CN104921777A - Microsurgery forceps with double forceps heads capable of clamping and fixing - Google Patents
Microsurgery forceps with double forceps heads capable of clamping and fixing Download PDFInfo
- Publication number
- CN104921777A CN104921777A CN201510376523.0A CN201510376523A CN104921777A CN 104921777 A CN104921777 A CN 104921777A CN 201510376523 A CN201510376523 A CN 201510376523A CN 104921777 A CN104921777 A CN 104921777A
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- clamp arm
- forceps
- microsurgery
- left clamp
- right clamp
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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
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
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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
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1128—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of nerves
-
- 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
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
-
- 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
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
-
- 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
- A61B2017/1125—Forceps, specially adapted for performing or assisting anastomosis
-
- 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
- A61B2017/1132—End-to-end connections
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Neurology (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention discloses microsurgery forceps with double forceps heads capable of clamping and fixing, and belongs to the technical field of medical equipment. The microsurgery forceps are used for performing clamping and fixing operation. The technical scheme is that the double forceps heads capable of clamping and fixing are added to traditional operating forceps, blood vessel or nerve can be clamped by clamping pieces at front ends of the forceps heads, the clamping pieces are connected with pull rods, a stay cable and pull rings, and a clamping spring is disposed between the two clamping pieces. After the blood vessel or the nerve is clamped by the forceps heads, the forceps heads at two sides are shut towards the middle by closing handles at two sides of the operating forceps, so that anastomosis butt joint of two broken ends can be achieved. The microsurgery forceps are reasonable in structure, simple and flexible in operation and firm in fixation, the blood vessel can be prevented from being repeatedly clamped during an operation, man-made damage can be prevented, and one-man operation of clamp, measurement, anastomosis and fixation is achieved. The microsurgery technology is innovated, the disadvantages in a microsurgery operation that broken ends of blood vessel and nerve are poorly anastomosed, and specially-assigned person auxiliary operation is usually required are effectively prevented, operation time is shortened, and patient pain is effectively relieved.
Description
Technical field
The present invention relates to the microsurgery pincers that a kind of pair of binding clip can carry out gripping operation, belong to technical field of medical instruments.
Background technology
In microsurgery, final treatment means for blood vessel and nervous system disease or traumatic damage is method reconstruction blood vessel or the nerves such as directly reparation, sticking patch shaping or bridge joint, therefore the identical and stitching of nervus vasculairs is one of basic fundamentals of microsurgery operation, is also the most important thing.But blood vessel is a kind of elastic cavity pipeline, and adventitia is smooth, neural then be a kind of smooth substantive pipeline, the two quality is tender and lovely, should avoid damage in operating process.But current operating theater instruments is how comparatively heavy, clamp repeatedly very easily causes blood vessel and the irreversible damage of nerve, moreover blood vessel has with neural the blood vessel and the neural retraction all had in various degree that expose in very large retractility, particularly wound, coincide overtension when sewing up, fixing how not firm.Secondly, in most cases, the nervus vasculairs broken ends of fractured bone of patient needs row stump to repair, remove partial outer membrane and make that broken ends of fractured bone edge is smooth is beneficial to tight stitching, and for the wound of those heavy contamination, nervus vasculairs stump needs further to prune toward contact, when not needing bridge joint, increase the weight of stitching tension force especially, therefore identical fixture has been had higher requirement.Though it is not existing common microinstrument can clamp, how firm, in the docking anastomosis procedures of nervus vasculairs, easily there is slippage.Often need special messenger to carry out support work in current nervus vasculairs suture, ensure coincideing of the broken ends of fractured bone, operation is very painstaking, and very easily occurs when sewing up that the suture that artificial origin causes loosens, dislocation, and the problem such as to penetrate, how undesirable effect is.Therefore in clinical urgently a kind of simple, can one man operation, fixed microsurgery pincers.
Summary of the invention
Technical problem to be solved by this invention is to provide the microsurgery pincers that a kind of pair of binding clip can grip, and this operating forceps can the single clamp nervus vasculairs broken ends of fractured bone, and carries out identical para-position and fix, simple to operate, fixed, time saving and energy savingly also has measurement function concurrently.
The technical scheme solved the problems of the technologies described above is:
The microsurgery pincers that a kind of pair of binding clip can grip, it comprises left clamp arm, right clamp arm, center rotational shaft, left clamp arm and right clamp arm are rotationally connected by center rotational shaft, there is ring-shaped handle at the rear portion of left clamp arm and right clamp arm, its improvements are, left clamp arm and right clamp arm are hollow pipe, the front end of left clamp arm and right clamp arm is separately installed with can the stapling head of folding, stapling head plane and left clamp arm, the plane orthogonal that right clamp arm is formed, each stapling head is by intermediate plate, fixing head, clamp rotating shaft, pull bar, rod shaft, drag-line and fastening spring composition, intermediate plate is two panels, the top of intermediate plate is the retained part of arc, the bottom of intermediate plate bends laterally, the middle part of two intermediate plates is fixed on fixing head respectively by clamp rotating shaft, fixing head is fixedly connected with the front end of right clamp arm with left clamp arm, the plane that clamp rotating shaft is formed perpendicular to left clamp arm and right clamp arm, the lower end of intermediate plate is connected by rod shaft with the upper end of pull bar, the lower end of pull bar is connected with drag-line, drag-line is through in the hollow pipe of left clamp arm and right clamp arm, the lower end of drag-line is connected with draw ring, draw ring is positioned at the outside of left clamp arm and right clamp arm, fastening spring is connected between the two panels intermediate plate of each stapling head.
The microsurgery pincers that above-mentioned pair of binding clip can grip, the medial surface that described left clamp arm is relative with the bottom of right clamp arm is fixedly connected with locking plate respectively, locking plate is strip, the length direction of locking plate is vertical with right clamp arm with left clamp arm, the plate face of two locking plates is relatively parallel, there is sawtooth in the plate face that two locking plates are relative respectively, and the sawtooth of two locking plates is meshed, and the position of two locking plates is respectively in the inner side of the ring-shaped handle of left clamp arm and right clamp arm.
The microsurgery pincers that above-mentioned pair of binding clip can grip, have scale between the left clamp arm in described center rotational shaft front and right clamp arm, scale is arc, and one end of scale is fixedly connected with left clamp arm, the other end of scale and right clamp arm are for being slidably connected, and scale is marked with distance scale.
The invention has the beneficial effects as follows:
The present invention adds the double fastener binding clip that can grip on the basis that traditional operation clamps, and the intermediate plate of stapling head front end can clamp blood vessels or nerve, and operator can pass through the folding of the intermediate plate of the component controls stapling head front ends such as pull bar, drag-line, fastening spring.After stapling head clamp blood vessels or nerve, by the handle of closure procedure pincers both sides, the stapling head of both sides is closed up to centre, the identical docking of two broken ends of fractured bone can be realized.Locking plate directly locks after end-to-end anastomosis, fixed, coordinates and has carried out clamping, fixing operation.Scale is suitable for the case needing bridge joint, directly can measure the blood vessel of required bridge joint and neural length according to scale label.
The present invention is rational in infrastructure, simple to operate flexibly, fixation, the clamp repeatedly to blood vessel can be reduced in art, avoid artificial damage, can directly lock after para-position, nervus vasculairs are made to coincide closely, fixed, also have measurement function concurrently, operating procedure in easy art, achieves clamp, measurement, coincide, fixing one man operation.
The present invention is the innovation to microsurgical technique, efficiently avoid the drawback that the neural end-to-end anastomosis of microsurgery medium vessels is bad, often need special messenger's auxiliary operation, solve clinical in a numerous and diverse operation technique difficult problem, shorten operating time, enhance curative effect, effectively alleviate the misery of patient, there is good Social benefit and economic benefit.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is the structural representation of stapling head.
In figure, labelling is as follows: left clamp arm 1, right clamp arm 2, center rotational shaft 3, handle 4, stapling head 5, intermediate plate 6, fixing head 7, clamp rotating shaft 8, pull bar 9, rod shaft 10, drag-line 11, fastening spring 12, draw ring 13, locking plate 14, sawtooth 15, scale 16.
Detailed description of the invention
The present invention includes left clamp arm 1, right clamp arm 2, center rotational shaft 3, left clamp arm 1 and right clamp arm 2 are rotationally connected by center rotational shaft 3, and there is ring-shaped handle 4 at the rear portion of left clamp arm 1 and right clamp arm 2, and these structures are identical with general operating forceps.In order to coordinate improvement of the present invention, above-mentioned left clamp arm 1 and right clamp arm 2 adopt tubular structure.
Show in figure, the present invention adds respectively in the front end of left clamp arm 1 and right clamp arm 2 can the stapling head 5 of folding, the plane orthogonal that stapling head 5 plane and left clamp arm 1, right clamp arm 2 are formed, stapling head 5 is for clamp blood vessels or nerve, simplify operating procedure in art, the one man operation achieve clamp, coincideing, fix.
Show in figure, each stapling head 5 is made up of intermediate plate 6, fixing head 7, clamp rotating shaft 8, pull bar 9, rod shaft 10, drag-line 11, fastening spring 12 and draw ring 13.
Show in figure, intermediate plate 6 is two panels, and the top of intermediate plate 6 is the retained part of arc, and the bottom of intermediate plate 6 bends laterally.The middle part of two intermediate plates 6 is fixed on fixing head 7 respectively by clamp rotating shaft 8.Two intermediate plates 6 can not adopt a clamp rotating shaft 8 to fix, and adopt a clamp rotating shaft 8 to fix, during clamping, two intermediate plates 6 will form strand and cut effect.Two fixing heads 7 are fixedly connected with the front end of left clamp arm 1 with right clamp arm 2 respectively.
Show in figure, because intermediate plate 6 is the lamellar of bending, the lower end of intermediate plate 6 can not be arranged in the hollow pipe of left clamp arm 1 and right clamp arm 2, and have gap outside the hollow pipe of therefore left clamp arm 1 and right clamp arm 2, intermediate plate lower end, pull bar 9, rod shaft are all positioned at gap outside.
Show in figure, the lower end of intermediate plate 6 is connected by rod shaft 10 with the upper end of pull bar 9, the lower end of pull bar 9 is connected with drag-line 11, drag-line 11 is through in the hollow pipe of left clamp arm 1 and right clamp arm 2, the lower end of drag-line 11 is connected with draw ring 13 with the hollow pipe of right clamp arm 2 through left clamp arm 1, and draw ring 13 is positioned at the outside of left clamp arm 1 and right clamp arm 2.During operation, operator's thumb and middle finger, the third finger control left and right two handles 4 respectively, and are placed on by forefinger outside handle 4, catch on draw ring 13 with forefinger, pull, drag-line 11 moves down, by pull bar 9, rod shaft 10, intermediate plate 6 is outwards opened, prepare clipping operation.
Show in figure, between the two panels intermediate plate 6 of each stapling head 5, connect fastening spring 12.Under the state not pulling drag-line 11, two panels intermediate plate 6 closes up to centre by fastening spring 12, if now intermediate plate 6 is middle blood vessel or nerve, be Automatic-clamping state, operator can carry out other operation.When two panels intermediate plate 6 separates by needs, namely correspond to the blood vessel decontroling clamping or nerve, or prepare to carry out clamp operation, pull draw ring 13 downwards, intermediate plate 6 can be opened by drag-line 11.
Show in figure, the medial surface that left clamp arm 1 is relative with the bottom of right clamp arm 2 is fixedly connected with locking plate 14 respectively, locking plate 14 is strip, the length direction of locking plate 14 is vertical with right clamp arm 2 with left clamp arm 1, the plate face of two locking plates 14 is relatively parallel, the plate face that two locking plates 14 are relative has sawtooth 15 respectively, and the sawtooth 15 of two locking plates 14 is meshed, and the position of two locking plates 14 is respectively in the inner side of the ring-shaped handle 4 of left clamp arm 1 and right clamp arm 2.Two locking plates 14 can be locked and closed and keep stationary state, and locking plate 14 can carry out length adjustment for the anastomotic stoma under differential tension, directly locks after end-to-end anastomosis, fixed, coordinate and have carried out clamping, fixing operation.
Show in figure, have scale 16 between the left clamp arm 1 in center rotational shaft 3 front and right clamp arm 2, scale 16 is arc, and one end of scale 16 is fixedly connected with left clamp arm 1, and the other end of scale 16 and right clamp arm 2 are for being slidably connected, and scale 16 is marked with distance scale.Scale 16 is suitable for be needed in the case of bridge joint, after completing the clamp at two ends, directly can measure the blood vessel of required bridge joint and neural length according to scale 16 scale, achieve clamp, measurement, identical, fixing one man operation.
Use procedure of the present invention is as follows:
During operation, operator's thumb and middle finger, the third finger control left and right two handles 4 respectively, and are placed on by forefinger outside handle 4, catch on draw ring 13 with forefinger, pull, drag-line 11 moves down, by pull bar 9, rod shaft 10, intermediate plate 6 is outwards opened, prepare clipping operation.
By intermediate plate 6 clamp blood vessels of a stapling head 5 or the neural broken ends of fractured bone, then repetitive operation to two stapling head 5 clamps the blood vessel of both sides or the neural broken ends of fractured bone respectively.
Hold two side grips 4 backward in close up, make the stapling head 5 of both sides close to centre, to fit like a glove docking to the blood vessel of both sides or the neural broken ends of fractured bone.
Locking plate 14 directly locks after end-to-end anastomosis, fixed.
As measured, then hold direct reading arc scale 16 scale after two broken ends of fractured bone respectively.
Claims (3)
1. the two binding clip microsurgery pincers that can grip, it comprises left clamp arm (1), right clamp arm (2), center rotational shaft (3), left clamp arm (1) and right clamp arm (2) are rotationally connected by center rotational shaft (3), there is ring-shaped handle (4) at the rear portion of left clamp arm (1) and right clamp arm (2), it is characterized in that: left clamp arm (1) and right clamp arm (2) are hollow pipe, the front end of left clamp arm (1) and right clamp arm (2) is separately installed with can the stapling head (5) of folding, stapling head (5) plane and left clamp arm (1), the plane orthogonal that right clamp arm (2) is formed, each stapling head (5) is by intermediate plate (6), fixing head (7), clamp rotating shaft (8), pull bar (9), rod shaft (10), drag-line (11) and fastening spring (12) composition, intermediate plate (6) is two panels, the top of intermediate plate (6) is the retained part of arc, the bottom of intermediate plate (6) bends laterally, the middle part of two intermediate plates (6) is fixed on fixing head (7) respectively by clamp rotating shaft (8), fixing head (7) is fixedly connected with the front end of left clamp arm (1) with right clamp arm (2), the plane that clamp rotating shaft (8) is formed perpendicular to left clamp arm (1) and right clamp arm (1), the lower end of intermediate plate (6) is connected by rod shaft (10) with the upper end of pull bar (9), the lower end of pull bar (9) is connected with drag-line (11), drag-line (11) is through in the hollow pipe of left clamp arm (1) and right clamp arm (2), the lower end of drag-line (11) is connected with draw ring (13), draw ring (13) is positioned at the outside of left clamp arm (1) and right clamp arm (2), fastening spring (12) is connected between the two panels intermediate plate (6) of each stapling head (5).
2. the according to claim 1 pair of binding clip microsurgery pincers that can grip, it is characterized in that: the medial surface that described left clamp arm (1) is relative with the bottom of right clamp arm (2) is fixedly connected with locking plate (14) respectively, locking plate (14) is strip, the length direction of locking plate (14) is vertical with right clamp arm (2) with left clamp arm (1), the plate face of two locking plates (14) is relatively parallel, the plate face that two locking plates (14) are relative there is sawtooth (15) respectively, the sawtooth (15) of two locking plates (14) is meshed, the position of two locking plates (14) is respectively in the inner side of the ring-shaped handle (4) of left clamp arm (1) and right clamp arm (2).
3. the according to claim 2 pair of binding clip microsurgery pincers that can grip, it is characterized in that: between the left clamp arm (1) in described center rotational shaft (3) front and right clamp arm (2), have scale (16), scale (16) is arc, one end of scale (16) is fixedly connected with left clamp arm (1), the other end of scale (16) and right clamp arm (2) are for being slidably connected, and scale (16) is marked with distance scale.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510376523.0A CN104921777B (en) | 2015-07-01 | 2015-07-01 | The microsurgery pincers that a kind of pair of binding clip can grip |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510376523.0A CN104921777B (en) | 2015-07-01 | 2015-07-01 | The microsurgery pincers that a kind of pair of binding clip can grip |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104921777A true CN104921777A (en) | 2015-09-23 |
| CN104921777B CN104921777B (en) | 2017-03-01 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201510376523.0A Active CN104921777B (en) | 2015-07-01 | 2015-07-01 | The microsurgery pincers that a kind of pair of binding clip can grip |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106473746A (en) * | 2016-12-09 | 2017-03-08 | 四川大学华西第二医院 | A kind of body surface location scale |
| CN112741663A (en) * | 2020-12-29 | 2021-05-04 | 山西省人民医院 | Liquid-suction magnetic type blood vessel anastomat for thoracic surgery |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106473746A (en) * | 2016-12-09 | 2017-03-08 | 四川大学华西第二医院 | A kind of body surface location scale |
| CN106473746B (en) * | 2016-12-09 | 2023-04-21 | 四川大学华西第二医院 | Body surface positioning scale |
| CN112741663A (en) * | 2020-12-29 | 2021-05-04 | 山西省人民医院 | Liquid-suction magnetic type blood vessel anastomat for thoracic surgery |
| CN112741663B (en) * | 2020-12-29 | 2022-12-02 | 山西省人民医院 | Liquid-suction magnetic type blood vessel anastomat for thoracic surgery |
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