CN104523316B - Automatic-repeating blood vessel moulds clamp and folder casket - Google Patents
Automatic-repeating blood vessel moulds clamp and folder casket Download PDFInfo
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- CN104523316B CN104523316B CN201510009673.8A CN201510009673A CN104523316B CN 104523316 B CN104523316 B CN 104523316B CN 201510009673 A CN201510009673 A CN 201510009673A CN 104523316 B CN104523316 B CN 104523316B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for 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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
Abstract
The invention discloses a kind of automatic-repeating blood vessel and mould clamp and folder casket, it comprises jaw mechanism, Tian Xia mechanism, automatically send clamp mechanism, clamp mechanism and handle mechanism.This automatic-repeating blood vessel moulds clamp and folder casket significant effective can improve operative speed, and namely in operation process, doctor only needs disposable being stretched in human body by automatic-repeating Clip Applier to carry out repeatedly clamp continuously, does not need operative doctor to take out apparatus in human body.Simultaneously such structure avoids apparatus and transmits between operative doctor and instrument nurse, installs and the operating time wasted, reduce operation risk, and described running fire vascular clamp is can open and close movement can the running fire blood vessel ligation clamp of back-off self-locking, not only to closing masterly compared with trunk ligation and more easily aiming at blood vessel, operation technique is more convenient and closed blood vessel is more firm, and quality significantly improves; It is that muptiple-use sterilization is reused that clamp is moulded in running fire of the present invention simultaneously, and folder casket is single use, and thus product expense is more cheap.
Description
Technical field
The invention belongs to medical instruments field, be specifically related to a kind of closed automatic-repeating blood vessel of tightening being applicable to human body surgery and Minimally Invasive Surgery medium vessels and mould clamp and folder casket.
Background technology
For a long time, the vascular ligation medical apparatus and instruments dominating domestic and international market exclusively has two kinds, and one is reusable single-shot Absorbable rod ligation Clip Applier.Carrying out in human intracavity's videoendoscopic surgery, though reusable single-shot Absorbable rod ligation Clip Applier can effective ligation blood vessel, reusable after sterilization, but because it in use needs to transmit between operative doctor and nurse, namely after the complete one piece of biological folder of operative doctor clamp, Clip Applier is needed to take out from human body, take off the clamp assembly of the whole head of Clip Applier again, pass to nurse to complete the installation of the new clamp assembly built with single piece of biological folder, pass to operative doctor again, Clip Applier is stretched into human body by operative doctor more again.So repeatedly.Often complete the process of one piece or some biological folder ligation blood vessel, need longer process, need the more time, not only extend operating time, add apparatus and repeatedly enter the repeatedly injury that human body brings, and add the amount of bleeding of patient in operation, even can cause and cause shock because of Massive Bleeding, even dead, and there is operation risk.Its two, the clamp assembly of this biology folder that Dan Mei is housed, be the head of whole Clip Applier, part is many, complex structure, and manufacturing cost is expensive.Its three, the binding clip of this Clip Applier head is fixing, can not open or closing motion, especially can not open, and more can not open up into 90 degree of angles, not easily aim at blood vessel during operation.Its four, this Clip Applier with the use of biology folder belong to the biology folder of U-shaped closed moulding, the U-shaped biology folder of this closed moulding, is in advance with regard to closed moulding, is opened and tighten closed blood vessel, cause clamp to close blood vessel inconvenience by the elasticity of plastics.This ligation clip is prior closed moulding, vascular tissue is outwards extruded during closed blood vessel, sometimes causes closing loosely, even slippage.Particularly when closed harder vascular, slippage rate is higher.To comparatively trunk ligation is closed, by helpless.
Another kind of vascular ligation medical apparatus and instruments is then by the conduction of titanium clamp pincers handle, the binding clip of titanium clamp pincers is closed when performing the operation, and makes parallel titanium folder clamped closed of opening, thus vascular ligation is closed.The effect that some titaniums press from both sides continuous clamp can be reached.But this titanium clamp pincers, be a kind of disposable medical apparatus and instruments, structure is numerous and diverse, and cost is more expensive.Its two, this titanium clamp pincers, matching used be U-shaped titanium folder, the U-shaped titanium folder that this Titanium silk is made, this U-shaped titanium folder can not be opened freely or close, and more can not be opened to 90 degree of angles, not easily aim at blood vessel during operation, cause clamp to close blood vessel inconvenience.Its three, this titanium folder is the titanium folder that Titanium silk is made, and is forever stay in human body, titanium folder is not only not soft in human body, does not have elasticity, does not have insulating properties, a thermal insulation, and human body nonabsorable, ray can not be saturating, and postoperative X ray, CT or MRI are scanned to effect and have an impact.
Domestic application for a patent for invention numbers 200710037750.6, " a kind of semi automatic repeating titanium pincers ", titanium clamp pincers is that muptiple-use sterilization is reused, the grip box that titanium folder is housed is single use, continuous clamp can be accomplished, but the titanium that the structure of its titanium clamp pincers can only make Titanium silk make presss from both sides continuous clamp, matching used ligation clip is also the titanium folder that Titanium silk is made.This titanium folder also exists titanium equally and presss from both sides all shortcomings.
The ligation clip of prior art is all U-shaped folder.Existing ligation clip is generally make with Titanium silk, is the U-shaped titanium folder opened, by metallic character by the U-shaped titanium silk opened mutually in distortion of exerting pressure closed, blood vessel is clamped.Also have ligation clip to be absorbable biological plastic clip, be the U-shaped folder of closed moulding in advance by the elasticity of plastic cement, laterally folder is pushed away to blood vessel.During the U-shaped folder ligation blood vessel of these two kinds of characteristics, because ligation clip is U-shaped folder, be one to be connected and fixed, grip force is transmitted by the elasticity of metal or plastics in other end, certainly will cause this ligation clip, Closed forming is not parallel, front and back end discontinuity equalization, causes blood vessel to close completely and tightens, occur oozing phenomenon, even there will be obscission, cause operation risk.Particularly absorbable biological folder, will be helpless to the ligation compared with trunk.
Summary of the invention
The object of the present invention is to provide a kind of safer, more effectively, more fast, more cheap automatic-repeating blood vessel mould clamp and folder casket.Comprise automatic-repeating blood vessel and mould clamp and folder casket two parts.Automatic-repeating blood vessel moulds clamp, and dop can freely be opened or closing motion, can be opened to the angle of 90 degree.Can automatically can open and close movement can some running fire vascular clamps of back-off self-locking, some continuous ligation are implemented to blood vessel and closes.Folder casket built with some can open and close movement can the blood vessel running fire vascular clamp of back-off self-locking.Running fire vascular clamp for a long time in implant into body, can be made with Absorbable rod and nonabsorable high molecular synthetic material.Absorbable material automatic classifying in 6 ~ August in human body.
Object of the present invention can be achieved through the following technical solutions:
A kind of automatic-repeating blood vessel moulds clamp, it comprise claw beam, be connected with claw beam one end can opening and closing jaw mechanism, be positioned at claw beam front portion Tian Xia mechanism, be positioned at the clamp mechanism automatically sending clamp mechanism and be connected with the claw beam other end in the middle part of claw beam;
Wherein, the folder casket for in-built many pieces of running fire vascular clamps is housed in described Tian Xia mechanism, and the described clamp mechanism that automatically send comprises pushing block, and the running fire vascular clamp in folder casket can be pushed to jaw mechanism by this pushing block; Described clamp mechanism comprises the mechanism of running through and being arranged on push rod in claw beam and making this push rod movable, and this push rod is connected with jaw mechanism, realizes the opening and closing of jaw mechanism by the movable of push rod.
Described jaw mechanism comprises holder, dop and drag hook, the both sides of described holder are provided with the holder locating slot for fixing running fire vascular clamp, dop is also provided with the dop locating slot for fixing running fire vascular clamp, described holder and claw beam are straight line fixed connection structure, and described drag hook is arranged in the groove of holder upper surface and can moves up and down along groove.
Described Tian Xia mechanism comprises filling slot, magazine sheet, magazine button, magazine spring; Folder casket built with running fire vascular clamp is filled in filling slot, and magazine sheet is positioned at filling slot bottom; Magazine button is provided with positioning boss, the matching grooves of this positioning boss and folder casket bottom thus for fixation clamp casket; Magazine spring makes magazine button for suppressing positioning states all the time.
Described automatically send clamp mechanism also to comprise to send folder spring and pull bar; Described pull bar is positioned at claw beam and one end of pull bar is connected with pushing block, and the other end of pull bar can be tipped upside down in the groove of claw beam by the locating piece on pull bar; Described pushing block, under the suppressing sending folder spring, makes pushing block travel forward thus stretches in folder casket, and then making running fire vascular clamp energy continus convergence in jaw mechanism.
The described clamp mechanism that automatically send also comprises adjustment screw, and described adjustment screw regulates the size sending folder spring pressure, thus regulates propelling movement running fire vascular clamp automatically to send the size of the strength of folder.
When changing folder casket, magazine button is moved backward, and moved backward by pull bar thus pushing block and folder casket are departed from, thus press from both sides casket under the effect of magazine sheet by automatic spring.
Described clamp mechanism comprises fixed cover, fixed handle, flexible handle, pushing sleeve, back-moving spring, push rod, connecting rod and safety button; Described fixed handle and described fixed cover are integrated, and described pushing sleeve is embedded in fixed cover, and flexible handle is flexibly connected with fixed handle; Safety button is flexibly connected with fixed handle, described flexible handle root and pushing sleeve matching grooves; The tail end of described push rod and pushing sleeve near, be provided with back-moving spring at claw beam tail end; Back-moving spring makes push rod press backward to push away all the time, thus makes flexible handle be open reset mode all the time; The inside groove of pushing sleeve is enclosed within the end of flexible handle, ensures that strength that the open and close movement of flexible handle produces becomes push rod and to seesaw the strength produced.
Dop is flexibly connected with connecting rod, push rod and connecting rod active link, thus dop can freely can be opened or closing motion by flexible handle, can be opened to the angle of 90 degree.
Automatic-repeating blood vessel is moulded clamp and is also comprised and turn to button, described turns to button between fixed cover and claw beam, the described button that turns to can do 360 degree of rotations, drives claw beam, jaw mechanism and whole clamp front portion of moulding to do 360 degree of rotations, thus regulates holder, dop and running fire vascular clamp to do 360 degree of rotations.
Running fire vascular clamp comprises upper clamp, soft body and lower clamp, one end of upper clamp is connected with lower clamp one end by soft body, the other end of upper clamp is provided with and protrudes semicircle reversal of the natural order of things, the other end of lower clamp is provided with depression semicircle back-off, and the protrusion semicircle reversal of the natural order of things of described upper clamp to rotate for axle with soft body thus to close with the depression semicircle back-off self-locking of lower clamp and described running fire vascular clamp also can be opened to 90 degree of angles under the pressure of longitudinal direction; Be provided with semicircle protrusion guide rail outside described running fire vascular clamp upper clamp, the both sides of lower clamp are provided with semicircle protrusion guide rail, are also provided with groove bottom lower clamp; The length of described running fire vascular clamp is 6 ~ 15mm.
Automatic-repeating blood vessel moulds the folder casket of clamp, the in-built many pieces of running fire vascular clamps of this folder casket, and this folder casket is the cavity structure of two open ends, and one end of opening is connected with jaw mechanism, and the other end of opening is used for running fire vascular clamp in folder casket to push to jaw mechanism; The left and right sides inwall of this cavity structure is also provided with guide rail groove, and this guide rail groove matches with the guide rail of corresponding both sides on running fire vascular clamp, and running fire vascular clamp can be moved forward and backward along the guide rail groove of folder casket both sides inwall; The bottom of described folder casket is also provided with groove.Described running fire vascular clamp comprises upper clamp, soft body and lower clamp, and one end of upper clamp is connected with lower clamp one end by soft body, and the other end of upper clamp is provided with and protrudes semicircle reversal of the natural order of things, and the other end of lower clamp is provided with depression semicircle back-off; The protrusion semicircle reversal of the natural order of things of described upper clamp to rotate for axle with soft body thus to close with the depression semicircle back-off self-locking of lower clamp and described running fire vascular clamp can be opened to 90 degree of angles under the pressure of longitudinal direction; Be provided with semicircle protrusion guide rail outside described running fire vascular clamp upper clamp, the both sides of lower clamp are provided with semicircle protrusion guide rail, are also provided with groove bottom lower clamp; The length of described running fire vascular clamp is 6 ~ 15mm.
In-built at least 2 pieces of running fire vascular clamps in described folder casket.
It is that repeated disinfection uses that described automatic-repeating blood vessel moulds clamp, and folder casket is single use.
Described running fire vascular clamp for a long time in implant into body, can manufacture with absorbable material or nonabsorable high molecular synthetic material.The present invention does not have specified otherwise to resorbable polymeric materials, includes but not limited to one or more in poly-glycolic acid, poly-glycol carbonic acid and polylactic acid or lactic acid-copolyether.The present invention does not have specified otherwise to nonabsorable macromolecular material, includes but not limited to one or more in medical grade PP, medical grade PC, medical grade PE and medical grade PU.
The useful remarkable result that the present invention has is:
1. automatic-repeating blood vessel of the present invention moulds clamp and folder casket, some running fire vascular clamps can be implemented close the continuous clamp of blood vessel, not only effectively improve operative speed, reduce operation process, shorten operating time, namely operative doctor only needs disposablely to stretch in human body by apparatus, implements the continuous clamp of some ligation clips to blood vessel.Do not need repeatedly apparatus to be entered from human body by surgical doctor, do not need nurse's installation ligation clip one by one yet, avoid operating theater instruments and transmit between doctor and nurse and waste operating time, avoid apparatus and repeatedly enter human body and bring secondary injury; Reduce operation risk.
2. the dop that automatic-repeating blood vessel moulds clamp can freely be opened or closing motion, can be opened to the angle of 90 degree.Apparatus more easily enters human body, and aim at blood vessel easier, operation technique is convenient;
3. only cartridge clip button need be pressed backward, built with the folder casket energy automatic spring of some running fire vascular clamps.Fill out change folder casket more convenient;
4. rotary switch can make automatic-repeating blood vessel mould overall 360 degree rotation in front portion of clamp, increases surgical field of view, and 360 degree of adjustments are performed the operation angles, can comprehensive accurate clamp, and operation technique is more convenient;
5. this running fire vascular clamp is can open and close movement can the running fire blood vessel ligation clamp of back-off self-locking.Not only to closing masterly compared with trunk ligation.More easily aim at blood vessel, operation technique is more convenient;
6. be that parallel clamp is fixed at two when the ligation of this running fire vascular clamp closes blood vessel, clamp is balanced in power, and blood vessel Complete Ligation is closed, and the quality significant effective that ligation closes blood vessel improves, and more solid and reliable, forever can not come off;
7. this ligation clip for a long time in implant into body, can make with Absorbable rod and nonabsorable high molecular synthetic material.Absorbable rod high molecular synthetic material is 6 ~ 8 automatic classifyings in human body.Obviously be superior to the titanium folder forever stayed in human body made with Titanium silk;
8. clamp is moulded in running fire of the present invention is that muptiple-use sterilization is reused, and folder casket is single use, and thus product expense is more cheap.
9. preferred at least 2 pieces of running fire vascular clamps in folder casket of the present invention, the ligation of general blood vessel carries out ligation to 2 ends of blood vessel, the process of operation can being completed, for large blood vessel or in order to guarantee the smooth of operation further, also can carry out ligation with 3 running fire vascular clamps to blood vessel.
Accompanying drawing explanation
Fig. 1 is the 3D view that folder casket of the present invention and automatic-repeating blood vessel mould clamp;
Fig. 2 is that the automatic-repeating blood vessel with folder casket of the present invention moulds clamp structure figure, wherein (a) be three-view diagram main sectional view and top view; B () is the partial enlarged drawing of Tian Xia mechanism; The partial enlarged drawing of (c) drag hook.
Fig. 3 is the main sectional view of clamp transmission principle that the automatic-repeating blood vessel with folder casket of the present invention moulds clamp;
Fig. 4 is dop shape three-view diagram and the 3D view of invention;
Fig. 5 is running fire vascular clamp three-view diagram of the present invention and 3D view, and (a) is main looking, and (b), for looking on a left side, (c), for overlooking, (d) is upward view for southeast side-looking, (e);
Fig. 6 is three-view diagram and the sectional view that automatic-repeating blood vessel moulds the holder of clamp, and wherein (a) is front view, and (b) is top view, the left sectional view that (c) is A-A line.
In figure: 1 is holder, 100 is holder locating slot, 2 is dop, 200 is dop locating slot, 3 is drag hook, 4 is magazine sheet, 5 is magazine button, 501 is positioning boss, 6 is magazine spring, 7 is pushing block, 8 for sending folder spring, 9 is adjustment screw, 10 is pull bar, 11 is claw beam, 12 for turning to button, 13 is fixed cover, 14 is the first rivet, 15 is the second rivet, 16 is fixed handle, 17 is flexible handle, 18 is pushing sleeve, 19 is back-moving spring, 20 is push rod, 21 is the 3rd rivet, 22 is connecting rod, 23 is the 4th rivet, 24 is safety button, 25 is running fire vascular clamp, 26 is folder casket, 260 is groove, 27 is filling slot.
Detailed description of the invention
Below in conjunction with embodiment, the invention will be further described, but protection scope of the present invention is not limited thereto:
The structure that automatic-repeating blood vessel used in embodiment moulds clamp and folder casket is as follows:
As shown in figs. 1 to 6, it comprise claw beam (11), be connected with claw beam (11) one end can the jaw mechanism of opening and closing, the clamp mechanism automatically sending clamp mechanism and be connected with claw beam (11) other end that is positioned at the anterior Tian Xia mechanism of claw beam (11), is positioned at claw beam (11) middle part;
Wherein, folder casket (26) for in-built some running fire vascular clamps (25) is housed in described Tian Xia mechanism, the described clamp mechanism that automatically send comprises pushing block (7), and the running fire vascular clamp (25) in folder casket (26) can be pushed to jaw mechanism by this pushing block (7); Described clamp mechanism comprises the mechanism of running through and being arranged on the middle push rod (20) of claw beam (11) and making this push rod (20) movable, this push rod (20) is connected with jaw mechanism, realizes the opening and closing of jaw mechanism by the movable of push rod (20).
Described jaw mechanism comprises holder (1), dop (2) and drag hook (3), the both sides of described holder (1) are provided with the holder locating slot (100) for fixing running fire vascular clamp (25), dop (2) is also provided with the dop locating slot (200) for fixing running fire vascular clamp (25), described holder (1) and claw beam (11) are straight line fixed connection structure, and described drag hook (3) is arranged in the groove of holder (1) upper surface and can moves up and down along groove.
Described Tian Xia mechanism comprises filling slot (27), magazine sheet (4), magazine button (5), magazine spring (6); Folder casket (26) built with running fire vascular clamp (25) is filled in filling slot (27), and magazine sheet (4) is positioned at filling slot (27) bottom; Magazine button (5) is provided with positioning boss (501), groove (260) coupling of this positioning boss (501) and folder casket (26) bottom thus for fixation clamp casket (26); Magazine spring (6) makes magazine button (5) for suppressing positioning states all the time.
Described automatically send clamp mechanism also to comprise to send folder spring (8) and pull bar (10); Described pull bar (10) is positioned at claw beam (11) and one end of pull bar (10) is connected with pushing block (7), and the other end of pull bar (10) can tip upside down in the groove of claw beam (11) by the locating piece on pull bar (10); Described pushing block (7) is under the suppressing sending folder spring (8), pushing block (7) travelled forward thus stretches in folder casket (26), and then making running fire vascular clamp (25) energy continus convergence in jaw mechanism.
The described clamp mechanism that automatically send also comprises adjustment screw (9), described adjustment screw (9) regulates the size sending folder spring (8) pressure, thus regulates propelling movement running fire vascular clamp (25) automatically to send the size of the strength of folder.
When changing folder casket (26), magazine button (5) is moved backward, and moved backward by pull bar (10) thus pushing block (7) and folder casket (26) departed from, thus press from both sides casket (26) under the effect of magazine sheet (4) by automatic spring.
Described clamp mechanism comprises fixed cover (13), fixed handle (16), flexible handle (17), pushing sleeve (18), back-moving spring (19), push rod (20), connecting rod (22) and safety button (24); Described fixed handle (16) and described fixed cover (13) are integrated, described pushing sleeve (18) is embedded in fixed cover (13), and flexible handle (17) is flexibly connected with fixed handle (16) by the first rivet (14); Safety button (24) is flexibly connected with fixed handle (16) by the second rivet (15), described flexible handle (17) root and pushing sleeve (18) matching grooves; The tail end of described push rod (20) and pushing sleeve (18) near, be provided with back-moving spring (19) at claw beam (11) tail end; Back-moving spring (19) makes push rod (20) press backward to push away all the time, thus makes flexible handle (17) be open reset mode all the time; The inside groove of pushing sleeve (18) is enclosed within the end of flexible handle (17), ensures that the strength that produces of open and close movement of flexible handle (17) becomes push rod (20) and to seesaw the strength produced.
Dop (2) is flexibly connected with connecting rod (22) by the 4th rivet (23), push rod (20) is by the 3rd rivet (21) and connecting rod (22) active link, thus dop (2) can pass through flexible handle (17) can freely open or closing motion, the angle of 90 degree can be opened to.
Automatic-repeating blood vessel with folder casket is moulded clamp and is also comprised and turn to button (12), the described button (12) that turns to is positioned between fixed cover (13) and claw beam (11), the described button (12) that turns to can do 360 degree of rotations, drive claw beam (11), jaw mechanism and whole clamp front portion of moulding to do 360 degree of rotations, thus regulate holder (1), dop (2) and running fire vascular clamp (25) to do 360 degree of rotations.
Running fire vascular clamp (25) comprises upper clamp, soft body and lower clamp, one end of upper clamp is connected with lower clamp one end by soft body, the other end of upper clamp is provided with and protrudes semicircle reversal of the natural order of things, the other end of lower clamp is provided with depression semicircle back-off, and the protrusion semicircle reversal of the natural order of things of described upper clamp to rotate for axle with soft body thus to close with the depression semicircle self-locking of falling back-off of lower clamp and described running fire vascular clamp (25) also can be opened to 90 degree of angles under the pressure of longitudinal direction; Be provided with semicircle protrusion guide rail outside described running fire vascular clamp (25) upper clamp, the both sides of lower clamp are provided with semicircle protrusion guide rail, are also provided with groove bottom lower clamp; The length of described running fire vascular clamp (25) is 6 ~ 15mm.
A kind of automatic-repeating blood vessel moulds the folder casket of clamp, the in-built many pieces of running fire vascular clamps (25) of this folder casket, this folder casket is the cavity structure of two open ends, and one end of opening is connected with jaw mechanism, and the other end of opening is used for running fire vascular clamp in folder casket to push to jaw mechanism; The left and right sides inwall of this cavity structure is also provided with guide rail groove, and this guide rail groove matches with the guide rail of corresponding both sides on running fire vascular clamp, and running fire vascular clamp can be moved forward and backward along the both sides guide rail groove of folder casket; The bottom of described folder casket is also provided with groove.Described running fire vascular clamp (25) comprises upper clamp, soft body and lower clamp, one end of upper clamp is connected with lower clamp one end by soft body, the other end of upper clamp is provided with and protrudes semicircle reversal of the natural order of things, the other end of lower clamp is provided with depression semicircle back-off, and the protrusion semicircle reversal of the natural order of things of described upper clamp to rotate for axle with soft body thus to close with the depression semicircle self-locking of falling back-off of lower clamp and described running fire vascular clamp (25) also can be opened to 90 degree of angles under the pressure of longitudinal direction; Be provided with semicircle protrusion guide rail outside described running fire vascular clamp (25) upper clamp, the both sides of lower clamp are provided with semicircle protrusion guide rail, are also provided with groove bottom lower clamp; The length of described running fire vascular clamp (25) is 6 ~ 15mm.
2 ~ 3 running fire vascular clamps are preferably put in described folder casket.
Use procedure:
1, the process of changing folder casket is filled out: automatic-repeating blood vessel moulds clamp and folder casket, first time is complete apparatus when using, folder casket (26) built with some running fire vascular clamp (25) ligation clips has been loaded and has been moulded on clamp at automatic-repeating blood vessel, without the need to loading folder casket, filling out when sterilization is reused next time and renewing folder casket.
1. old folder casket is changed.Pull open pull bar handle (10) backward on earth and hang in the T-slot of claw beam (11), make pushing block (7) depart from old folder casket.Press magazine button (5) to move backward, positioning boss on magazine button (5) departs from the groove on folder casket, and folder casket originally will from automatic spring in the filling slot (27) claw beam (11) under the effect of magazine sheet (4).Take off original clip casket.
2. load and newly press from both sides casket.New folder casket II built with some running fire vascular clamps (25) is filled in the filling slot (27) on the claw beam (11) moulding clamp.Unclamp magazine button (5), magazine button (5) resets under the effect of magazine spring (6), thus blocks and newly press from both sides casket.Opened by the back-off of pull bar (10) from the T-slot of claw beam (11), pull bar (10), under the effect sending folder spring (6), makes pushing block (7) reset and enters in folder casket II inside groove.
2, minimal invasive surgical procedures:
1. first by flexible handle (17) plate to safety button (24) place, safety button (24) is normally open.Flexible handle (17) makes pushing sleeve (18) driven forward, pushing sleeve (18) actuator push rod (20), push rod (20) kinematic link (22), connecting rod (22) transmission dop (2), makes dop (2) become semi-closed state by original open configuration.While dop (2) semi-closed simultaneously, the boss structure on dop (2) and the concave surface in blood vessel ligation clamp hang upside down structure and produce back-off.Apparatus is stretched into and treats clamp blood in human body in pipe near sites.
2. flexible handle (17) is then unclamped, push rod (20) resets by back-moving spring (19) backward, push rod (20) is by connecting rod (22), dop (2) is opened, and dop (2) is opened ligation and is clipped to maximum angle 90 degree.
3. regulating rotary makes claw beam (11) drive claw beam jaw to carry out 360 degree to button (12) to rotate at any angle, aim at blood vessel, makes to treat that the closed blood vessel of ligation is placed in ligation clip completely.
4. plate falls safety button (24), and safety button (24) can be opened along rivet (2) (15) or fall down,
5. plate moves flexible handle (17) on earth again, flexible handle (17) makes pushing sleeve (18), push rod (20), connecting rod (22) driven forward, the connecting rod (22) of driven forward makes dop (2) completely closed, dop (2) makes blood vessel ligation clamp turn little through 90 degree, until the concavo-convex back-off structure in blood vessel ligation clamp produces back-off self-locking, ligation clip clamped closed, thus it is closed that blood vessel is tightened completely.Meanwhile, the cam structure of dop (2) while closing on dop (2) makes drag hook (3) open, out of stock with ligation clip, send folder spring (8) that ligation clip is travelled forward while unclamping flexible handle (17), first piece of running fire vascular clamp release.Second piece of vascular clamp proceeds to the position of first piece of vascular clamp under the effect sending folder spring (8), carries out the clamp of second piece of vascular clamp.Therewith repeatedly, realize the continuous clamp automatically of some plastic cement running fire vascular clamps and close blood vessel.
Claims (12)
1. automatic-repeating blood vessel moulds a clamp, it is characterized in that: it comprise claw beam (11), be connected with claw beam (11) one end can the jaw mechanism of opening and closing, the clamp mechanism automatically sending clamp mechanism and be connected with claw beam (11) other end that is positioned at the anterior Tian Xia mechanism of claw beam (11), is positioned at claw beam (11) middle part;
Wherein, the folder casket (26) for in-built many pieces of running fire vascular clamps (25) is housed in described Tian Xia mechanism, the described clamp mechanism that automatically send comprises pushing block (7), and the running fire vascular clamp (25) in folder casket (26) can be pushed to jaw mechanism by this pushing block (7); Described clamp mechanism comprises the push rod (20) running through and be arranged in claw beam (11) and the mechanism making this push rod (20) movable, this push rod (20) is connected with jaw mechanism, realizes the opening and closing of jaw mechanism by the movable of push rod (20);
Described Tian Xia mechanism comprises filling slot (27), magazine sheet (4), magazine button (5), magazine spring (6); Folder casket (26) built with running fire vascular clamp (25) is filled in filling slot (27), and magazine sheet (4) is positioned at filling slot (27) bottom; Magazine button (5) is provided with positioning boss (501), this positioning boss (501) and folder casket (26) bottom groove (260) coupling thus for fixation clamp casket (26); Magazine spring (6) makes magazine button (5) for suppressing positioning states all the time.
2. automatic-repeating blood vessel according to claim 1 moulds clamp, it is characterized in that: described jaw mechanism comprises holder (1), dop (2) and drag hook (3), the both sides of described holder (1) are provided with the holder locating slot (100) for fixing running fire vascular clamp (25), dop (2) is also provided with the dop locating slot (200) for fixing running fire vascular clamp (25), described holder (1) and claw beam (11) are straight line fixed connection structure, and described drag hook (3) is arranged in the groove of holder (1) upper surface and can moves up and down along groove.
3. automatic-repeating blood vessel according to claim 1 moulds clamp, it is characterized in that: described automatically send clamp mechanism also to comprise to send folder spring (8) and pull bar (10); Described pull bar (10) is positioned at claw beam (11) and one end of pull bar (10) is connected with pushing block (7), and the other end of pull bar (10) can tip upside down in the groove of claw beam (11) by the locating piece on pull bar (10); Described pushing block (7), under the suppressing sending folder spring (8), makes pushing block (7) travel forward thus stretches in folder casket (26), and then makes running fire vascular clamp (25) energy continus convergence in jaw mechanism.
4. automatic-repeating blood vessel according to claim 3 moulds clamp, it is characterized in that: the described clamp mechanism that automatically send also comprises adjustment screw (9), described adjustment screw (9) regulates the size sending folder spring (8) pressure, thus regulates propelling movement running fire vascular clamp (25) automatically to send the size of the strength of folder.
5. automatic-repeating blood vessel according to claim 3 moulds clamp, it is characterized in that: when changing folder casket (26), magazine button (5) is moved backward, and moved backward by pull bar (10) thus pushing block (7) and folder casket (26) departed from, thus press from both sides casket (26) under the effect of magazine sheet (4) by automatic spring.
6. automatic-repeating blood vessel according to claim 1 moulds clamp, it is characterized in that: described clamp mechanism comprises fixed cover (13), fixed handle (16), flexible handle (17), pushing sleeve (18), back-moving spring (19), push rod (20), connecting rod (22) and safety button (24); Described fixed handle (16) and described fixed cover (13) are integrated, and described pushing sleeve (18) is embedded in fixed cover (13), and flexible handle (17) is flexibly connected with fixed handle (16); Safety button (24) is flexibly connected with fixed handle (16), described flexible handle (17) root and pushing sleeve (18) matching grooves; The tail end of described push rod (20) and pushing sleeve (18) near, be provided with back-moving spring (19) at claw beam (11) tail end; Back-moving spring (19) makes push rod (20) press backward to push away all the time, thus makes flexible handle (17) be open reset mode all the time; The inside groove of pushing sleeve (18) is enclosed within the end of flexible handle (17), ensures that the strength that produces of open and close movement of flexible handle (17) becomes push rod (20) and to seesaw the strength produced.
7. automatic-repeating blood vessel according to claim 6 moulds clamp, it is characterized in that: described jaw mechanism comprises holder (1), dop (2) and drag hook (3), dop (2) is flexibly connected with connecting rod (22), push rod (20) and connecting rod (22) active link, thus dop (2) can pass through flexible handle (17) can freely open or closing motion, the angle of 90 degree can be opened to.
8. automatic-repeating blood vessel according to claim 6 moulds clamp, it is characterized in that: described jaw mechanism comprises holder (1), dop (2) and drag hook (3), automatic-repeating blood vessel is moulded clamp and is also comprised and turn to button (12), the described button (12) that turns to is positioned between fixed cover (13) and claw beam (11), the described button (12) that turns to can do 360 degree of rotations, drive claw beam (11), jaw mechanism and whole clamp front portion of moulding to do 360 degree of rotations, thus regulate holder (1), dop (2) and running fire vascular clamp (25) to do 360 degree of rotations.
9. automatic-repeating blood vessel according to claim 1 moulds clamp, it is characterized in that: running fire vascular clamp (25) comprises upper clamp, soft body and lower clamp, one end of upper clamp is connected with lower clamp one end by soft body, the other end of upper clamp is provided with and protrudes semicircle reversal of the natural order of things, the other end of lower clamp is provided with depression semicircle back-off, and the protrusion semicircle reversal of the natural order of things of described upper clamp to rotate for axle with soft body thus to close with the depression semicircle back-off self-locking of lower clamp and described running fire vascular clamp can be opened to 90 degree of angles under the pressure of longitudinal direction; Be provided with semicircle protrusion guide rail outside described running fire vascular clamp (25) upper clamp, the both sides of lower clamp are provided with semicircle protrusion guide rail, are also provided with groove bottom lower clamp; The length of described running fire vascular clamp (25) is 6 ~ 15mm.
10. automatic-repeating blood vessel according to claim 1 moulds clamp, it is characterized in that: it is that repeated disinfection uses that described automatic-repeating blood vessel moulds clamp, and folder casket is single use.
The folder casket of 11. 1 kinds of in-built running fire vascular clamps, it is characterized in that: the in-built many pieces of running fire vascular clamps (25) of this folder casket (26), the cavity structure that described folder casket (26) is two open ends, one end of opening is connected with jaw mechanism, and the other end of opening is used for pressing from both sides running fire vascular clamp (25) in casket can push to jaw mechanism; The left and right sides inwall of this cavity structure is also provided with guide rail groove, and this guide rail groove matches with the guide rail of the upper corresponding both sides of running fire vascular clamp (25), and the guide rail groove that running fire blood vessel (25) presss from both sides along folder casket both sides inwall can be moved forward and backward; The bottom of described folder casket is also provided with groove (260);
And, running fire vascular clamp (25) comprises upper clamp, soft body and lower clamp, one end of upper clamp is connected with lower clamp one end by soft body, the other end of upper clamp is provided with and protrudes semicircle reversal of the natural order of things, the other end of lower clamp is provided with depression semicircle back-off, and the protrusion semicircle reversal of the natural order of things of described upper clamp to rotate for axle with soft body thus to close with the depression semicircle self-locking of falling back-off of lower clamp and described running fire vascular clamp (25) also can be opened to 90 degree of angles under the pressure of longitudinal direction; Be provided with semicircle protrusion guide rail outside described running fire vascular clamp (25) upper clamp, the both sides of lower clamp are provided with semicircle protrusion guide rail, are also provided with groove bottom lower clamp; The length of described running fire vascular clamp (25) is 6 ~ 15mm.
The folder casket of 12. in-built running fire vascular clamps according to claim 11, is characterized in that: put at least 2 pieces of running fire vascular clamps (25) in described folder casket (26).
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| CN201510009673.8A CN104523316B (en) | 2015-01-08 | 2015-01-08 | Automatic-repeating blood vessel moulds clamp and folder casket |
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| CN201510009673.8A CN104523316B (en) | 2015-01-08 | 2015-01-08 | Automatic-repeating blood vessel moulds clamp and folder casket |
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| CN104523316B true CN104523316B (en) | 2015-11-18 |
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