A kind of packing box for loading hemostatic clamp in cartridge clip
Technical field
The invention belongs to medical instruments field, being specifically related to a kind of packing box for loading hemostatic clamp in cartridge clip.
Background technology
Hemostatic clamp is a kind of surgical instrument nearest more than ten years extensively being adopted use by countries in the world medical institutions, and it greatly reduces operation risk and operating time, achieves Micro trauma to patient.Along with large area is used, new demand new ideas are proposed by Ge great medical institutions specialist: " preferably can realize hemostatic clamp and realize continuous clamp by Clip Applier ", human body need not be left after making doctor use Clip Applier to enter human abdominal cavity, operation fast continuously, and pliers can be operated fast and effectively by one hand, and can ensure that an operation completes smoothly.
In prior art, there is the Clip Applier of two kinds of structures, one is single-shot type Clip Applier, single-shot type Clip Applier is exactly once can only load one piece of hemostatic clamp (being often referred to plastics hemostatic clamp) at the jaw of Clip Applier, when wanting clamp, first one piece of hemostatic clamp is loaded the head of Clip Applier, then pull the handle of Clip Applier.Clamp one piece of hemostatic clamp, if during clamp second piece of hemostatic clamp, just needs to repeat once above-mentioned action, if need clamp many pieces of hemostatic clamps, just needs repeatedly above-mentioned action.With regard to general simple laparoscopic surgery, once just need continuous clamp six pieces of hemostatic clamps, just must repeat above-mentioned action six times, this is obviously trouble and time-consuming on operating-table, also can postpone operating time simultaneously.
Another is the Clip Applier (such as publication number is the Chinese patent application of CN103637827A) of disposable running fire many pieces of hemostatic clamps, this Clip Applier loads 10-20 piece of hemostatic clamp in inside, these hemostatic clamps can clamp continuously, but after the hemostatic clamp in storehouse is complete by clamp, this Clip Applier just can not have been used again, because cannot reinstall hemostatic clamp.Whole Clip Applier is scrapped abandons, and this obviously compares waste.Therefore, developing one can sequential filming hemostatic clamp having great importance by reusable Clip Applier, and in order to enable Clip Applier reuse and the key of sequential filming is to realize the quick load of multiple hemostatic clamp.
Summary of the invention
The invention provides a kind of packing box for loading hemostatic clamp in cartridge clip, this packing box can load hemostatic clamp easily in the cartridge clip matched, thus realizes the continuous clamp of hemostatic clamp Clip Applier and reuse.
A kind of packing box for loading hemostatic clamp in cartridge clip, comprise the box body fastened by lower cover and upper cover plate, the transfer passage for placing squeezed state hemostatic clamp is provided with in described box body, box body side is provided with the transition guide pin bushing that can rupture and connect, with for inserting cartridge clip and the adapter cavity connected with the outlet of transfer passage in this transition guide pin bushing;
Also be provided with the pressure channel with transfer passage vertical connection in described box body, in this pressure channel, be sliding combined with the slide block for hemostatic clamp to be squeezed to squeezed state by diastole state.
In the present invention, be first placed in box body by the hemostatic clamp of diastole state, then use ram extrusion hemostatic clamp, hemostatic clamp becomes squeezed state, and the hemostatic clamp being in squeezed state can enter cartridge clip under the effect of external force from transition guide pin bushing, completes the filling of hemostatic clamp; After the cartridge clip obtained directly loads hemostatic clamp Clip Applier, can continuous clamp.
As preferably, the inwall of described adapter cavity is provided with the cartridge clip locating button for coordinating with cartridge clip.Can confirm whether cartridge clip is in place by this cartridge clip locating button, prevent cartridge clip not to be in place with regard to mobile hemostatic clamp, cause loading hemostatic clamp failure.
As preferably, be provided with the grafting keeper that position is corresponding between described lower cover and upper cover plate, described transfer passage and pressure channel are all surrounded by lower cover and upper cover plate.When upper and lower cover plates can be made to close by grafting keeper, just in time align, and make both fixing.
As preferably, the outer cover of described box body has the handle be slidably matched, and described slide block to be fixed on handle and to stretch into pressure channel.
As preferably, in described lower cover and upper cover plate, the inwall of at least one is provided with the slider guide bar for guide shoe motion.As further preferably, described slide block is tabular, and has the slider guide groove that some and described gib block matches along slide block movement direction.By the cooperation of slider guide bar and slider guide groove, make the compression process of hemostatic clamp more stable.
As preferably, between the inwall of described pressure channel and slide block, be provided with the retaining buckle cooperatively interacted.Retaining buckle can limit the position of slide block, prevents the hemostatic clamp compressed from flicking.
As further preferred, described locking card is buckled with two groups, and the slide position kept respectively corresponding hemostatic clamp is diastole state or squeezed state.By the cooperation of two groups of buckles, hemostatic clamp can be made before use to keep diastole state, compressed again during use, effectively can prevent the material of hemostatic clamp from occurring tired, keep the elasticity of hemostatic clamp.
As preferably, the inwall of described lower cover is provided with the tractive groove consistent with transfer passage direction, the tie rod for pulling each hemostatic clamp is provided with in this tractive groove, the sidewall of described transition guide pin bushing is provided with the tractive mouth docked with tractive groove, one end of described tie rod be extend and be exposed to tractive mouth hold handle.During operation, hold and hold handle and pull out, hemostatic clamp can be moved in cartridge clip.Described tie rod being placed with the driver slot for engaging each hemostatic clamp, adopting this kind of mode, tie rod and hemostatic clamp no-float can be ensured.
As further preferred, the exit of described tractive mouth is provided with limiting stand, and described tie rod is provided with the buildup area matched with limiting stand away from the one end of holding handle.When pulling hemostatic clamp, by coordinating of limiting stand and buildup area, can judge whether hemostatic clamp enters the precalculated position of cartridge clip exactly.
As further preferred, the inwall of described lower cover is also provided with the lock slots be communicated with tractive groove, and described tie rod is provided with the locking column of inserting lock slots away from the one end of holding handle, by being connected in the portion of rupturing between this locking column with tie rod.The effect of this locking column is mainly in order to determine the placement location of tie rod.
As preferably, with two locating dowels on described hemostatic clamp, first guiding groove consistent with transfer passage direction is provided with in described box body, and second guiding groove consistent with pressure channel direction, in two locating dowels of diastole state hemostatic clamp, one is in the first guiding groove, and another is in the second guiding groove.Second guiding groove can ensure that hemostatic clamp is according to the compression of predetermined direction, and the first guiding groove can ensure that hemostatic clamp moves according to predetermined path.
As further preferred, the cell wall of the first guiding groove is provided with the arc locating recesses district matched with the locating dowel in the first guiding groove.By arc-shaped recess district, the riding position of hemostatic clamp accurately can be controlled.
Compared with the existing technology, beneficial effect of the present invention is embodied in:
(1) hemostatic clamp be well placed in advance can be imported in cartridge clip rapidly by packing box, thus the hemostatic clamp in cartridge clip is upgraded easily, cartridge clip is reused;
(2) tie rod is pulled can be loaded in cartridge clip by hemostatic clamp, easy to operate, and accurate positioning.
Accompanying drawing explanation
Fig. 1 is the structural representation of packing box of the present invention (cartridge clip matched with packing box also draws in the drawings);
Fig. 2 is the structural representation of the handle of the packing box shown in Fig. 1;
Fig. 3 is the remainder structural representation after the packing box of Fig. 1 takes off handle;
Fig. 4 is the structural representation of the lower cover (with diastole state hemostatic clamp) of box body;
Fig. 5 is the structural representation of the upper cover plate (with diastole state hemostatic clamp) of box body;
Fig. 6 is the structural representation of the upper cover plate (with squeezed state hemostatic clamp) of box body;
Fig. 7 is the structural representation of tie rod;
Fig. 8 is the structural representation of matching used a kind of cartridge clip with packing box of the present invention;
Fig. 9 removes the structural representation of the remainder after cartridge clip cover plate for the cartridge clip shown in Fig. 8;
Figure 10 is the structural representation of shell fragment in the cartridge clip shown in Fig. 9;
Figure 11 is the view of the other direction of the tie rod shown in Fig. 7;
Figure 12 is the schematic diagram after tie rod coordinates with cartridge clip;
Figure 13 is the structural representation of the cartridge clip filling hemostatic clamp;
The A direction view that Figure 14 is the cartridge clip shown in Figure 12;
The sectional view in the B-B face that Figure 15 is the cartridge clip shown in Figure 14; In figure, 1: hemostatic clamp load chamber; 2: shell fragment; 2b: bending part; 2a: rebate; 3: hemostatic clamp advances groove; 4: cartridge clip cover plate; 4a: cartridge clip lockhole; 5: cartridge clip guide rail; 6: hemostatic clamp; 6a: locating dowel; 8: lower cover; 9: upper cover plate; 9a: retaining buckle; 10: transition guide pin bushing; 11: grafting keeper; 12: hands handle; 13: slide block; 14: tie rod; 14a: driver slot; 14b: buildup area; 14c: locking column.
Detailed description of the invention
Below in conjunction with accompanying drawing, the specific embodiment of the present invention is further described.
The perspective view of packing box is as shown in Figure 1 known, box body one end of this packing box is closed, the transition guide pin bushing 10 of to be an inside be in one end in addition adapter cavity, need the cartridge clip loading hemostatic clamp to be inserted in this transition guide pin bushing 10 during use, pull tie rod 14 hemostatic clamp in packing box can be imported in cartridge clip.The inwall of this adapter cavity is provided with the cartridge clip locating button (not shown in FIG.) for coordinating with cartridge clip, for judging whether cartridge clip is in place, and is fixed by the cartridge clip be in place.
Fig. 2 is the handle 12, Fig. 3 of packing box is the remainder removing handle 12, and from Fig. 2 and Fig. 3, this handle 12 is the box like structure of one end open, and be slide block 13 in the middle part of this box like structure, slide block 13 is tabular; Opening is arranged at the bottom of box body, and this opening matches with the slide block 13 of tabular.The inwall of box body is provided with the slider guide bar moved for guide shoe 13, and has some slider guide grooves matched with gib block along slide block 13 direction of motion, when needing compressed tampon to press from both sides, this handle 12 is pressed into box body.
Fig. 4 and Fig. 5 be respectively box body take apart after lower cover 8 and upper cover plate 9, in order to the work process of packing box is clearly described, two cover plates all placed the hemostatic clamp of diastole state.Have a lock slots at the right-hand member of lower cover 8, the effect of lock slots is in order to counter brace 14 is located accurately.Lower cover 8 has some the second guiding grooves, and the direction of the second guiding groove is consistent with the compression direction of hemostatic clamp, can be used for positioning hemostatic clamp on the one hand, the more important thing is the compression direction controlling hemostatic clamp.Two grafting keepers 11 are also had on the top of lower cover 8, be specially grafting locating hole, corresponding therewith, upper cover plate 9 also has two grafting keepers 11, be specially grafting locating dowel, both cooperatively interact and upper and lower cover plates 8 can be made to synthesize a complete box body, can reach the effect of location, can play fixing effect again.
The side of upper cover plate 9 is transition guide pin bushing 10, and in real process, transition guide pin bushing 10 also can be connected to above lower cover 8, and two slider guide bars are just arranged on the medial wall of upper cover plate 9, equally, upper cover plate 9 also has some the second guiding grooves.
Two groups of retaining buckle 9a are had in the both sides of upper cover plate 9, the sidewall of the slide block 13 on handle 12 there is a retaining bayonet socket matched with retaining buckle 9a, when pushing handle 12 in box body, first coordinate with the retaining buckle 9a of bottom, now hemostatic clamp is all in diastole state; Push handle 12 further, after coordinating with second retaining buckle 9a, all hemostatic clamps are just in compressive state.
Fig. 6 gives the schematic diagram of the upper cover plate 9 with the hemostatic clamp of compressive state, as shown in Figure 6, upper cover plate 9 is also provided with first guiding groove consistent with hemostatic clamp moving direction, and when pulling tie rod 14 along the first guiding groove, the hemostatic clamp of compressive state enters cartridge clip along transfer passage.
Fig. 7 is the concrete structure of tie rod 14, and as shown in Figure 7, this tie rod 14 one end is for holding handle, and the other end is buildup area 14b, tie rod 14 is placed with the driver slot 14a for engaging each hemostatic clamp.This buildup area 14b matches with the limiting stand in the exit of tractive mouth, for determining the final position of tie rod 14.
In order to describe the working method of packing box in detail, further describe the concrete structure of a kind of cartridge clip matched with this packing box below, structure is shown in Fig. 8.This cartridge clip is a strip structure on the whole, and there is hemostatic clamp load chamber 1 inside, and this hemostatic clamp load chamber 1 is along the through whole cartridge clip of length direction of the bar-shaped body of cartridge clip, and two is all opening.This cartridge clip comprises cartridge clip guide rail 5 and cartridge clip cover plate 4, and this cartridge clip cover plate 4 is arranged on cartridge clip guide rail 5 with the form of semi-surrounding, and this semi-surrounding structure can make cartridge clip cover plate 4 open from side.
After being removed by cartridge clip cover plate 4, remaining structure as shown in Figure 9.As seen from Figure 9, after removing cartridge clip cover plate 4, expose multiple shell fragment 2 and the multiple installing ports for accommodating shell fragment 2, shell fragment 2 and installing port one_to_one corresponding, and be arranged in order along the length direction of cartridge clip guide rail 5.
Composition graphs 8 and Fig. 9 known, the buckle for R-clip cover plate 4 and cartridge clip guide rail 5 or screw is provided with at the two ends of cartridge clip guide rail 5, cartridge clip lockhole 4a is provided with at the middle part of cartridge clip cover plate 4, hemostatic clamp Clip Applier is provided with the cartridge clip dead bolt for cooperatively interacting with cartridge clip lockhole 4a, and cartridge clip can be fixed in the magazine of hemostatic clamp Clip Applier by both cooperations.
Figure 10 gives the concrete structure of shell fragment 2, as shown in Figure 10, this shell fragment 2 is made up of bending part 2b and rebate 2a, during loading, rebate 2a stretches in hemostatic clamp load chamber 1 from the installing port of cartridge clip guide rail 5, the bending part 2b be connected with rebate 2a extends out from installing port, is close to the outer surface of cartridge clip guide rail 5.First be fixed on cartridge clip guide rail 5 by shell fragment 2 when production, then cover cartridge clip cover plate 4, shell fragment 2 is just pressed between the two and can not be moved.
Figure 11 is the structural representation of tie rod 14 used when being encased in cartridge clip by hemostatic clamp, and three hemostatic clamps of this figure medial end portions are the duties in order to represent hemostatic clamp visually, and the actual cartridge clip used does not comprise this three hemostatic clamps.One end of this tie rod 14 is for holding handle, tie rod 14 is placed with the driver slot for engaging each hemostatic clamp, from Fig. 8 and Fig. 9, be provided with open hemostatic clamp at the sidewall of hemostatic clamp load chamber 1 and advance groove 3, when loading hemostatic clamp, tie rod 14 and hemostatic clamp advance groove 3 position corresponding (see Figure 12).
From Figure 13 ~ Figure 15, with two locating dowel 6a on hemostatic clamp 6, after hemostatic clamp is loaded cartridge clip, one of them locating dowel 6a and shell fragment 2 offset, another locating dowel 6a is exposed to described hemostatic clamp and advances groove 3, the cross section of two locating dowel 6a is circle, and the rebate 2a of shell fragment 2 is the arc-like sheet fitted with locating dowel 6a periphery.
It should be noted that, this packing box itself can as one independently product carry out manufacturing and using, whether the existence of cartridge clip does not form the restriction to packing box protection domain of the present invention.
Assembling and the use procedure of this packing box are as follows: first keep flat inside upper cover plate 9 upward, then the hemostatic clamp of multiple diastole state is placed on upper cover plate 9 successively, a locating dowel of hemostatic clamp is placed in the second guiding groove, and another one locating dowel is placed in arc locating recesses district; Then the locking column 14c of tie rod 14 is aimed at the lock slots on lower cover 8, place tie rod 14, then lower cover 8 is fastened on upper cover plate 9, in fastening process, control grafting keeper 11 and just in time coincide; Following taking-up handle 12, is pressed into continuously by the lower openings that the slide block 13 of handle 12 aims at box body, after feeling that retaining buckle 9a buckles, illustrates and is pressed onto position; Then in the adapter cavity of transition guide pin bushing 10, cartridge clip is inserted, after sensation cartridge clip locating button is buckled, tie rod 14 is pulled to drive the movement of hemostatic clamp by holding handle, after the buildup area 14b of tie rod 14 enters limiting stand, extreme position moved to by tie rod 14, and now, all hemostatic clamps just in time all enter in cartridge clip, tie rod 14 also can take out from side, completes the installation of cartridge clip.When using, break disconnected together with transition guide pin bushing 10 from box body by cartridge clip, cartridge clip locating button of having no progeny broken by transition guide pin bushing 10 will lose fixation, cartridge clip can successfully be extracted out from transition guide pin bushing 10, and loading hemostatic clamp Clip Applier just can clamp continuously.