off the Vascular haemostasis of tumor locus and accurately locating seam assist, current mosquito forceps can be solved can only stop blooding to the blood vessel after cutting off, and accurately can not locate the blood vessel of tumor locus and the problem of seam assist.
The object of the invention is to be achieved through the following technical solutions:
Embodiment of the present invention provides a kind of key approximation suture mosquito forceps, comprising: handle and binding clip; Wherein,
Described handle comprises the handle body one and handle body two that can fasten along rotating shaft through rotating shaft flexible connection or open;
Described binding clip comprises and point is located at the described handle body one first binding clip plate body corresponding with handle body two front end and the second binding clip plate body; Described first binding clip plate body and the second binding clip plate body can fasten or open under described handle body one and handle body two drive; A vascular protection chamber is formed between two binding clip plate bodys after fastening; the two binding clip plate bodys extended to side, described vascular protection chamber are rounding state; on two binding clip plate bodys of described rounding state, to be provided with many pin holes uncovered in arrangement, is arranged with relative projection away from two binding clip plate body opposite faces of side, described vascular protection chamber outward described pin hole is uncovered.
As can be seen from the above-mentioned technical scheme provided, the key approximation suture mosquito forceps that embodiment of the present invention provides, by the vascular protection chamber formed in binding clip after fastening, can swollen thing on the blood vessel accurately in positioning operation, by the relative projection be arranged with on two binding clip plate body opposite faces, can stop blooding to the blood vessel at thing place swollen in operation and make the blood vessel otch after stitching involutory, simultaneously, uncovered by least one pin hole be provided with on two binding clip plate bodys of rounding state, thus can realize utilizing that pin hole is uncovered meets conjunction fast to the blood vessel that projection is stopped blooding, therefore, by above-mentioned vascular protection chamber, relative projection and the uncovered cooperation of many pin holes, when these pincers can be used in operation, realize location simultaneously, hemostasis and the multiple action sewed up.
Accompanying drawing explanation
In order to be illustrated more clearly in the technical scheme of the embodiment of the present invention, below the accompanying drawing used required in describing embodiment is briefly described, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skill in the art, under the prerequisite not paying creative work, other accompanying drawings can also be obtained according to these accompanying drawings.
The schematic diagram of the key approximation suture mosquito forceps that Fig. 1 provides for the embodiment of the present invention one;
The open configuration schematic diagram of the key approximation suture mosquito forceps that Fig. 2 provides for the embodiment of the present invention one;
The side view of the key approximation suture mosquito forceps that Fig. 3 provides for the embodiment of the present invention one;
Fig. 4 be in Fig. 3 binding clip buckling state A-A to schematic cross-section;
The binding clip plate body side view of the key approximation suture mosquito forceps that Fig. 5 provides for the embodiment of the present invention one;
Fig. 6 is that the C-C of a binding clip plate body of binding clip in Fig. 5 is to schematic cross-section;
The tooth bar schematic diagram of the locking and fixing device of the key approximation suture mosquito forceps that Fig. 7 provides for the embodiment of the present invention one;
Fig. 8 is the D place enlarged diagram in Fig. 7;
The schematic diagram of the key approximation suture mosquito forceps that Fig. 9 provides for the embodiment of the present invention two;
The schematic diagram of the key approximation suture mosquito forceps that Figure 10 provides for the embodiment of the present invention three;
The parts that in figure, each label is corresponding are: 1-handle, 11-handle body one, 12-handle body two, 2-rotating shaft, 3, binding clip, 31-first binding clip plate body, 32-second binding clip plate body, 4-positioning and locking device, 42-tooth bar two, the teeth groove on 421-tooth bar two, 5-vascular protection chamber, the longitudinal central axis line in 51-vascular protection chamber, 6-pin hole uncovered, 7-projection, 8-stitching thread.
Detailed description of the invention
Be clearly and completely described the technical scheme in the embodiment of the present invention below, obviously, described embodiment is only the present invention's part embodiment, instead of whole embodiments.Based on embodiments of the invention, those of ordinary skill in the art, not making the every other embodiment obtained under creative work prerequisite, belong to protection scope of the present invention.
Below the embodiment of the present invention is described in further detail.
Embodiment one
The embodiment of the present invention provides a kind of key approximation suture mosquito forceps, as shown in Figures 1 to 3, comprising: handle 1 and binding clip 3;
Wherein, handle 1 comprises and is flexibly connected the handle body 1 and handle body 2 12 that can fasten along rotating shaft 2 or open through rotating shaft 2;
As shown in Figure 3,4, binding clip 3 comprises and point is located at handle body 1 first binding clip plate body 31 and the second binding clip plate body 32 corresponding with handle body 2 12 front end; First binding clip plate body 31 and the second binding clip plate body 32 can fasten or open under handle body 1 and handle body 2 12 drive; A vascular protection chamber 5 is formed between two binding clip plate bodys 31,32 after fastening; the two binding clip plate bodys 31,32 extended to side, vascular protection chamber 5 are in rounding state; two binding clip plate bodys 31,32 of gathering place can be in parallel fit-state; on two binding clip plate bodys of rounding state, 31,32 are provided with at least one pin hole uncovered 6; relative projection is arranged with away from two binding clip plate body 31,32 opposite faces of side, vascular protection chamber 5 outside pin hole uncovered 6; after two binding clip plate bodys 31,32 fasten, two projections closely can withstand on and be split into together.The cross section of projection can adopt various shape, and as semicircle, oval etc., two projections withstood on so together form linear contact lay.
In above-mentioned key approximation suture mosquito forceps; the position that first binding clip plate body 31 and the second binding clip plate body 32 form vascular protection chamber 5 is connected to handle body 1 and handle body 2 12 front end; first binding clip plate body 31 is on same straight line with handle body 1 front end, and the second binding clip plate body 32 can be on same straight line with handle body 2 12 front end.Like this, the longitudinal central axis line 51 in the vascular protection chamber 5 formed between two binding clip plate bodys 31,32 is parallel with handle body 1 front end and/or handle body 2 12 front end.
As shown in Figure 5,6, in above-mentioned key approximation suture mosquito forceps, first binding clip plate body 31 and the second binding clip plate body 32 can adopt platy structure, a kind of platy structure having bending can be adopted, the cross sectional shape of two binding clip plate bodys is mirror symmetry, is all that the straight section body that is parallel to each other by two ends and the oblique linkage section be connected between two straight section bodies are formed.For the cross section of the first binding clip plate body shown in Fig. 6; it is by the straight section body 321 forming vascular protection chamber one sidewall; the straight section body 322 away from vascular protection chamber parallel with straight section body 321, and the oblique linkage section 323 be connected between two straight section bodies 321,322 is formed.
In above-mentioned key approximation suture mosquito forceps, the every bar pin hole uncovered 6 on binding clip plate body is by hole of threading a needle (for through hole) and the strip that is communicated with hole of threading a needle is uncovered forms; The uncovered free end extending to place binding clip plate body from hole of threading a needle of strip forms a long and narrow passage, makes each binding clip plate body become a kind of pinhole plate structure (see figure 5).Pin hole uncovered 6 can be many and is arranged on binding clip plate body; many pin holes uncovered 6 make the first binding clip plate body 31 outside vascular protection chamber 5 and the second binding clip plate body 32 form pectinate texture (see figure 5) like this, are convenient to be sewed up being clipped in the blood vessel stopped blooding between two relative projections of binding clip plate body with uncovered in the hole of threading a needle of stitching thread by pin hole uncovered 6 in use.
In above-mentioned key approximation suture mosquito forceps, one locking positioning device 4 can be set at handle rear end; As shown in Figure 7,8, locking positioning device can adopt intermeshing two tooth bars of energy, and one end of each tooth bar is fixedly installed on a handle body of described handle respectively, and two tooth bar free ends engage each other.Can guarantee like this, when handle body one, handle body two open or fasten to certain position, to make two handle body positions relatively fixing by locking positioning device 4.
Below in conjunction with use procedure, the key approximation suture mosquito forceps that the embodiment of the present invention provides is described further.
The binding clip of the key approximation suture mosquito forceps of the present embodiment is equipped with vascular protection chamber 5, pin hole uncovered 6 and relative projection 7, and handle is provided with locking positioning device 4.
The effect in vascular protection chamber 5: when doctor implements operation to patient, swollen thing being peeled off, in order to make blood vessel not be squeezed damage, leaving vascular protection chamber 5 in the outside of key approximation suture mosquito forceps.This lumen of vessels not only in operation for artery-sparing leaves space, also for operation to lesion resection position select leave space.
The effect of the binding clip plate body outside vascular protection chamber 5: the location-plate being Tumor resection; in the inner side of key approximation suture mosquito forceps; pinhole plate structure is defined) because each binding clip plate body is provided with the uncovered 6(of pin hole; and the hole of threading a needle of pin hole uncovered 6 is corresponding; the strip of threading a needle outside hole is uncovered is open type (likeness in form gallery); make the upper and lower boil on the nape opposite the mouth of pinhole plate; thus can conveniently to be threaded a needle introducing stitching thread by thread a needle hole and the uncovered cooperation of pin hole uncovered 6, the blood vessel of the binding clip plate body location outside vascular protection chamber 5 is sewed up.
The effect of pin hole uncovered 6: it is the key approximation suture through wires hole of key approximation suture mosquito forceps.The pitch-row in hole of threading a needle can match with circle curved suture needle, also can coordinate with the sewing needle of other shape, to guarantee the smooth of operation stitching.Sew up end tailing edge key approximation suture mosquito forceps and cut swollen thing, otch is more regular, makes sure to keep in mind to cut off stitching thread.
The effect of projection 7: blood vessel wall is parallel stitching when implementing key approximation suture mosquito forceps and clamping excision position, under prominent role, make upper and lower blood vessel wall all to turning up, namely the blood vessel wall retained after operating forceps is decontroled is formed high outside and low outside, be conducive to wound to roll docking, only have wound to dock the recovery of smooth more favourable disease.
The effect of locking positioning device 4: positioning lock links closely not only the clamping action of conventional mosquito forceps, the more important thing is its amount that can control skull patch projection blood vessel wall is turned up, only have blood vessel wall to turn up rationally, vascular suture roll docking just understand smooth, surgical effect just can be got well.
After doctor peels off tumor in the key approximation suture mosquito forceps enforcement vascular tumor surgical operation using the embodiment of the present invention, the vasculature part key approximation suture mosquito forceps of the redundance that should excise and reservation is implemented to locate, can to Vascular haemostasis by the projection between two binding clip plate bodys behind location, can sew up along the pin hole of key approximation suture mosquito forceps setting is uncovered blood vessel afterwards, after treating all stitchings, wait that excising tumor locus is in outside the blood vessel that is sewn, the tumor locus that now should excise again excises along stitching thread.Like this by utilizing the key approximation suture mosquito forceps of the embodiment of the present invention, the cooperation of the uncovered and corresponding projection of the vascular protection chamber arranged by binding clip, pin hole, the multiple action achieving location, hemostasis simultaneously and sew up.
In addition, the key approximation suture mosquito forceps that the embodiment of the present invention provides, implementing patient to rely on key approximation suture mosquito forceps steadily to clamp the blood flow controlled for excising position in advance at suture in operation, thereafter the stitching holes arranged according to stitching clamp is put down and to be stitched, after stitching, parallel excision (can not stitching thread be cut off).Due to the effect of stitching clamp, after tumor resection, vessel arms all can be turned over to intracavity by roll on themselves, thus forms otch docking, can tunica intima be protected to greatest extent injury-free, effectively prevent coming off of tunica intima, reduce the incidence rate of thromboembolism.
Embodiment two
The present embodiment provides a kind of key approximation suture mosquito forceps; substantially identical with the key approximation suture mosquito forceps structure that embodiment one provides; unlike as shown in Figure 9, the longitudinal central axis line 51 in the vascular protection chamber formed between two binding clip plate bodys of this key approximation suture mosquito forceps is obtuse angle with the angle of handle body 1 front end and/or handle body 2 12 front end.Namely the integral inclined key approximation suture mosquito forceps being arranged on the front end of handle of a kind of binding clip is formed.
This key approximation suture mosquito forceps is applicable in the vascular tumor operation of privileged sites, facilitates the use of doctor.
Embodiment three
The present embodiment provides a kind of key approximation suture mosquito forceps; substantially identical with the key approximation suture mosquito forceps structure that embodiment one provides; unlike as shown in Figure 10, the longitudinal central axis line 51 in the vascular protection chamber formed between two binding clip plate bodys of this key approximation suture mosquito forceps is right angle with the angle of handle body 1 front end and/or handle body 2 12 front end.Namely the overall key approximation suture mosquito forceps vertical with handle front end of a kind of binding clip is formed.
This key approximation suture mosquito forceps is also applicable in the vascular tumor operation of privileged sites, facilitates the use of doctor.
The various embodiments described above give the key approximation suture mosquito forceps that binding clip and handle front end keep different angles, namely pincers are turned shown in the oblique pincers shown in the friction clamp shown in Fig. 1, Fig. 9, Figure 10, in reality, the key approximation suture mosquito forceps of each structure can be combined, can be different according to the angle orientation of removal of lesions, adopt multi-form key approximation suture mosquito forceps.
In sum, the key approximation suture mosquito forceps that the embodiment of the present invention provides, structure is simple, the cooperation of the uncovered and relative projection of vascular protection chamber, pin hole by binding clip is arranged, realizes locating, hemostasis and the multiple action sewed up simultaneously.The control and the operation that are conducive to vascular tumor hands intraoperative hemorrhage are implemented, and can reduce vascular tumor operation risk, can prevent the complication such as cerebral ischemia in operation.Due to use this key approximation suture mosquito forceps can when not cutting off tumor locus blood vessel leading accurately key approximation suture, surgical operation is carried out under the state that blood vessel is not lost blood, fundamentally change vascular tumor and first excise the traditional surgical approaches that long position sews up again, efficiently avoid the massive hemorrhage that occurs in operation and cause the disadvantageous surgical environments such as blood pressure drops, cerebral ischemia because losing blood, effectively improve success rate of operation, reduce operation risk; By the vascular tumor surgery mechanical of complexity, simplification, make the operation method generation qualitative leap of vascular tumor, be conducive to the progress promoting medical skill, also shorten operating time simultaneously, reduce transfusion volume, reduce medical expense.
The above; be only the present invention's preferably detailed description of the invention, but protection scope of the present invention is not limited thereto, is anyly familiar with those skilled in the art in the technical scope that the present invention discloses; the change that can expect easily or replacement, all should be encompassed within protection scope of the present invention.Therefore, protection scope of the present invention should be as the criterion with the protection domain of claims.

Claims (9)

1. a key approximation suture mosquito forceps, is characterized in that, comprising: handle and binding clip; Wherein,
Described handle comprises the handle body one and handle body two that can fasten along rotating shaft through rotating shaft flexible connection or open;
Described binding clip comprises and point is located at the described handle body one first binding clip plate body corresponding with handle body two front end and the second binding clip plate body; Described first binding clip plate body and the second binding clip plate body can fasten or open under described handle body one and handle body two drive; A vascular protection chamber is formed between two binding clip plate bodys after fastening, the two binding clip plate bodys extended to side, described vascular protection chamber are rounding state, two binding clip plate bodys of rounding state are provided with at least one pin hole uncovered, outside described pin hole is uncovered, is respectively equipped with relative projection away from two binding clip plate body opposite faces of side, described vascular protection chamber; The position that described first binding clip plate body and the second binding clip plate body form described vascular protection chamber is connected to described handle body one and handle body two front end.
2. key approximation suture mosquito forceps according to claim 1, is characterized in that, the longitudinal central axis line in the vascular protection chamber formed between described two binding clip plate bodys is parallel with described handle body one front end and/or handle body two front end.
3. key approximation suture mosquito forceps according to claim 1, is characterized in that, the longitudinal central axis line in the vascular protection chamber formed between described two binding clip plate bodys and the angle of described handle body one front end and/or handle body two front end are obtuse angle.
4. key approximation suture mosquito forceps according to claim 1, is characterized in that, the longitudinal central axis line in the vascular protection chamber formed between described two binding clip plate bodys and the angle of described handle body one front end and/or handle body two front end are right angle.
5. key approximation suture mosquito forceps according to claim 1, it is characterized in that, the cross section shape of described first binding clip plate body and the second binding clip plate body is mirror symmetry, is all that the straight section body that is parallel to each other by two ends and the oblique linkage section be connected between two straight section bodies are formed.
6. key approximation suture mosquito forceps according to claim 1, is characterized in that, the every bar pin hole on described each binding clip plate body is uncovered by threading a needle hole and the strip that is communicated with hole of threading a needle is uncovered forms; The uncovered free end extending to place binding clip plate body from described hole of threading a needle of described strip.
7. the key approximation suture mosquito forceps according to claim 1 or 6, is characterized in that, described pin hole is uncovered is many of spread configuration, and the first binding clip plate body outside described vascular protection chamber and the second binding clip plate body form pectinate texture to many uncovered the making of pin hole.
8. key approximation suture mosquito forceps according to claim 1, is characterized in that, described handle rear end is provided with locking positioning device.
9. key approximation suture mosquito forceps according to claim 8, is characterized in that, described locking positioning device is intermeshing two tooth bars of energy, and one end of each tooth bar is fixedly installed on a handle body of described handle respectively, and two tooth bar free ends engage each other.
CN201210528432.0A 2012-12-10 2012-12-10 Positioning suture hemostatic forceps Expired - Fee Related CN102935006B (en)

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BR112017000683A2 (en) * 2014-07-18 2017-11-14 Ethicon Inc mechanical retraction by cable to reduce lung volume
CN105232113B (en) * 2015-11-14 2017-07-18 深圳市第二人民医院 The Minimally Invasive Surgery apparatus of organization engineered cartilage transplanting
CN111513778A (en) * 2020-04-14 2020-08-11 四川省肿瘤医院 Blood vessel ligature pincers

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6261308B1 (en) * 1999-08-09 2001-07-17 Carlos A. Saavedra Medical forceps for vascular surgery
CN201431487Y (en) * 2009-05-25 2010-03-31 王书国 Hemostat
CN201453331U (en) * 2009-07-16 2010-05-12 王卫晓 multifunctional hemostatic forceps
CN201510373U (en) * 2009-09-08 2010-06-23 广州医学院第一附属医院 Porous elastic vessel clip
CN202146328U (en) * 2011-07-04 2012-02-22 张晓� Hemostatic forceps
CN202223308U (en) * 2011-09-01 2012-05-23 孙建军 Tissue forceps for drawing and removing deep hidden lesions
CN203074809U (en) * 2012-12-10 2013-07-24 中国人民解放军总医院 Positioning suture haemostatic forceps

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6261308B1 (en) * 1999-08-09 2001-07-17 Carlos A. Saavedra Medical forceps for vascular surgery
CN201431487Y (en) * 2009-05-25 2010-03-31 王书国 Hemostat
CN201453331U (en) * 2009-07-16 2010-05-12 王卫晓 multifunctional hemostatic forceps
CN201510373U (en) * 2009-09-08 2010-06-23 广州医学院第一附属医院 Porous elastic vessel clip
CN202146328U (en) * 2011-07-04 2012-02-22 张晓� Hemostatic forceps
CN202223308U (en) * 2011-09-01 2012-05-23 孙建军 Tissue forceps for drawing and removing deep hidden lesions
CN203074809U (en) * 2012-12-10 2013-07-24 中国人民解放军总医院 Positioning suture haemostatic forceps

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