CN103932750A - Thoracoscope esophagus anastomat head holding forcep head and holding forceps provided with same - Google Patents
Thoracoscope esophagus anastomat head holding forcep head and holding forceps provided with same Download PDFInfo
- Publication number
- CN103932750A CN103932750A CN201410191679.7A CN201410191679A CN103932750A CN 103932750 A CN103932750 A CN 103932750A CN 201410191679 A CN201410191679 A CN 201410191679A CN 103932750 A CN103932750 A CN 103932750A
- Authority
- CN
- China
- Prior art keywords
- thoracoscope
- clamping limb
- oesophageal
- nail anvil
- clamping
- 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
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
Abstract
The invention provides a thoracoscope esophagus anastomat head holding forcep head and thoracoscope esophagus anastomat head holding forceps provided with the same. The forcep head comprises a forcep head fixed shaft, a first clamping arm and a second clamping arm, wherein rotation holes are formed in the first clamping arm and the second clamping arm respectively and are used for being arranged on the forcep head fixed shaft in a sleeved mode to enable rotation to be achieve, the clamping end of the first clamping arm and the clamping end of the second clamping arm are bent towards the same axial direction of the fixed shaft, and the clamping surface of each clamping end is parallel to the forcep head fixed shaft or located on the plane where the forcep head fixed shaft is located; the driving end of the first clamping arm is provided with a first driving hole, the driving end of the second clamping arm is provided with a second driving hole, and the first driving hole and the second driving hole are used for exerting force through a driving shaft to enable the first clamping arm and the second clamping arm to be opened or closed. According to the forcep head, the anastomat head can be clamped firmly at a specific angle to meet requirements of surgery, a small cross section can be kept, the size of an incision required by the surgery is reduced, and injury to the human body is reduced.
Description
Technical field
The present invention relates to medical surgical instrument field, be specifically related to a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps.
Background technology
Full thoracoscope, peritoneoscope Resection of Esophageal Carcinoma are international, domestic emerging technology in recent years, in the continuous renewal of mis instruments, probability are provided to the enforcement of operation.But the endoscope-assistant surgery of the current intrathoracic part of Resection Esophagus Carcinoma is also confined to following two kinds of modes: 1, only make esophagus free, do afterwards identical at cervical region; 2, per os is inserted after anastomat nail anvil (Ovil), carries out intrathoracic coincideing.Because of Ovil material expensive, and learning curve is longer, and application at home fails to popularize well.Therefore thoracic surgery chamber mirror doctor starts attempt placing anastomat nail anvil and coincide in thoracic cavity in recent years, but conventionally according to personal habits, uses conventional apparatus.Thoracoscope Esophagectomy, in thoracic cavity, in anastomosis operation, doctor need to use operating theater instruments that anastomat nail anvil is inserted to esophagus near-end, and when identical fixed anastomosis device nail anvil so that docking anastomat.And thoracoscopic operation handle hole becomes special angle with esophagus, apparatus under current existing open apparatus and chamber mirror, all cannot, under the mirror of chamber, insert round anastomat nail anvil and need carry out the identical near-end esophagus broken ends of fractured bone freely, and cannot be when identical effective fixed anastomosis device nail anvil, to dock anastomat.Because the little otch of thoracic wall before the operation of thoracoscope Esophagectomy does not retract rib, working place is narrow and small relatively, existing this type of operating theater instruments (fixation clamps that open surgery is used), joint designs partially before, sectional area is excessive, need to extend operative incision and can insert breast chamber, and, in art, apparatus joint enters in thoracic cavity, apparatus moving process can be subject to the impact of rib, and make opening and closing movement obviously limited, and the fixing an angle of 90 degrees of jaw end, cannot meet the operational requirements that operation technique hole and form hole and esophagus form special angle, doctor's operating difficulties and the prolongation of the time of operation have been caused.Often need additionally to increase chest operation otch, or extend operation otch, the middle turn-off breast or add of even having to is done the cervical incision cervical anastomosis of changing one's profession increases patient's wound.
Summary of the invention
The technical problem that embodiments of the invention will solve is, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip and the thoracoscope Oesophageal-stapler nail anvil holding forceps with this binding clip, can be with special angle, device nail anvil is closed in clamping securely, in operation process, operated smoothly making every effort to, safe and reliable, adapt to the needs of operation, and keep less cross-sectional area, reduce the required length of operative incision, reduce the wound that human body is caused.
According to a first aspect of the invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip, it comprises: binding clip dead axle; And first clamping limb and the second clamping limb, it all has the rotation hole of realizing rotation on described binding clip dead axle for being enclosed within, the bare terminal end of the bare terminal end of described the first clamping limb and described the second clamping limb is to the same axial bending of described binding clip dead axle, and the clamping face of described bare terminal end is parallel with described binding clip dead axle or at grade; The drive end of described the first clamping limb is provided with the first drive hole, the drive end of described the second clamping limb is provided with the second drive hole, described the first drive hole and described the second drive hole, for applying strength by driving shaft, open described the first clamping limb and described the second clamping limb or closure.
According to a second aspect of the invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip, wherein, on the clamping face of described the first clamping limb and on the clamping face of described the second clamping limb, all there is symmetrical holding tank, when described the first clamping limb and described the second clamping limb closure, form the clamping hole matching with described thoracoscope Oesophageal-stapler nail anvil outer peripheral face profile.
According to a third aspect of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip, wherein, the central axis when central axis of described clamping hole and the bare terminal end of described the first clamping limb and the bare terminal end of described the second clamping limb are closed is vertical.
According to a fourth aspect of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip, wherein, the bare terminal end of the bare terminal end of described the first clamping limb and described the second clamping limb is that 110 degree are to 130 degree to the angular range of the same axial bending of described binding clip dead axle.
According to a fifth aspect of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip, wherein, the bare terminal end of the bare terminal end of described the first clamping limb and described the second clamping limb is 120 degree to the angle of the same axial bending of described binding clip dead axle.
According to a sixth aspect of the invention, a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps is provided, wherein, this thoracoscope Oesophageal-stapler nail anvil holding forceps can comprise: the thoracoscope Oesophageal-stapler nail anvil in claim 1 to 5 described in any one is controlled binding clip; Caliper, it comprises drive rod and the first actuating arm being connected by moving axis with the first end of this drive rod and second actuating arm that can longitudinally reciprocatingly slide in trocar sheath, this trocar sheath; The first end of described trocar sheath has fork ear structure, for fixing described binding clip dead axle, described the first clamping limb is connected in a rotatable manner with described trocar sheath with described the second clamping limb; Described the first actuating arm can be connected by described driving shaft in a rotatable manner with the first drive hole of the drive end setting of described the first clamping limb, and described the second actuating arm can be connected by described driving shaft in a rotatable manner with the second drive hole of the drive end setting of described the second clamping limb.
According to a seventh aspect of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps, wherein, the second end of described trocar sheath also can be connected with the driving device for driving described drive rod to reciprocatingly slide in described trocar sheath.
According to an eighth aspect of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps, wherein, described driving device can comprise: with the second end of described trocar sheath two holds handle can opening and closing mode to be connected; Be connected in a rotatable manner with the second end of described drive rod and with the transmission arm that grips the part of hands near described guide rod described in each and be connected with rotating manner, for the opening and closing campaign of described two holds handle is converted to described drive rod longitudinally reciprocatingly sliding in described sleeve pipe.
According to a ninth aspect of the present invention, a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps is provided, wherein, on described trocar sheath, near described the second end place, be provided with lancing door and cleaning hole cover, for carrying out clean from this lancing door injection highly pressurised liquid or gas.
According to a tenth aspect of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps, wherein, described driving device is Vidacare corp or fluid pressure drive device, for driving described drive rod to carry out longitudinal sliding motion.
Thoracoscope Oesophageal-stapler nail anvil of the present invention is controlled binding clip or holding forceps, during due to binding clip closure, the crooked special angle of bare terminal end of binding clip, thereby make doctor when carrying out nail anvil and anastomat operation, obtain suitable work angle, not only solved the problem of firm grip, also make whole thoracoscope Oesophageal-stapler nail anvil control binding clip or the cross-sectional area of holding forceps main body on streamline is less, thereby do not need to cause larger operation opening, and then reduce the wound to patient; In addition, because the clamping end of binding clip is provided with clamping hole, the axis of clamping hole is perpendicular to the clamping limb at its place, coordinate above-mentioned special angle, thereby operation that can be very freely when gripping nail anvil and anastomat, thereby avoided adopting existing operating theater instruments operating difficulties need to establish the technical problem of handle hole newly; Meanwhile, thoracoscope Oesophageal-stapler nail anvil holding forceps of the present invention, due to the convenience of operation, only need be offered two handle holes on patient's body, has improved operation efficiency and has greatly alleviated patient's misery.
The present invention is directed to the anastomat head fixation clamps that existing open surgery is used, cannot be narrow and small because of gathering hole, and angle is not suitable for, and the many defects such as instrumentation inconvenience that cause, proposed to change the theory of apparatus shape, structure.Thoracoscope Oesophageal-stapler nail anvil provided by the invention is controlled binding clip or holding forceps, is operated smoothly making every effort in operation process, safe and reliable.In the present invention: 1, except thoracoscope Oesophageal-stapler nail anvil is controlled binding clip, also provide and comprise that this thoracoscope Oesophageal-stapler nail anvil controls the thoracoscope Oesophageal-stapler holding forceps of binding clip, it comprises the handle that is positioned at vice body rear portion, form the two foldings of vice body joint, be applicable to operate under the mirror of the little handle hole of thoracoscope; 2, vice body front portion has binding clip bare terminal end to become special angle with main body, and preferably 120 degree, are convenient to insert anastomat nail anvil, and when docking anastomat, fixed anastomosis device nail anvil has suitable angle; 3, binding clip clamping end is provided with the holding tank of special chimeric anastomat nail anvil, and main center's axis when the central axis of the clamping hole forming when closed clamps closed end perpendicular to binding clip is convenient to effective fixed anastomosis device nail anvil and convenient docking anastomat.And doublejointed is convenient to apparatus for thoracoscope Minimally Invasive Surgery otch, suitable angle is convenient to overcome in operation the angulation of otch and the esophagus broken ends of fractured bone, is convenient to effective firm grip anastomat nail anvil with the clamping hole that held object anastomat nail anvil outer peripheral face matches.
Little at operation mesothorax cavity space, operation otch and angle are restricted, but thoracoscope Oesophageal-stapler nail anvil holding forceps of the present invention, can meet both ways the needs of operation: the position of 1, carrying out esophagus anastomosis in plan is manual seromuscular layer pocket one week in advance, in its below, cut-away portions esophagus, use thoracoscope Oesophageal-stapler nail anvil holding forceps clamping anastomat nail anvil provided by the invention to enter thoracic cavity from front gathering hole, and the esophagus certainly cutting is upwards sent into nail anvil, ligation purse wire, thoroughly cuts off esophagus.2, when identical, by omoplate purgation otch, insert holding forceps, fixedly after nail anvil, anastomat is involutory.The invention of this apparatus makes this two steps operation easy.This design provides operation possibility easily to thoracoscopic intracavity esophagus anastomosis, makes existing anastomat can under the prerequisite of thoracoscope Minimally Invasive Surgery otch, carry out smoothly coincideing in thoracic cavity.Without increasing the cost of operation disposable material and the helpless selection of prolongation or increase operative incision etc., make operation technique safer, convenient, reduce operation risk, shorten operating time, guarantee match result and operation safety, guaranteed the motility of operation technique simultaneously.
Accompanying drawing explanation
In order to be illustrated more clearly in the embodiment of the present invention or technical scheme of the prior art, to the accompanying drawing of required use in embodiment or description of the Prior Art be briefly described below, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skills, do not paying under the prerequisite of creative work, can also obtain according to these accompanying drawings other accompanying drawing.
Fig. 1 is the side view that the thoracoscope Oesophageal-stapler nail anvil of an embodiment of the invention is controlled binding clip;
Fig. 2 is the top view that the thoracoscope Oesophageal-stapler nail anvil of an embodiment of the invention is controlled binding clip;
Fig. 3 is the view along F direction that clamps end in Fig. 2;
Fig. 4 is the side view of the thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention;
Fig. 5 is the top view of the thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention;
Fig. 6 is the first end structural representation of trocar sheath of the thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention;
Structural representation when Fig. 7 is thoracoscope Oesophageal-stapler nail anvil holding forceps closed of an embodiment of the invention;
Structural representation when Fig. 8 is the opening of thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention; And
Fig. 9 is the structure chart of the thoracoscope Oesophageal-stapler nail anvil holding forceps of another embodiment of the present invention.
The specific embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is clearly and completely described, obviously, described embodiment is only the present invention's part embodiment, rather than whole embodiment.Embodiment based in the present invention, those of ordinary skills, not making the every other embodiment obtaining under creative work prerequisite, belong to the scope of protection of the invention.
According to an embodiment of the invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip.Fig. 1 is the side view that the thoracoscope Oesophageal-stapler nail anvil of an embodiment of the invention is controlled binding clip; Fig. 2 is the top view that the thoracoscope Oesophageal-stapler nail anvil of an embodiment of the invention is controlled binding clip; Fig. 3 is the view along F direction that clamps end in Fig. 2.As shown in Figure 1, Figure 2 and Figure 3, the thoracoscope Oesophageal-stapler nail anvil of the present embodiment is controlled binding clip, and it comprises: binding clip dead axle 10, and in the present embodiment, binding clip dead axle 10 is perpendicular to drawing paper; And first clamping limb 201 and the second clamping limb 202, can be referred to as clamping limb 2, it all has the rotation hole of realizing rotation on binding clip dead axle 10 for being enclosed within, the bare terminal end of the bare terminal end of the first clamping limb 201 and the second clamping limb is to the same axial bending of binding clip dead axle 10, in the present embodiment, to the direction outward of the drawing paper perpendicular to Fig. 1, and the clamping face of bare terminal end is parallel with binding clip dead axle 10 or at grade, after bending, can obtain the situation shown in Fig. 2.Clamping face is flat substantially, but for increasing friction force, can be coarse or with the clamping face of lines; The drive end of the first clamping limb 201 is provided with the first drive hole 401, the drive end of the second clamping limb 202 is provided with the second drive hole 402, the first drive hole 401 and the second drive hole 402 can be referred to as clamping limb drive hole 4, for applying strength by driving shaft, the first clamping limb 201 and the second clamping 202 arms are opened or closure.Driving shaft is arranged in each drive hole.It should be noted that, as shown in Figure 2, bare terminal end can be arranged to special angle according to different model, demand to the same axial bending angle A of binding clip dead axle 10, angular dimension scope can be 110 degree to 130 degree, be preferably set to 120 degree.120 when spend, and can meet the position characteristic of human body esophagus and general operative incision, conventionally can reach operating effect very smoothly.In Fig. 2, schematic central axis when B is the first clamping limb 201 and the second clamping 202 arms closure.
Second embodiment of the invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip, wherein, on the clamping face of the first clamping limb 201 and on the clamping face of the second clamping limb 202, all there is symmetrical holding tank, when the first clamping limb 201 and the second clamping limb 202 closure, form the clamping hole 220 matching with thoracoscope Oesophageal-stapler nail anvil outer peripheral face profile.This clamping hole 220 also can be according to demand, is arranged to the shape that the outer peripheral face profile with any other gripped object matches, thereby prevent rotation or the landing of gripped object, firm grip gripped object.
According to the 3rd embodiment of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil to control binding clip, wherein, the central axis B1 when central axis C of clamping hole 220 and the bare terminal end of the first clamping limb and the bare terminal end of the second clamping limb are closed is vertical, as shown in Figure 2.Bare terminal end refers near end, is straight part substantially, i.e. the part at the B1 place, a limit by end of angle A in Fig. 2.When angle A is preferred 120 while spending, now, the angle of another limit B2 of the central axis C of clamping hole 220 and angle A is 30 degree, makes the thoracoscope Oesophageal-stapler nail anvil that is held or the body on anastomat present the state of being convenient to carry out operation technique.Certainly, the central axis B1 when central axis C of clamping hole 220 also can be closed with the bare terminal end of the first clamping limb and the bare terminal end of the second clamping limb becomes other angles, to meet the special requirement of operation.As shown in Figure 3, the diameter of clamping hole can be set according to gripped object external diameter, and for example, the diameter range of clamping hole can be 6 to 9 millimeters.
The thoracoscope Oesophageal-stapler nail anvil of the embodiments of the present invention is controlled binding clip and is had cleanliness structure, and when closure, the long-pending basic maintenance of streamline upper section is even, and can not increase cross-sectional area, does not need patient to increase operative incision.Therefore overcome the existing problem of welding accessory on binding clip, need to increase operative incision while making to insert thoracic cavity of holding of utilizing completely.
According to an embodiment of the invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps.Fig. 4 is the side view of the thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention; Fig. 5 is the top view of the thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention; Fig. 6 is the first end structural representation of trocar sheath of the thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention; Structural representation when Fig. 7 is thoracoscope Oesophageal-stapler nail anvil holding forceps closed of an embodiment of the invention; Structural representation when Fig. 8 is the opening of thoracoscope Oesophageal-stapler nail anvil holding forceps of an embodiment of the invention; And Fig. 9 is the structure chart of the thoracoscope Oesophageal-stapler nail anvil holding forceps of another embodiment of the present invention.Wherein, this thoracoscope Oesophageal-stapler nail anvil holding forceps comprises: the thoracoscope Oesophageal-stapler nail anvil described in aforementioned any one embodiment is controlled binding clip; Caliper.Caliper comprises drive rod 3 and the first actuating arm 301 being connected by moving axis with the first end of this drive rod 3 and second actuating arm 302 that can longitudinally reciprocatingly slide in trocar sheath 1, this trocar sheath 1; The first end of trocar sheath 1 has fork ear structure, for fixed pliers head dead axle 10, the first clamping limb 201 is connected in a rotatable manner with trocar sheath 1 with the second clamping limb 202; The first actuating arm 301 is connected by driving shaft in a rotatable manner with the first drive hole 401 of the drive end setting of the first clamping limb 201, and the second actuating arm 302 is connected by driving shaft in a rotatable manner with the second drive hole 402 of the drive end setting of the second clamping limb 202.As shown in Figure 6, the fork ear structure of the first end of trocar sheath 1, can be used for fixed pliers head dead axle 10.Accompanying drawing only illustrates the fork ear structure of first end and the position view of binding clip dead axle 10 of trocar sheath 1.In conjunction with Fig. 7 and Fig. 8, can find out, when binding clip dead axle 10 is fixed on the fork ear structure of first end of trocar sheath 1, with respect to trocar sheath 1, the drive end of the drive end of the first actuating arm 301 and the second actuating arm 302 and the first clamping limb 201 and the second clamping limb 202 forms only has a vertex position to fix and three variable tetragons of vertex position, when wherein drive rod 3 reciprocatingly slides in trocar sheath 1, force the first drive hole 401 and the second drive hole 402 near or away from drive rod 3 place axis, realize the opening and closing action that drive rod 3 reciprocatingly sliding in trocar sheath 1 converts clamping limb to.Therefore,, when the first end of drive rod 3 is maximum from the distance of binding clip dead axle 10, clamping limb subtended angle is minimum, realizes closure and controls operation; When the first end of drive rod 3 from the distance of binding clip dead axle 10 hour, clamping limb subtended angle exists most, realizes clamping limb and opens operation.When clamping limb is closed, the cross-sectional area on the streamline of whole holding forceps can be accomplished very little, when putting in operative incision, does not need to expand otch.And trocar sheath 1 and drive rod 3 can be selected random length as required, still do not need to change the cross-sectional area on the streamline of whole holding forceps.
In yet another embodiment of the present invention, provide a kind of thoracoscope Oesophageal-stapler nail anvil holding forceps.Wherein, the second end of trocar sheath 1 is also connected with the driving device for driving drive rod 3 to reciprocatingly slide in trocar sheath 1.Driving device can be the hand-held handle as hand-hold pincers, also can Vidacare corp or fluid pressure drive device, as long as can be used for driving drive rod 3 to carry out longitudinal sliding motion.
More specifically, when driving device is hand-held handle, can comprise: with the second end of trocar sheath 1 two holds handle can opening and closing mode to be connected; Be connected in a rotatable manner with the second end of drive rod 3 and grip with each the transmission arm that hands is connected with rotating manner near the part 5 of guide rod 3, for the opening and closing campaign of two holds handle is converted to drive rod 3 longitudinally reciprocatingly sliding in sleeve pipe 1.As shown in Figure 9, this structure is similar with the drives structure of the first end of close clamping limb, but the function realizing is that the opening and closing campaign of two holds handle is converted to drive rod 3 longitudinally reciprocatingly sliding in sleeve pipe 1, holds handle is rotated with respect to the fixed axis on trocar sheath 1, thereby while realizing opening and closing, makes drive rod 3 in the interior longitudinal sliding motion of trocar sheath 1.This structure makes whole holding forceps form doublejointed structure.Two holds handle inner sides can be provided with for having contact with of hooking each other, and when gripper clamp clamps, fixed handle, needs to pinch with strength for a long time handle while avoiding operating.
In addition, on trocar sheath, near the second end place, can be provided with lancing door and cleaning hole cover, for carrying out clean from this lancing door injection highly pressurised liquid or gas.Because operating theater instruments is in operation process, unavoidably have blood or other fluids enter trocar sheath, need to carry out clean with highly pressurised liquid or gas.Lancing door is set herein not to be affected whole thoracoscope Oesophageal-stapler nail anvil holding forceps and enters the cross-sectional area of the part in operative incision.
More specifically, for realizing object of the present invention, the technical scheme of employing is as follows: 1, thoracoscope Oesophageal-stapler holding forceps, comprise the handle that is positioned at caliper rear portion, and the two foldings of caliper joint, is applicable to operate under the mirror of the little handle hole of thoracoscope; 2, there are jaw and termination 120 degree angulations vice body front portion: be convenient to insert anastomat nail anvil, and fixed anastomosis device nail anvil has suitable angle during docking anastomat; 3, the groove of the special chimeric anastomat nail anvil of jaw.Perpendicular to jaw, be convenient to effective fixed anastomosis device nail anvil and convenient docking anastomat.Doublejointed is convenient to apparatus for thoracoscope Minimally Invasive Surgery otch, and suitable angle is convenient to overcome in operation the conclusion of the business of otch and the esophagus broken ends of fractured bone.Special-purpose groove is convenient to effective fixed anastomosis device nail anvil.
For this reason, little according to breast cavity space in operation, the needs of operation otch and angle limits, thoracoscope Oesophageal-stapler nail anvil holding forceps provided by the invention, can meet the needs of operation aspect at least two: the position of 1, carrying out esophagus anastomosis in plan is manual seromuscular layer pocket one week in advance, in its below, cut-away portions esophagus, use thoracoscope Oesophageal-stapler nail anvil holding forceps clamping anastomat nail anvil to enter thoracic cavity from front gathering hole, and the esophagus certainly cutting is upwards sent into nail anvil, ligation purse wire, thoroughly cutting esophagus.2, when identical, by omoplate purgation otch, insert holding forceps, fixedly after nail anvil, anastomat is involutory.
The above-described specific embodiment; object of the present invention, technical scheme and beneficial effect are further described; institute is understood that; the foregoing is only the specific embodiment of the present invention; the protection domain being not intended to limit the present invention; within the spirit and principles in the present invention all, any modification of making, be equal to replacement, improvement etc., within all should being included in protection scope of the present invention.
Claims (10)
1. thoracoscope Oesophageal-stapler nail anvil is controlled a binding clip, it is characterized in that, comprising:
Binding clip dead axle; And
The first clamping limb and the second clamping limb, it all has the rotation hole of realizing rotation on described binding clip dead axle for being enclosed within, the bare terminal end of the bare terminal end of described the first clamping limb and described the second clamping limb is to the same axial bending of described binding clip dead axle, and the clamping face of described bare terminal end is parallel with described binding clip dead axle or at grade; The drive end of described the first clamping limb is provided with the first drive hole, the drive end of described the second clamping limb is provided with the second drive hole, described the first drive hole and described the second drive hole, for applying strength by driving shaft, open described the first clamping limb and described the second clamping limb or closure.
2. thoracoscope Oesophageal-stapler nail anvil according to claim 1 is controlled binding clip, it is characterized in that, on the clamping face of described the first clamping limb and on the clamping face of described the second clamping limb, all there is symmetrical holding tank, when described the first clamping limb and described the second clamping limb closure, form the clamping hole matching with described thoracoscope Oesophageal-stapler nail anvil outer peripheral face profile.
3. thoracoscope Oesophageal-stapler nail anvil according to claim 2 is controlled binding clip, it is characterized in that, the central axis when central axis of described clamping hole and the bare terminal end of described the first clamping limb and the bare terminal end of described the second clamping limb are closed is vertical.
4. thoracoscope Oesophageal-stapler nail anvil according to claim 3 is controlled binding clip, it is characterized in that, the bare terminal end of the bare terminal end of described the first clamping limb and described the second clamping limb is that 110 degree are to 130 degree to the angular range of the same axial bending of described binding clip dead axle.
5. thoracoscope Oesophageal-stapler nail anvil according to claim 3 is controlled binding clip, it is characterized in that, the bare terminal end of the bare terminal end of described the first clamping limb and described the second clamping limb is 120 degree to the angle of the same axial bending of described binding clip dead axle.
6. a thoracoscope Oesophageal-stapler nail anvil holding forceps, is characterized in that, this thoracoscope Oesophageal-stapler nail anvil holding forceps comprises:
Thoracoscope Oesophageal-stapler nail anvil in claim 1 to 5 described in any one is controlled binding clip; And
Caliper, it comprises drive rod and the first actuating arm being connected by moving axis with the first end of this drive rod and second actuating arm that can longitudinally reciprocatingly slide in trocar sheath, this trocar sheath; The first end of described trocar sheath has fork ear structure, for fixing described binding clip dead axle, described the first clamping limb is connected in a rotatable manner with described trocar sheath with described the second clamping limb; Described the first actuating arm is connected by described driving shaft in a rotatable manner with the first drive hole of the drive end setting of described the first clamping limb, and described the second actuating arm is connected by described driving shaft in a rotatable manner with the second drive hole of the drive end setting of described the second clamping limb.
7. thoracoscope Oesophageal-stapler nail anvil holding forceps according to claim 6, is characterized in that, the second end of described trocar sheath is also connected with the driving device for driving described drive rod to reciprocatingly slide in described trocar sheath.
8. thoracoscope Oesophageal-stapler nail anvil holding forceps according to claim 7, is characterized in that, described driving device comprises: with the second end of described trocar sheath two holds handle can opening and closing mode to be connected; Be connected in a rotatable manner with the second end of described drive rod and with the transmission arm that grips the part of hands near described guide rod described in each and be connected with rotating manner, for the opening and closing campaign of described two holds handle is converted to described drive rod longitudinally reciprocatingly sliding in described sleeve pipe.
9. thoracoscope Oesophageal-stapler nail anvil holding forceps according to claim 8, is characterized in that, on described trocar sheath, near described the second end place, is provided with lancing door and cleaning hole cover, for carrying out clean from this lancing door injection highly pressurised liquid or gas.
10. thoracoscope Oesophageal-stapler nail anvil holding forceps according to claim 7, is characterized in that, described driving device is Vidacare corp or fluid pressure drive device, for driving described drive rod to carry out longitudinal sliding motion.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410191679.7A CN103932750A (en) | 2014-05-08 | 2014-05-08 | Thoracoscope esophagus anastomat head holding forcep head and holding forceps provided with same |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410191679.7A CN103932750A (en) | 2014-05-08 | 2014-05-08 | Thoracoscope esophagus anastomat head holding forcep head and holding forceps provided with same |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN103932750A true CN103932750A (en) | 2014-07-23 |
Family
ID=51180822
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410191679.7A Pending CN103932750A (en) | 2014-05-08 | 2014-05-08 | Thoracoscope esophagus anastomat head holding forcep head and holding forceps provided with same |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103932750A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2015169058A1 (en) * | 2014-05-08 | 2015-11-12 | 黄宇清 | Anvil holding forceps head for stapler used in esophagus during thoracoscopy procedure and holding forceps with the forceps head |
| CN107174309A (en) * | 2017-07-21 | 2017-09-19 | 李旭亚 | A kind of bent operating forceps applied in Minimally Invasive Surgery |
| CN108655971A (en) * | 2018-04-10 | 2018-10-16 | 淮北达驰电气科技有限公司 | A kind of fire-fighting hydraulic tongs and its application method |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2095640U (en) * | 1991-07-07 | 1992-02-12 | 解放军九七医院 | Throat foreign body pliers |
| EP0588658A1 (en) * | 1992-09-18 | 1994-03-23 | Ethicon, Inc. | Endoscopic anvil grasping instrument |
| WO2003041596A1 (en) * | 2001-11-15 | 2003-05-22 | Jorge Castanon Morales | Surgical clip for pyloric traumatological myoplasty |
| CN2728715Y (en) * | 2004-09-30 | 2005-09-28 | 浙江万达工具有限公司 | Double-coupling long handle tongs |
| EP1923009A2 (en) * | 2001-03-05 | 2008-05-21 | Tyco Healthcare Group Lp | Surgical grasping instrument |
| JP2010233822A (en) * | 2009-03-31 | 2010-10-21 | Mtec Japan:Kk | Anvil forceps |
| CN201790868U (en) * | 2010-09-10 | 2011-04-13 | 王鹏 | Ingenious connecting rod type double-vision minimally invasive surgical instrument |
| CN102764146A (en) * | 2012-08-15 | 2012-11-07 | 季占锋 | Push-pull type digestive system minimally invasive surgery haemostatic forceps |
| CN202960666U (en) * | 2012-12-29 | 2013-06-05 | 张家辉 | Thoracoscope oval forceps |
| CN203914994U (en) * | 2014-05-08 | 2014-11-05 | 黄宇清 | Thoracoscope Oesophageal-stapler nail anvil is controlled binding clip and is had the holding forceps of this binding clip |
-
2014
- 2014-05-08 CN CN201410191679.7A patent/CN103932750A/en active Pending
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2095640U (en) * | 1991-07-07 | 1992-02-12 | 解放军九七医院 | Throat foreign body pliers |
| EP0588658A1 (en) * | 1992-09-18 | 1994-03-23 | Ethicon, Inc. | Endoscopic anvil grasping instrument |
| EP1923009A2 (en) * | 2001-03-05 | 2008-05-21 | Tyco Healthcare Group Lp | Surgical grasping instrument |
| WO2003041596A1 (en) * | 2001-11-15 | 2003-05-22 | Jorge Castanon Morales | Surgical clip for pyloric traumatological myoplasty |
| CN2728715Y (en) * | 2004-09-30 | 2005-09-28 | 浙江万达工具有限公司 | Double-coupling long handle tongs |
| JP2010233822A (en) * | 2009-03-31 | 2010-10-21 | Mtec Japan:Kk | Anvil forceps |
| CN201790868U (en) * | 2010-09-10 | 2011-04-13 | 王鹏 | Ingenious connecting rod type double-vision minimally invasive surgical instrument |
| CN102764146A (en) * | 2012-08-15 | 2012-11-07 | 季占锋 | Push-pull type digestive system minimally invasive surgery haemostatic forceps |
| CN202960666U (en) * | 2012-12-29 | 2013-06-05 | 张家辉 | Thoracoscope oval forceps |
| CN203914994U (en) * | 2014-05-08 | 2014-11-05 | 黄宇清 | Thoracoscope Oesophageal-stapler nail anvil is controlled binding clip and is had the holding forceps of this binding clip |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2015169058A1 (en) * | 2014-05-08 | 2015-11-12 | 黄宇清 | Anvil holding forceps head for stapler used in esophagus during thoracoscopy procedure and holding forceps with the forceps head |
| CN107174309A (en) * | 2017-07-21 | 2017-09-19 | 李旭亚 | A kind of bent operating forceps applied in Minimally Invasive Surgery |
| CN108655971A (en) * | 2018-04-10 | 2018-10-16 | 淮北达驰电气科技有限公司 | A kind of fire-fighting hydraulic tongs and its application method |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN203914994U (en) | Thoracoscope Oesophageal-stapler nail anvil is controlled binding clip and is had the holding forceps of this binding clip | |
| EP2163213B1 (en) | Articulating surgical instrument using flexible fluid-filled tubing for transferring force | |
| US9918736B2 (en) | Ultrasonic dissector and sealer | |
| EP3081174B1 (en) | Hemostatic clip | |
| ES2324479T3 (en) | BIPOLAR ENDOSCOPIC ELECTROCHIRURGICAL FORCEPS. | |
| JP4137931B2 (en) | Endoscopic treatment tool | |
| US20160213390A1 (en) | Multi-functional medical device and related methods of use | |
| US20110015669A1 (en) | Forceps | |
| JP2016530968A (en) | Laparoscopic forceps assembly | |
| JP2011245303A (en) | Accurate jaw closure force in catheter based instrument | |
| CN110292411B (en) | Tissue clamping device | |
| KR101447266B1 (en) | Appratus for laparoscpoic surgery | |
| CN103932750A (en) | Thoracoscope esophagus anastomat head holding forcep head and holding forceps provided with same | |
| CN102397092B (en) | Exquisite connecting rod double-vision minimally invasive surgery instrument | |
| JPH10151137A (en) | Treatment appliance for endoscope | |
| CN107536641B (en) | It is a kind of can far-end operation surgical operation electric coagulation forceps | |
| JP6763128B2 (en) | Endoscopic scissors | |
| CN202554059U (en) | Special surgical instrument with diagonal cup-shaped pliers heads for endoscopic submucosal dissection | |
| CN214157450U (en) | Right-angle forceps for thoracoscope cardiac surgery | |
| US20180110560A1 (en) | Minimally invasive surgical devices | |
| CN208404830U (en) | A kind of bipolar electrode pincers | |
| CN210019533U (en) | Minimally invasive knotting forceps for thoracic surgery | |
| CN208371839U (en) | A kind of not damaged blood vessel blocking elastic separating plier of laparoscope | |
| CN209826839U (en) | Clamp for nail anvil of anastomat | |
| CN206026396U (en) | Haplopore chest separation plier for laparoscopic surgery |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20140723 |