CN103040497A - Grasping forceps of laparoscope tubular anastomat nail tightening seat - Google Patents
Grasping forceps of laparoscope tubular anastomat nail tightening seat Download PDFInfo
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- CN103040497A CN103040497A CN2013100112727A CN201310011272A CN103040497A CN 103040497 A CN103040497 A CN 103040497A CN 2013100112727 A CN2013100112727 A CN 2013100112727A CN 201310011272 A CN201310011272 A CN 201310011272A CN 103040497 A CN103040497 A CN 103040497A
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- arms
- anastomat
- resist
- peritoneoscope
- tubulose
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Abstract
The invention provides grasping forceps of a laparoscope tubular anastomat nail tightening seat. The forceps comprise a forceps opening, a holding part and a connection rod, wherein the forceps opening is provided with two arms, two arms are hinged through a hinged shaft, the holding part is provided with a handle and a wrench, the handle and the wrench are hinged through a rivet, the connection rod is in a hollow structure, a drive mechanism is arranged in the connection rod, and the forceps opening is connected to the wrench through the drive mechanism. The forceps can grasp the nail tightening seat from the extension line of the center of the nail tightening seat, the forceps can enter the pneumoperitoneum through the working channel of the corresponding size of an abdominal wall sealing device easily, the nail tightening seat can be arranged on the side opening of the end of the gastrointestinal cavity, and the joint of the nail tightening seat and the central rod of the laparoscope can be completed under the monitoring of the laparoscope.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, relate in particular to a kind of peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp.
Background technology
After Kitano in 1994 etc. had reported the first laparoscopic distal gastrectomy, the laparoscopic resection of early gastric cancer obtained flourish in Japan and Korea S; Uyama in 1999 etc. have reported D2 radical correction under the advanced gastric carcinoma peritoneoscope subsequently.Development through more than 10 years, the technology of laparoscopic surgical procedure early gastric cancer are ripe, and its nearly late result is suitable with abdominal, is accepted as one of standard care scheme of Ia phase gastric cancer by the Japanese curing gastric cancer stipulations of new edition.Domestic because early gastric cancer diagnosis is relatively low, and advanced gastric carcinoma is occupied larger specific gravity, mainly is with D2 under the peritoneoscope, D1+ α or+β lymph node dissection technology is main, its application is popularized.Laparoscopic Gastrectomy with Lymph Node Dissection for Gastric Cancer comprises three kinds of art formulas: full laparoscopic radical gastrectomy, Laparoscope-assisted radical gastrectomy for gastric cancer and hands help the formula Laparoscopic Gastrectomy with Lymph Node Dissection for Gastric Cancer.Extensively adopted by surgical specialist just gradually because of Wicresoft's advantage in the full laparoscopic radical gastrectomy.The method of reconstruction of digestive tract mainly is divided in the at present full laparoscopic radical gastrectomy: the modes such as manual suture, linear type cutting closer assist to coincide, circular stapler assists to coincide.But, carry out circular stapler and assist the operation that coincide, the installation of resist-nailed seat of anastomat need to have special-purpose apparatus effectively the clamping nail supporting base make it enter pneumoperitoneum, and implant the target tube intracavity, in addition, enter the abdominal cavity and be installed to the end of target intestinal tube at resist-nailed seat of anastomat, carried out the purse wire embedding treatment appropriate after, need under laparoscopically supervision, assist to finish the docking of nail supporting base and anastomat center-pole by special equipment, yet, not yet develop at present this class special equipment.
Summary of the invention
The purpose of this invention is to provide a kind of effectively clamping nail supporting base and make it enter pneumoperitoneum, place the target tube intracavity, and the peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp of assisting to finish nail supporting base and the docking of anastomat center-pole.
In order to realize the foregoing invention purpose, the technical solution used in the present invention is as follows:
A kind of peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp comprises jaw, holds section, connecting rod that wherein, described jaw is provided with two arms, and described two arms are hinged by hinge; The described section of holding is provided with handle and spanner, and described handle and described spanner are hinged by rivet; Described connecting rod is hollow structure, and its inside is provided with driving mechanism; Described jaw is connected with described spanner by described driving mechanism.
Preferably, the cross section of described two arms is circular arc, and described jaw is tubular structure when closed.
Further, the thickness of the end of described two arms is greater than the thickness of described two other parts of arm.
Further, described jaw is provided with the first clamping part and the second clamping part successively, and described the first clamping part is near connecting rod, described the second clamping part is the extension of the first clamping part, and away from connecting rod, wherein, when described jaw was closed, described two arms drew in fully at the first clamping part; Described two arms do not draw at described the second clamping part, leave from the side the strip space between two arms.
Further, described two arms are provided with projection at the first clamping part.
Further, described two brachiums are 2cm, and wide is 0.8-1cm.
Preferably, described jaw end is set to the plane, and described jaw two arms form endoporus between two arms when clamping, and described endoporus and two arms are perpendicular.
Further, the sidewall of endoporus is provided with projection.
Further, two arm inboards between described endoporus and described end are provided with projection.
Further, described two brachiums are 2cm, and two arm collapsed diameters are 5mm.
The invention has the beneficial effects as follows:
(1) the invention solves the anti-gas-leak passage by the laparoscopic incision sealing device of circular stapler nail supporting base in the prior art and enter the problem that pneumoperitoneum lacks special-purpose gripper clamp; The center-pole of resist-nailed seat of anastomat is circular, apparatus from distolateral be to commonly use at present the operation that laparoscopic surgical instruments can not be finished at center-pole extended line direction clamping nail supporting base, peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp provided by the invention can make its service aisle that is easy to the corresponding size by the stomach wall sealing device enter pneumoperitoneum from nail supporting base center-pole extended line direction clamping nail supporting base, thereby nail supporting base is inserted the distolateral opening of gastrointestinal cavity.
(2) peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp provided by the invention can also assist to finish the docking of nail supporting base and anastomat center-pole under laparoscopically supervision.
Description of drawings
Fig. 1 is one embodiment of the invention sketch map;
Fig. 2 is the another embodiment of the present invention sketch map;
Fig. 3 is the jaw enlarged drawing of Fig. 1;
Fig. 4 is the jaw enlarged drawing of Fig. 2.
Wherein, 1 jaw, 2 hold section, 3 connecting rods, 4 hinges, 21 handles, 22 spanners, 23 rivets,, 5 endoporus, 6 projections, 13 liang of arms, 14 ends, 11, the first clamping parts, 12 second clamping parts.
The specific embodiment
In order to make purpose of the present invention, technical scheme and advantage clearer, below in conjunction with drawings and Examples, the present invention is further elaborated.Should be appreciated that specific embodiment described herein only in order to explain the present invention, is not intended to limit the present invention.
Fig. 1 is one embodiment of the invention sketch map, as shown in Figure 1, present embodiment provides a kind of peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp, it is mainly from the distolateral nail supporting base center-pole of clamping, it mainly comprises jaw 1, hold section 2, connecting rod 3, wherein, described jaw 1 is provided with two arms 13, and described two arms 13 are hinged by hinge 4; The described section 2 of holding is provided with handle 21 and spanner 22, and described handle 21 and described spanner 22 are hinged by rivet 23; Described connecting rod 3 is hollow structure, and its inside is provided with drives structure; Described jaw 1 is connected with described spanner 11 by described drives structure.
The enlarged drawing of the jaw 1 of the peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp that present embodiment provides as shown in Figure 3, the cross section of described two arms 13 is circular arc, and described jaw 1 is tubular structure when closed.The end 14 of described two arms 13 is circular arc, and the thickness of described end 14 is greater than the thickness of described two arms, 13 other parts.
Described jaw is provided with the first clamping part 11 and the second clamping part 12 successively, described the first clamping part 11 is near connecting rod 3, described the second clamping part 12 is the extension of the first clamping part 11, and away from connecting rod 3, wherein, when described jaw 1 closure, described two arms 13 draw in fully at the first clamping part 11, it does not draw at described the second clamping part 12, leaves the strip space between two arms 13 from the side.
14 see described the second clamping part 12 from the end, its central authorities are hollow, the marginal dimension of two arms 13 is thinner, its major function mainly is firmly to clamp destination organization to make it to be difficult for loosening, and can provide certain dynamics, can be used to hold some and need to excise and not be afraid of the tissue of damage, in the present embodiment, clamp the round bar of nail supporting base center-pole when this function is mainly used in tightening up from the direction of nail supporting base center-pole extended line.
The major function of described the first clamping part 11 is to clamp normal structure to assist to appear, such as clamping the human normal tissues such as coat of the stomach, intestinal wall, local pressure is not too large when especially once adding more organizing, and described two arms 13 are provided with shallow small embossment 6 at the first clamping part 11 and can be used as anti-skidding design.
Described two arms, 13 length are 2cm, and wide is 0.8-1cm, and such size is conducive to gripper clamp from the distolateral nail supporting base center-pole of clamping, and 0.8-1cm is standard apparatus size commonly used.
The peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp that present embodiment provides can support reservation center-pole extended line direction clamping nail supporting base from distolateral, thereby the service aisle that makes nail supporting base be easy to the corresponding size by the stomach wall sealing device enters pneumoperitoneum, further makes nail supporting base insert the distolateral opening of gastrointestinal; Other is, the jaw of the peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp that present embodiment provides be designed to two kinds of structures, make it possess simultaneously the function of holding forceps and satinsky's clamp, make it can also press from both sides the interior not damaged tissue of human body, like this, in laparoscopic procedures, can reduce the inconvenience that the frequent apparatus brings.
Fig. 2 is the another embodiment of the present invention sketch map, present embodiment provides a kind of peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp, it mainly assists to finish the end that resist-nailed seat of anastomat enters the abdominal cavity and is installed to the target intestinal tube at embodiment 1, carried out the purse wire embedding treatment appropriate after, the peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp that utilizes present embodiment to provide is clamped the nail supporting base center-pole and is finished docking of nail supporting base and anastomat from the side, certain ad-hoc location of clamping nail supporting base from the side provides resistance.
As shown in Figure 2, it mainly comprises jaw 1, holds section 2, connecting rod 3, wherein, described jaw 1 be provided with two arms 13, described two arms 13 are hinged by hinge 4; The described section 2 of holding is provided with handle 21 and spanner 22, and described handle 21 and described spanner 22 are hinged by rivet 23; Described connecting rod 3 is hollow structure, and its inside is provided with drives structure; Described jaw 1 is connected with described spanner 11 by described drives structure.
The enlarged drawing of the jaw 1 of the peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp that present embodiment provides as shown in Figure 4, described jaw 1 end is set to the plane, and when described two arms 13 clamp, form endoporus 5 between two arms, and described endoporus 5 and two arms 13 are perpendicular, and described endoporus 5 is mainly used to clamp from the side center-pole of nail supporting base; Described endoporus sidewall is provided with projection 6, can increase like this frictional force of endoporus 5 with the nail supporting base center-pole.
Described jaw 1 is provided with projection 6 in two arms, 13 inboards between described endoporus and described end, be mainly used to press from both sides the not damaged tissue, and human normal tissues such as coat of the stomach, intestinal wall is to reduce the inconvenience that frequent changer tool brings in the operation.
Described two brachiums are 2cm, two arm collapsed diameters are 5mm, described two arm collapsed diameters refer to the diameter of bore after two arms draw in, it is less that the diameter dimension of 5mm occupies the space of abdomen wall puncture device, more accurate from the ad-hoc location of side clip nail supporting base, the visual field, and the diameter of bore that two arms draw in is set to 5mm, it is more smaller than the thickest position of nail supporting base center-pole, can just clamp the nail supporting base center-pole.
The above is preferred embodiment of the present invention only, is not to limit practical range of the present invention; If do not break away from the spirit and scope of the present invention, the present invention is made amendment or is equal to replacement, all should be encompassed in the middle of the protection domain of claim of the present invention.
Claims (10)
1. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp comprises jaw (1), holds section (2), connecting rod (3), it is characterized in that,
Described jaw (1) is provided with two arms (13), and described two arms (13) are hinged by hinge (4);
The described section (2) of holding is provided with handle (21) and spanner (22), and described handle (21) and described spanner (22) are hinged by rivet (23);
Described connecting rod (3) is hollow structure, and its inside is provided with driving mechanism;
Described jaw (1) is connected with described spanner (22) by described driving mechanism.
2. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp according to claim 1 is characterized in that the cross section of described two arms (13) is circular arc, and described jaw (1) is tubular structure when closed.
3. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp according to claim 2 is characterized in that the thickness of described two arms (1) ends (14) is greater than the thickness of other parts (13).
4. according to claim 2 or 3 described peritoneoscope tubulose resist-nailed seat of anastomat gripper clamps, it is characterized in that, described jaw (1) is provided with the first clamping part (11) and the second clamping part (12) successively, described the first clamping part (11) is near connecting rod (3), described the second clamping part (12) is the extension of the first clamping part (11), and away from connecting rod (3), wherein, when described jaw (1) is closed
Described two arms (13) draw in fully at the first clamping part (11);
Described two arms (13) do not draw at described the second clamping part (12), leave from the side the strip space between two arms.
5. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp according to claim 4 is characterized in that described two arms (13) are provided with projection (6) at the first clamping part (11).
6. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp according to claim 2 is characterized in that, described two arms (13) are long to be 2cm, and wide is 0.8-1cm.
7. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp according to claim 1, it is characterized in that described end (14) are set to the plane, and described two arms (13) are when clamping, form endoporus (5) between two arms (13), described endoporus (5) is perpendicular with two arms (13).
8. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp according to claim 7 is characterized in that the sidewall of endoporus (5) is provided with projection (6).
9. according to claim 7 or 8 described peritoneoscope tubulose resist-nailed seat of anastomat gripper clamps, it is characterized in that two arms (13) inboard between described endoporus (5) and end (14) is provided with projection (6).
10. peritoneoscope tubulose resist-nailed seat of anastomat gripper clamp according to claim 7 is characterized in that described two brachiums are 2cm, and two arm collapsed diameters are 5mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2013100112727A CN103040497A (en) | 2013-01-11 | 2013-01-11 | Grasping forceps of laparoscope tubular anastomat nail tightening seat |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2013100112727A CN103040497A (en) | 2013-01-11 | 2013-01-11 | Grasping forceps of laparoscope tubular anastomat nail tightening seat |
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| CN103040497A true CN103040497A (en) | 2013-04-17 |
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| CN2013100112727A Pending CN103040497A (en) | 2013-01-11 | 2013-01-11 | Grasping forceps of laparoscope tubular anastomat nail tightening seat |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109820558A (en) * | 2019-02-19 | 2019-05-31 | 施爱德（厦门）医疗器材有限公司 | Resist-nailed seat punctures extractor under hysteroscope |
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| CN2461492Y (en) * | 2001-01-15 | 2001-11-28 | 马剑文 | Special shaft clamping forceps for alimentary canal tubular anastomat |
| WO2002069814A1 (en) * | 2001-03-05 | 2002-09-12 | Tyco Healthcare Group Lp | Grasping instrument |
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| CN101278856A (en) * | 2007-04-04 | 2008-10-08 | 伊西康内外科公司 | Device for folding and fastening gastric tissue |
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| CN101940510A (en) * | 2009-07-09 | 2011-01-12 | 山东大学齐鲁医院 | Visible surgical clamp |
| CN102525581A (en) * | 2011-10-25 | 2012-07-04 | 王小军 | Disposable purse-string forceps for laparoscope |
| CN203089291U (en) * | 2013-01-11 | 2013-07-31 | 江苏蓝域创新技术投资有限公司 | Clamping forceps of nail abutting seat for laparoscope tubular anastomat |
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2013
- 2013-01-11 CN CN2013100112727A patent/CN103040497A/en active Pending
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0588658A1 (en) * | 1992-09-18 | 1994-03-23 | Ethicon, Inc. | Endoscopic anvil grasping instrument |
| CN2461492Y (en) * | 2001-01-15 | 2001-11-28 | 马剑文 | Special shaft clamping forceps for alimentary canal tubular anastomat |
| WO2002069814A1 (en) * | 2001-03-05 | 2002-09-12 | Tyco Healthcare Group Lp | Grasping instrument |
| US20070021777A1 (en) * | 2002-08-27 | 2007-01-25 | Fowler David N | Apparatus and method for removing a clip |
| CN101278856A (en) * | 2007-04-04 | 2008-10-08 | 伊西康内外科公司 | Device for folding and fastening gastric tissue |
| US20100324592A1 (en) * | 2008-03-04 | 2010-12-23 | Sunho Kim | Suture-tying forceps |
| WO2010032303A1 (en) * | 2008-09-18 | 2010-03-25 | グローリー株式会社 | Paper sheet processing device and banknote processing device |
| CN201379623Y (en) * | 2009-03-12 | 2010-01-13 | 徐生源 | Cholecyst grasping clamp for laparoscope surgery |
| CN101940510A (en) * | 2009-07-09 | 2011-01-12 | 山东大学齐鲁医院 | Visible surgical clamp |
| CN102525581A (en) * | 2011-10-25 | 2012-07-04 | 王小军 | Disposable purse-string forceps for laparoscope |
| CN203089291U (en) * | 2013-01-11 | 2013-07-31 | 江苏蓝域创新技术投资有限公司 | Clamping forceps of nail abutting seat for laparoscope tubular anastomat |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109820558A (en) * | 2019-02-19 | 2019-05-31 | 施爱德（厦门）医疗器材有限公司 | Resist-nailed seat punctures extractor under hysteroscope |
| CN109820558B (en) * | 2019-02-19 | 2023-12-05 | 王锡山 | Puncture extractor for nail supporting seat under endoscope |
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Application publication date: 20130417 |